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Rev Col Bras Cir. 2011 Sep-Oct;38(5):292-8.

Interruptions and distractions in the trauma operating room: understanding the threat of human error.

[Article in English, Portuguese]

Author information

1
Universidade Estadual de Campinas (UNICAMP), Campinas, São Paulo State, Brazil. bpereira@med.miami.edu

Abstract

OBJECTIVE:

To understand the human factor as a threat to the security of trauma patients in the operating room, bringing to the operating room some important rules already applied in the field of aviation.

METHODS:

The sample included 50 cases of surgical trauma patients prospectively collected by observers in shifts of 12 hours, for six months in a Level I trauma center in the United States of America. Information regarding the type of trauma, severity score and mortality were collected, as well as determinants of distractions / interruptions and the volume of noise in the operating room during surgery.

RESULTS:

There was an average of 60 interruptions or distractions during surgery, most often triggered by the movement of people in the room. In more severe patients (ISS> 45), subjected to damage control, the incidence of distractions was even greater. The average noise in the trauma surgery room was very high, close to the noise of a hair dryer.

CONCLUSION:

Interruptions and distractions are frequent and should be studied by the trauma surgeon to develop prevention strategies and lines of defense to minimize them and reduce their effects.

PMID:
22124638
[Indexed for MEDLINE]
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