Files and links (1)
Accepted (AM)Open Access (License Unspecified), Open
Journal article
A systematic review of the effect of distraction on surgeon performance: directions for operating room policy and surgical training
Surgical endoscopy, v 30(5), pp 1713-1724
01 May 2016
PMID: 26194261
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background. Distractions during surgical procedures have been linked to medical error and team inefficiency. This systematic review identifies the most common and most significant forms of distraction in order to devise guidelines for mitigating the effects of distractions in the OR. Methods. In January 2015, a PubMed and Google Scholar search yielded 963 articles, of which 17 (2 %) either directly observed the occurrence of distractions in operating rooms or conducted a laboratory experiment to determine the effect of distraction on surgical performance.Results. Observational studies indicated that movement and case-irrelevant conversation were the most frequently occurring distractions, but equipment and procedural distractions were the most severe. Laboratory studies indicated that (1) auditory and mental distractions can significantly impact surgical performance, but visual distractions do not incur the same level of effects; (2) task difficulty has an interaction effect with distractions; and (3) inexperienced subjects reduce their speed when faced with distractions, while experienced subjects did not.Conclusion. This systematic review suggests that operating room protocols should ensure that distractions from intermittent auditory and mental distractions are significantly reduced. In addition, surgical residents would benefit from training for intermittent auditory and mental distractions in order to develop automaticity and high skill performance during distractions, particularly during more difficult surgical tasks. It is unclear as to whether training should be done in the presence of distractions or distractions should only be used for post-training testing of levels of automaticity.
Metrics
Details
- Title
- A systematic review of the effect of distraction on surgeon performance: directions for operating room policy and surgical training
- Creators
- Helena Mentis - University of Maryland, Baltimore CountyAmine Chellali - Informatique, Biologie Intégrative et Systèmes ComplexesKelly Manser - Cambridge Health AllianceCaroline G. L. Cao - Ergonomics in Remote Environments LaboratorySteven D. Schwaitzberg - Cambridge Health Alliance
- Publication Details
- Surgical endoscopy, v 30(5), pp 1713-1724
- Publisher
- Springer Verlag (Germany)
- Number of pages
- 12
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Information Science (Informatics)
- Web of Science ID
- WOS:000375087100002
- Scopus ID
- 2-s2.0-84937604823
- Other Identifier
- 991021916913804721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Surgery