Identifying workflow disruptions in the cardiovascular operating room

T. N. Cohen; J. S. Cabrera; O. D. Sisk; K. L. Welsh; J. H. Abernathy; S. T. Reeves; D. A. Wiegmann; S. A. Shappell; A. J. Boquet

doi:10.1111/anae.13521

Identifying workflow disruptions in the cardiovascular operating room

T. N. Cohen, J. S. Cabrera, O. D. Sisk, K. L. Welsh, J. H. Abernathy, S. T. Reeves, D. A. Wiegmann, S. A. Shappell, A. J. Boquet

Research output: Contribution to journal › Article › peer-review

24 Scopus citations

Abstract

The objectives of this study were to identify the frequency and nature of flow disruptions in the operating room with respect to three cardiac surgical team members: anaesthetists; circulating nurses; and perfusionists. Data collected from 15 cases and coded using a human factors taxonomy identified 878 disruptions. Significant differences were identified in frequency relative to discipline type. Circulating nurses experienced more coordination disruptions (χ² (2, N = 110) = 7.136, p < 0.028) and interruptions (χ² (2, N = 427) = 29.743, p = 0.001) than anaesthetists and perfusionists, whereas anaesthetists and perfusionists experienced more layout issues than circulating nurses (χ² (2, N = 153) = 48.558, p = 0.001). Time to resolve disruptions also varied among disciplines (λ (12, 878) = 5.186, p = 0.000). Although most investigations take a one-size fits all approach in addressing disruptions to flow, this study demonstrates that targeted interventions must focus on differences with respect to individual role.

Original language	English (US)
Pages (from-to)	948-954
Number of pages	7
Journal	Anaesthesia
Volume	71
Issue number	8
DOIs	https://doi.org/10.1111/anae.13521
State	Published - Aug 1 2016
Externally published	Yes

Keywords

Quality measures-patient care
Root cause analysis: Essential elements

ASJC Scopus subject areas

Anesthesiology and Pain Medicine

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10.1111/anae.13521

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title = "Identifying workflow disruptions in the cardiovascular operating room",

abstract = "The objectives of this study were to identify the frequency and nature of flow disruptions in the operating room with respect to three cardiac surgical team members: anaesthetists; circulating nurses; and perfusionists. Data collected from 15 cases and coded using a human factors taxonomy identified 878 disruptions. Significant differences were identified in frequency relative to discipline type. Circulating nurses experienced more coordination disruptions (χ2 (2, N = 110) = 7.136, p < 0.028) and interruptions (χ2 (2, N = 427) = 29.743, p = 0.001) than anaesthetists and perfusionists, whereas anaesthetists and perfusionists experienced more layout issues than circulating nurses (χ2 (2, N = 153) = 48.558, p = 0.001). Time to resolve disruptions also varied among disciplines (λ (12, 878) = 5.186, p = 0.000). Although most investigations take a one-size fits all approach in addressing disruptions to flow, this study demonstrates that targeted interventions must focus on differences with respect to individual role.",

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AU - Reeves, S. T.

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Identifying workflow disruptions in the cardiovascular operating room

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Keywords

ASJC Scopus subject areas

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