Saf Health Work.  2014 Mar;5(1):1-6.

Workflow Interruptions and Failed Action Regulation in Surgery Personnel

• Elfering A
• Nutzi M
• Koch P
• Baur H

Abstract

BACKGROUND
Workflow interruptions during surgery may cause a threat to patient's safety. Workflow interruptions were tested to predict failure in action regulation that in turn predicts near-accidents in surgery and related health care.
METHODS
One-hundred-and-thirty-three theater nurses and physicians from eight Swiss hospitals participated in a cross-sectional questionnaire survey. The study participation rate was 43%.
RESULTS
Structural equation modeling confirmed an indirect path from workflow interruptions through cognitive failure in action regulation on near-accidents (p < 0.05). The indirect path was stronger for workflow interruptions by malfunctions and task organizational blockages compared with workflow interruptions that were caused by persons. The indirect path remained meaningful when individual differences in conscientiousness and compliance with safety regulations were controlled.
CONCLUSION
Task interruptions caused by malfunction and organizational constraints are likely to trigger errors in surgery. Work redesign is recommended to reduce workflow interruptions by malfunction and regulatory constraints.

Keyword

Keywords; cognitive failure; occupational stress; patient safety

MeSH Terms

Compliance
Delivery of Health Care
Humans
Individuality
Patient Safety
Surveys and Questionnaires
Social Control, Formal