Workflow Interruptions and Failed Action Regulation in Surgery Personnel
Safety and Health at Work
;
: 1-6, 2014.
Artículo
en Inglés
| WPRIM
| ID: wpr-224799
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.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Control Social Formal
/
Encuestas y Cuestionarios
/
Adaptabilidad
/
Atención a la Salud
/
Seguridad del Paciente
/
Individualidad
Tipo de estudio:
Estudio pronóstico
Límite:
Humanos
Idioma:
Inglés
Revista:
Safety and Health at Work
Año:
2014
Tipo del documento:
Artículo
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