Usually, the circulating registered nurse assists with anesthesia induction, but other personnel tend to interrupt the process to ask questions that are unrelated to the induction process. Interruptions and distractions can lead to loss of focus and result in medication errors if a certified registered nurse anesthetist (CRNA) swaps syringes during anesthesia induction. In this study, 8 CRNAs and cycles of anesthesia induction were observed, and the number of interruptions and distractions recorded. Results showed that most were from other personnel (M = 3 ± 0.53), conversation (M = 3 ± 1.19), and noise (M = 1.5 ± 1.3). With an average of 7.5 total interruptions per 9 min, these results indicate that CRNAs may experience 68 interruptions and distractions per hour. In another setting, this number is likely to be different. We have chosen to publish this provocative article to stimulate other similar studies of interruptions and distractions in the surgical setting. More research may show whether silence during induction is upheld as a safety measure, and what might be solutions to distractions and interruptions.
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http://dx.doi.org/10.1097/PSN.0b013e31821b5b84 | DOI Listing |
PLoS One
January 2025
Department of Pharmacology and Therapeutics, College of Medicine and Health Sciences, The United Arab Emirates University, Al Ain, United Arab Emirates.
J Adv Nurs
December 2024
School of Nursing, Universidade Federal do Rio Grande do Sul-UFRGS, Porto Alegre, Brazil.
Aim: To map studies that tested an intervention orienting patient transfer to Postanesthesia Care Unit (PACU) and identify outcomes related to care safety.
Methods: Scoping review guided by recommendations of the JBI Manual and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Scoping Reviews (PRISMA-ScR) guide. The Population, Concept, and Context (PCC) framework was used to develop the research question and consolidate inclusion and exclusion criteria in databases consulted without date parameters.
Psychol Rep
December 2024
Graduate School of Education, The University of Western Australia, Perth, WA, Australia.
This research examined the network properties (network graph, centrality, and edge weights) of the 18 ADHD symptoms, based on the self-ratings of 300 adolescents. The findings indicated the three symptoms with the highest centrality values were "inattention", "wait", and "interrupt". For edge weights, there were positive large effect size associations for "lose" with "forgetful", "fidget with "run", "blurt" with "wait", and "wait" with "interrupt"; and positive moderate effect size associations for "careless" with "instruction", and "avoid" with "listen".
View Article and Find Full Text PDFAnn Fam Med
November 2024
Knowledge & Evaluation Research (KER) Unit, Mayo Clinic, Rochester, Minnesota
Unhurried conversations are necessary for careful and kind care that is responsive and responsible to both patients and clinicians. Adequate conceptual development is an important first step in being able to assess and measure this important domain of quality of care. In this article, we expand on a preliminary model to identify the key microlevel communication practices that support an unhurried conversation, defined as an ongoing, mutual accomplishment between patient and clinician that proceeds through a range of verbal and nonverbal communication practices wherein one or more participants (mutually) regulate the sequence, spacing (temporal and spatial), and speed of interaction to make themselves available to the other and remove or suspend distractions from the environment in order to improve care.
View Article and Find Full Text PDFJ Orthop Surg Res
November 2024
Department of Oral and Maxillofacial Surgery, Stomatological Hospital, School of Stomatology, Southern Medical University, S366 Jiangnan Boulevard,Haizhu District, Guangzhou City, Guangdong Province, China.
Objective: Bone incision leads to interrupted and sluggish blood flow in the process of distraction osteogenesis (DO), creating a hypoxia (0-2% oxygen tension) at the center of the bone callus. This hypoxia is critical in the coupling of osteogenesis and angiogenesis during DO. This study aimed to investigate the effect of Uniaxial Static Strain (USS) on osteogenesis in osteoblasts under hypoxic conditions, with a focus on the expression of osteogenic markers and angiogenic factors.
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