This discussion panel will focus on solutions for mitigating the negative impact of interruptions in healthcare. Five human factors practitioners who work within healthcare systems will present solutions of mitigating the negative impact of interruptions on safety and quality with the acknowledgement that interruptions in and of themselves should not be viewed as purely negative (i.e. some interruptions are not only necessary but beneficial to patient care). Additionally, one panelist will focus on the difficulties in bridging the gap between research and practice in this arena. The session will lead to an interactive discussion about how human factors methods can be adapted and applied to identify and develop realistic, impactful solutions that improve safety by eliminating the negative impact of interruptions in applied healthcare settings.
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References
1.
AntoniadisS.Passauer-BaierlS.BaschneggerH.WeiglM. (2014). Identification and interference of intraoperative distractions and interruptions in operating rooms. Journal of Surgical Research, 188, 21-29.
2.
BrixeyJ. J.RobinsonD. J.JohnsonC. W.. (2006). Towards a hybrid method to categorize interruptions and activities in healthcare. International Journal of Medical Informatics, 76, 812-820.
3.
ChisholmC.D.DornfeldA.M.NelsonD.R.CordellW.H. (2001). Work interrupted: A comparison of workplace interruptions in emergency departments and primary care offices. Annals of Emergency Medicine, 38(2), 146–151.
4.
CohenT.N.CabreraJ.S.SiskO.D.. (2016). Identifying workflow disruptions in the cardiovascular operating room. Anesthesia, 71, 948-954.
5.
CoieraE. (2012). The science of interruption. BMJ Quality & Safety, 21(5), 357-360.
6.
DamosD. L.TabachnickB. G. (2001). The effect of interruptions on flight crew performance:ASRS reports. Los Angeles: Damos Research Associates.
7.
DeardenA.SmithersM.ThaparA. (1996). Interruptions during general practice consultations – the patients’ view. Family Practice, 13, 166-169.
8.
De LevalM.R.CartheyJ.WrightD.J. (2000). Human factors and cardiac surgery: a multicenter study. Journal of Thoracic and Cardiovascular Surgery, 119, 661-672.
ElganzouriE.S.StandishC.A.AndrowichI. (2009). Medication administration time study (MATS): Nursing staff performance of medication administration. Journal of Nursing Administration, 39, 204-210.
11.
FongA.MeadorsM.BattaN.. (2014). Identifying interruption clusters in the emergency department. Proceedings of the Human Factors and Ergonomics Socieity Annual Meeting. Chicago, IL.
12.
GrundgeigerT.SandersonP. (2009). Interruptions in healthcare: theoretical views. International Journal of Medical Informatics, 78, 293-307.
13.
Chih-YuanH.NikolicM.J.SarterN.B. (2004). Not now! Supporting interruption management by indicating the modality and urgency of pending tasks. Human Factors, 46(3), 399–409.
14.
HopkinsonS.G.JenningsB.M. (2013). Interruptions during nurses’ work: a state-of-the-science review. Research in Nursing and Health, 36, 38-53.
15.
LatorellaK.A. (1999). Investigating interruptions: Implications for flightdeck performance. NASA: Langley Research Center, VA.
16.
LaxmisanA.HakimzadaF.SayanO. R.. (2007). The multitasking clinician: Decision-making and cognitive demand during and after team handoffs in emergency care. International Journal of Medical Informatics, 76, 801-811.
LevinS.FranceD.J.HemphillR.. (2006). Tracking workload in the emergency department. Human Factors, 48, 526-539.
19.
LiS.Y.MagrabiF.CoieraE. (2012). A systematic review of the psychological literature on interruption and its patient safety implications. Journal of the American Medical Informatics Association, 19(1), 6–12.
20.
MagrabiF.LiS.Y.DunnA.G.CoieraE. (2010). Why is it so difficult to measure the effects of interruptions in healthcare?Studies in Health Technology and Informatics, 160, 784–788.
21.
McCurdieT.SandersonP.AitkenL.M. (2017). Traditions of research into interruptions in healthcare: A conceptual review. International Journal of Nursing Studies, 66, 23-36.
22.
ProbstC.A.CarterM.CadiganC.. (2017). Utilizing a human factors nursing worksystem improvement framework to increase nurses' time at the bedside and enhance safety. Journal of Nursing Administration, 47(2), 94-100.
23.
RabanM.Z.WalterS.R.DouglasH.E.. (2015). Measuring the relationship between interruptions, multitasking and prescribing errors in an emergency department: a study protocol. BMJ Open, 5:e009076.
24.
RabanM.Z.WestbrookJ.I. (2013). Are interventions to reduce interruptions and errors during medication administration effective? A systematic review. BMJ Quality and Safety, 5, 414-421.
25.
RatwaniR. M.TraftonJ. G. (2006). Now where was I? Examining the perceptual processes while resuming and interrupted task. Proceedings of the 28th Annual Meeting of the Cognitive Science Society, Vancouver, Canada.
26.
Rivera-RodriguezA. J.KarshB. T. (2010). Interruptions and distractions in healthcare: review and reappraisal. Quality and Safety in Health Care, 19(4), 304-312.
27.
RiveraA. J. (2014). A socio-technical systems approach to studying interruptions: Understanding the interrupter’s perspective. Applied Ergonomics, 45(3), 747-765.
28.
SandersonP. M.GrundgeigerT. (2015). How do interruptions affect clinician performance in healthcare? Negotiating fidelity, control, and potential generalizability in the search for answers. International Journal of Human-Computer Studies, 79, 85-96.
29.
SasangoharF.DonmezB.TrbovichP.. (2012). Not all interruptions are created equal: positive interruptions in healthcare. Proceedings of the Human Factors and Ergonomics Society Annual Meeting, 56. Boston, MA.
30.
StuttsJ.FeaganesJ.ReinfurtD.. (2005). Driver’s exposure to distractions in their natural driving environment. Accident Analysis and Prevention, 37(6), 1093-1101.
31.
TuckerA. L. (2004). The impact of operational failures on hospital nurses and their patients. Journal of Operations Management, 22(2), 151-169.
32.
TuckerA. L.SpearS. J. (2006). Operational failures and interruptions in hospital nursing. Health Services Research, 41(3 Pt 1), 643-662.
33.
WaltersJ.A. (1992). Nurses’ perceptions of reportable medication errors and factors that contribute to their occurrence. Applied Nursing Research, 5, 86-88.
34.
WaljiM.Johnson-ThroopK.MailinJ.T.. (2004). The case for persuasive interruptions in healthcare. FieschiM. (Ed.). IOS Press, Amsterdam.
35.
WeiglM.MüllerA.AngererP.HoffmannF. (2014). Workflow interruptions and mental workload in hospital pediatricians: an observational study. BMC Health Services Research, 14, 433.
36.
WernerN. E.HoldenR. J. (2015). Interruptions in the wild: Development of a sociotechnical systems model of interruptions in the emergency department through a systematic review. Applied Ergonomics, 51, 244-254.
37.
WestbrookJ. I.CoieraE.WilliamT.M.. (2010). The impact of interruptions on clinical task completion. Quality & Safety in Health Care, 19(4), 284–89.
38.
WestbrookJ. I.WoodsA.RobM. I.. (2010). Association of interruptions with an increased risk and severity of medication administration errors. Archives of Internal Medicine, 170(8), 683-690.
39.
WiegmannD. A.ElBardissiA. W.DearaniJ. A.. (2007).Disruptions in surgical flow and their relationship to surgical errors: An exploratory investigation. Surgery, 142(5), 658-665.
40.
YangY.RiveraA. J. (2016). A Qualitative Observational Study in Pediatric ICUs The Use of Handsfree Device for Interruptions:Proceedings of the Human Factors and Ergonomics Society Annual Meeting,. Washington, DC.
