کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
4280438 | 1611559 | 2010 | 6 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Factors compromising safety in surgery: stressful events in the operating room Factors compromising safety in surgery: stressful events in the operating room](/preview/png/4280438.png)
BackgroundStressful events occur in the operating room (OR) with potentially severe consequences for patient safety. We recorded the incidence of these events in the OR, assessed the levels of stress that they caused, and investigated their detectability.MethodsStressful incidents in the OR were recorded and rated in real time by an observer in 55 general and orthopedic procedures. Operating surgeons also rated incident stressfulness and their stress (validated State Trait Anxiety Inventory).ResultsThe total count of stressors/case ranged from 1 to 23.5 (mean, 5.87). Technical, patient, and equipment problems occurred frequently and were most stressful. Frequent but least severe stressors were distractions/interruptions, whereas least frequent/most severe stressors were teamwork problems. These events were associated with an increase in surgeons' self-reported stress. The observer was able to capture surgeons' stress accurately.ConclusionsSystematically occurring stressors in the OR affect surgeons and can be assessed accurately. Further research should investigate the impact of stress on surgical performance.
Journal: The American Journal of Surgery - Volume 199, Issue 1, January 2010, Pages 60–65