Distracted Doctoring: The Role of Personal Electronic Devices in the Operating Room

Tara N. Cohen; Scott A. Shappell; Scott T. Reeves; Albert J. Boquet

doi:10.1016/j.pcorm.2017.12.001

Distracted Doctoring: The Role of Personal Electronic Devices in the Operating Room

Tara N. Cohen, Scott A. Shappell, Scott T. Reeves, Albert J. Boquet

Human Factors & Behavioral Neurobiology

Research output: Contribution to journal › Article › peer-review

Abstract

   Background 
 The purpose of this paper is to identify personal electronic device (PED) use by cardiac team members during a series of cardiovascular surgeries. Authors make the case that these devices contribute to the cognitive disconnect between practitioners and their primary task of taking care of the surgical patient.
 
   Methods 
 This prospective observational study took place over four months of data collection. Twenty-five cardiovascular procedures (totaling 139.06 h) were observed for workflow disruptions and those related to the use of PEDs were further analyzed for frequency of occurrence and time spent attending to the PED.
 
   Results 
 Data collection yielded 545 events for analysis; each requiring an average of 86.51 s of attention. Most PED use events took place during bypass (n = 233) followed by pre-bypass (n = 197) and post-bypass (n = 115).
 
   Conclusion 
 The results presented here indicate that mobile devices have infiltrated not just social interactions, but those situations that by their nature demand often times undivided attention to ensure safety and protection of others.

Original language	American English
Journal	Perioperative Care and Operating Room Management
Volume	10
DOIs	https://doi.org/10.1016/j.pcorm.2017.12.001
State	Published - Mar 2018

Keywords

patient safety
human factors
distractions
surgery
quality impreovement

Disciplines

Surgery
Other Psychiatry and Psychology

Access to Document

10.1016/j.pcorm.2017.12.001License: Unspecified

Cite this

@article{5b56ea77565c4e7c8bdfadfe3d33f8f4,

title = "Distracted Doctoring: The Role of Personal Electronic Devices in the Operating Room",

abstract = " Background The purpose of this paper is to identify personal electronic device (PED) use by cardiac team members during a series of cardiovascular surgeries. Authors make the case that these devices contribute to the cognitive disconnect between practitioners and their primary task of taking care of the surgical patient. Methods This prospective observational study took place over four months of data collection. Twenty-five cardiovascular procedures (totaling 139.06 h) were observed for workflow disruptions and those related to the use of PEDs were further analyzed for frequency of occurrence and time spent attending to the PED. Results Data collection yielded 545 events for analysis; each requiring an average of 86.51 s of attention. Most PED use events took place during bypass (n = 233) followed by pre-bypass (n = 197) and post-bypass (n = 115). Conclusion The results presented here indicate that mobile devices have infiltrated not just social interactions, but those situations that by their nature demand often times undivided attention to ensure safety and protection of others.",

keywords = "patient safety, human factors, distractions, surgery, quality impreovement",

author = "Cohen, {Tara N.} and Shappell, {Scott A.} and Reeves, {Scott T.} and Boquet, {Albert J.}",

year = "2018",

month = mar,

doi = "10.1016/j.pcorm.2017.12.001",

language = "American English",

volume = "10",

journal = "Perioperative Care and Operating Room Management",

issn = " 2405-6030",

}

TY - JOUR

T1 - Distracted Doctoring: The Role of Personal Electronic Devices in the Operating Room

AU - Cohen, Tara N.

AU - Shappell, Scott A.

AU - Reeves, Scott T.

AU - Boquet, Albert J.

PY - 2018/3

Y1 - 2018/3

N2 - Background The purpose of this paper is to identify personal electronic device (PED) use by cardiac team members during a series of cardiovascular surgeries. Authors make the case that these devices contribute to the cognitive disconnect between practitioners and their primary task of taking care of the surgical patient. Methods This prospective observational study took place over four months of data collection. Twenty-five cardiovascular procedures (totaling 139.06 h) were observed for workflow disruptions and those related to the use of PEDs were further analyzed for frequency of occurrence and time spent attending to the PED. Results Data collection yielded 545 events for analysis; each requiring an average of 86.51 s of attention. Most PED use events took place during bypass (n = 233) followed by pre-bypass (n = 197) and post-bypass (n = 115). Conclusion The results presented here indicate that mobile devices have infiltrated not just social interactions, but those situations that by their nature demand often times undivided attention to ensure safety and protection of others.

AB - Background The purpose of this paper is to identify personal electronic device (PED) use by cardiac team members during a series of cardiovascular surgeries. Authors make the case that these devices contribute to the cognitive disconnect between practitioners and their primary task of taking care of the surgical patient. Methods This prospective observational study took place over four months of data collection. Twenty-five cardiovascular procedures (totaling 139.06 h) were observed for workflow disruptions and those related to the use of PEDs were further analyzed for frequency of occurrence and time spent attending to the PED. Results Data collection yielded 545 events for analysis; each requiring an average of 86.51 s of attention. Most PED use events took place during bypass (n = 233) followed by pre-bypass (n = 197) and post-bypass (n = 115). Conclusion The results presented here indicate that mobile devices have infiltrated not just social interactions, but those situations that by their nature demand often times undivided attention to ensure safety and protection of others.

KW - patient safety

KW - human factors

KW - distractions

KW - surgery

KW - quality impreovement

U2 - 10.1016/j.pcorm.2017.12.001

DO - 10.1016/j.pcorm.2017.12.001

M3 - Article

SN - 2405-6030

VL - 10

JO - Perioperative Care and Operating Room Management

JF - Perioperative Care and Operating Room Management

ER -