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Interruptions and distractions during anesthesia induction: a pilot study.

机译:麻醉诱导期间的干扰和干扰:一项初步研究。

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摘要

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.
机译:通常,循环注册的护士协助麻醉诱导,但是其他人员往往会中断该过程以询问与诱导过程无关的问题。如果在麻醉诱导过程中,经过认证的注册护士麻醉师(CRNA)更换注射器,则打扰和分散注意力可能会导致失去焦点并导致用药错误。在这项研究中,观察到了8个CRNA和麻醉诱导周期,并记录了中断和分心的次数。结果显示,大多数来自其他人员(M = 3 +/- 0.53),对话(M = 3 +/- 1.19)和噪音(M = 1.5 +/- 1.3)。这些结果平均每9分钟产生7.5次干扰,这些结果表明CRNA每小时可能会发生68次干扰和干扰。在另一个设置中,此数字可能会有所不同。我们选择发表此挑衅性文章,以激发其他类似的研究,以探讨手术环境中的干扰和干扰。更多的研究可能表明,在感应过程中保持沉默是否是一项安全措施,以及解决干扰和干扰的方法。

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