Antecedentes |
|
|
Ruído ambiental(11 Weigl M, Beck J, Wehler M, Schneider A. Workflow interruptions and stress at work: a mixed-methods study among physicians and nurses of a multidisciplinary emergency department. BMJ Open. 2017;7(12):e019074. https://doi.org/10.1136/bmjopen-2017-019074 https://doi.org/10.1136/bmjopen-2017-019...
-22 Alteren J, Hermstad M, White J, Jordan S. Conflicting priorities: observation of medicine administration. J Clin Nurs. 2018;27(19-20):3613-21. https://doi.org/10.1111/jocn.14518 https://doi.org/10.1111/jocn.14518...
,44 Drews FA, Markewitz BA, Stoddard GJ, Samore MH. Interruptions and delivery of care in the intensive care unit. Hum Factors. 2019;61(4):564-76. https://doi.org/10.1177/0018720819838090 https://doi.org/10.1177/0018720819838090...
,66 Zhao J, Zhang X, Lan Q, Wang W, Cai Y, Xie X, et al. Interruptions experienced by nurses during pediatric medication administration in China: an observational study. J Spec Pediatr Nurs. 2019;24(4):e12265. https://doi.org/10.1111/jspn.12265 https://doi.org/10.1111/jspn.12265...
,88 Ribeiro HCTC, Rodrigues TM, Teles SAF, Pereira RC, Silva LLT, Mata LRF. Distractions and interruptions in a surgical room: perception of nursing staff. Esc Anna Nery. 2018;22(4): e20180042. https://doi.org/10.1590/2177-9465-ean-2018-0042 https://doi.org/10.1590/2177-9465-ean-20...
,1010 Johnson M, Sanchez P, Langdon R, Manias E, Levett-Jones T, Weidemann G, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507. https://doi.org/10.1111/jonm.12486 https://doi.org/10.1111/jonm.12486...
-1111 Rhudy LM, Johnson MR, Krecke CA, Keigley DS, Schnell SJ, Maxson PM, et al. Change-of-shift nursing handoff interruptions: implications for evidence-based practice. Worldviews Evid Based Nurs. 2019;16(5):362-70. https://doi.org/10.1111/wvn.12390 https://doi.org/10.1111/wvn.12390...
,1313 Kosits LM, Jones K. Interruptions experienced by registered nurses working in the emergency department. J Emerg Nurs. 2011;37(1):3-8. https://doi.org/10.1016/j.jen.2009.12.024 https://doi.org/10.1016/j.jen.2009.12.02...
-1414 Mamykina L, Carter EJ, Sheehan B, Hum RS, Twohig BC, Kaufman DR. Driven to distraction: the nature and apparent purpose of interruptions in critical care and implications for HIT. J Biomed Inform. 2017;69:43-54. https://doi.org/10.1016/j.jbi.2017.01.015 https://doi.org/10.1016/j.jbi.2017.01.01...
,2121 Göras C, Olin K, Unbeck M, Pukk-Härenstam K, Ehrenberg A, Tessma MK, et al. Tasks, multitasking and interruptions among the surgical team in an operating room: a prospective observational study. BMJ Open. 2019;9(5):e026410. https://doi.org/10.1136/bmjopen-2018-026410 https://doi.org/10.1136/bmjopen-2018-026...
22 Reed CC, Minnick AF, Dietrich MS. Nurses’ responses to interruptions during medication tasks: a time and motion study. Int J Nurs Stud. 2018;82:113-20. https://doi.org/10.1016/j.ijnurstu.2018.03.017 https://doi.org/10.1016/j.ijnurstu.2018....
23 Huckels-Baumgart S, Niederberger M, Manser T, Meier CR, Meyer-Massetti C. A combined intervention to reduce interruptions during medication preparation and double-checking: a pilot-study evaluating the impact of staff training and safety vests. J Nurs Manag. 2017;25(7):539-48. https://doi.org/10.1111/jonm.12491 https://doi.org/10.1111/jonm.12491...
24 Antoniadis S, Passauer-Baierl S, Baschnegger H, Weigl M. Identification and interference of intraoperative distractions and interruptions in operating rooms. J Surg Res. 2014;188(1):21-9. https://doi.org/10.1016/j.jss.2013.12.002 https://doi.org/10.1016/j.jss.2013.12.00...
25 Sørensen EE, Brahe L. Interruptions in clinical nursing practice. J Clin Nurs. 2014;23(9-10):1274-82. https://doi.org/10.1111/jocn.12329 https://doi.org/10.1111/jocn.12329...
26 Trbovich P, Prakash V, Stewart J, Trip K, Savage P. Interruptions during the delivery of high-risk medications. J Nurs Adm. 2010;40(5):211-8. https://doi.org/10.1097/NNA.0b013e3181da4047 https://doi.org/10.1097/NNA.0b013e3181da...
27 Hall LM, Pedersen C, Hubley P, Ptack E, Hemingway A, Watson C, et al. Interruptions and pediatric patient safety. J Pediatr Nurs. 2010;25(3):167-75. https://doi.org/10.1016/j.pedn.2008.09.005 https://doi.org/10.1016/j.pedn.2008.09.0...
28 Hall LM, Pedersen C, Fairley L. Losing the moment: Understanding interruptions to nurses’ work. J Nurs Adm. 2010;40(4):169-76. https://doi.org/10.1097/NNA.0b013e3181d41162 https://doi.org/10.1097/NNA.0b013e3181d4...
-2929 Hall LM, Ferguson-Paré M, Peter E, White D, Besner J, Chisholm A, et al. Going blank: factors contributing to interruptions to nurses’ work and related outcomes. J Nurs Manag. 2010;18(8):1040-7. https://doi.org/10.1111/j.1365-2834.2010.01166.x https://doi.org/10.1111/j.1365-2834.2010...
,3232 Duruk N, Zencir G, Eşer I. Interruption of the medication preparation process and an examination of factors causing interruptions. J Nurs Manag. 2016;24(3):376-83. https://doi.org/10.1111/jonm.12331 https://doi.org/10.1111/jonm.12331...
33 Hayes C, Jackson D, Davidson PM, Power T. Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration. J Clin Nurs. 2015;24(21-22):3063-76. https://doi.org/10.1111/jocn.12944 https://doi.org/10.1111/jocn.12944...
34 Mahmood A, Chaudhury H, Gaumont A, Rust T. Long-term care physical environments: effect on medication errors. Int J Health Care Qual Assur. 2012;25(5):431-41. https://doi.org/10.1108/09526861211235928 https://doi.org/10.1108/0952686121123592...
-3535 Blocker RC, Heaton HA, Forsyth KL, Hawthorne HJ, El-Sherif N, Bellolio MF, et al. Physician, Interrupted: Workflow Interruptions and Patient Care in the Emergency Department. J Emerg Med. 2017;53(6):798-804. https://doi.org/10.1016/j.jemermed.2017.08.067 https://doi.org/10.1016/j.jemermed.2017....
) |
24 |
66,7 |
Atender solicitações do paciente (como fornecer objetos: copos, travesseiros)(11 Weigl M, Beck J, Wehler M, Schneider A. Workflow interruptions and stress at work: a mixed-methods study among physicians and nurses of a multidisciplinary emergency department. BMJ Open. 2017;7(12):e019074. https://doi.org/10.1136/bmjopen-2017-019074 https://doi.org/10.1136/bmjopen-2017-019...
-22 Alteren J, Hermstad M, White J, Jordan S. Conflicting priorities: observation of medicine administration. J Clin Nurs. 2018;27(19-20):3613-21. https://doi.org/10.1111/jocn.14518 https://doi.org/10.1111/jocn.14518...
,55 Monteiro C, Avelar AFM, Pedreira MLG. Interruptions of nurses' activities and patient safety: an integrative literature review. Rev Latino-Am Enfermagem. 2015;23(1):169-79. https://doi.org/10.1590/0104-1169.0251.2539 https://doi.org/10.1590/0104-1169.0251.2...
,1010 Johnson M, Sanchez P, Langdon R, Manias E, Levett-Jones T, Weidemann G, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507. https://doi.org/10.1111/jonm.12486 https://doi.org/10.1111/jonm.12486...
,1414 Mamykina L, Carter EJ, Sheehan B, Hum RS, Twohig BC, Kaufman DR. Driven to distraction: the nature and apparent purpose of interruptions in critical care and implications for HIT. J Biomed Inform. 2017;69:43-54. https://doi.org/10.1016/j.jbi.2017.01.015 https://doi.org/10.1016/j.jbi.2017.01.01...
15 Elganzouri ES, Standish CA, Androwich I. Medication administration time study (mats): nursing staff performance of medication administration. J Nurs Adm. 2009;39(5):204-10. https://doi.org/10.1097/NNA.0b013e3181a23d6d https://doi.org/10.1097/NNA.0b013e3181a2...
-1616 Kreckler S, Catchpole K, Bottomley M, Handa A, McCulloch P. Interruptions during drug rounds: an observational study. Br J Nurs. 2008;17(21):1326-30. https://doi.org/10.12968/bjon.2008.17.21.31732 https://doi.org/10.12968/bjon.2008.17.21...
,2121 Göras C, Olin K, Unbeck M, Pukk-Härenstam K, Ehrenberg A, Tessma MK, et al. Tasks, multitasking and interruptions among the surgical team in an operating room: a prospective observational study. BMJ Open. 2019;9(5):e026410. https://doi.org/10.1136/bmjopen-2018-026410 https://doi.org/10.1136/bmjopen-2018-026...
,2525 Sørensen EE, Brahe L. Interruptions in clinical nursing practice. J Clin Nurs. 2014;23(9-10):1274-82. https://doi.org/10.1111/jocn.12329 https://doi.org/10.1111/jocn.12329...
,2727 Hall LM, Pedersen C, Hubley P, Ptack E, Hemingway A, Watson C, et al. Interruptions and pediatric patient safety. J Pediatr Nurs. 2010;25(3):167-75. https://doi.org/10.1016/j.pedn.2008.09.005 https://doi.org/10.1016/j.pedn.2008.09.0...
,2929 Hall LM, Ferguson-Paré M, Peter E, White D, Besner J, Chisholm A, et al. Going blank: factors contributing to interruptions to nurses’ work and related outcomes. J Nurs Manag. 2010;18(8):1040-7. https://doi.org/10.1111/j.1365-2834.2010.01166.x https://doi.org/10.1111/j.1365-2834.2010...
,3232 Duruk N, Zencir G, Eşer I. Interruption of the medication preparation process and an examination of factors causing interruptions. J Nurs Manag. 2016;24(3):376-83. https://doi.org/10.1111/jonm.12331 https://doi.org/10.1111/jonm.12331...
33 Hayes C, Jackson D, Davidson PM, Power T. Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration. J Clin Nurs. 2015;24(21-22):3063-76. https://doi.org/10.1111/jocn.12944 https://doi.org/10.1111/jocn.12944...
-3434 Mahmood A, Chaudhury H, Gaumont A, Rust T. Long-term care physical environments: effect on medication errors. Int J Health Care Qual Assur. 2012;25(5):431-41. https://doi.org/10.1108/09526861211235928 https://doi.org/10.1108/0952686121123592...
,3636 Salmen S. Interruptions in interventional radiology: a review of the literature. J Radiol Nurs. 2016;35(4):305-8. https://doi.org/10.1016/j.jradnu.2016.10.002 https://doi.org/10.1016/j.jradnu.2016.10...
37 Özkan S, Kocaman G, Öztürk C. Interruptions during pediatric medication preparation and administration. J Pediatr Res. 2016;3(2):104-8. https://doi.org/10.4274/JPR.98704 https://doi.org/10.4274/JPR.98704...
-3838 Tomietto M, Sartor A, Mazzocoli E, Palese A. Paradoxical effects of a hospital-based, multi-intervention programme aimed at reducing medication round interruptions. J Nurs Manag. 2012;20(3):335-43. https://doi.org/10.1111/j.1365-2834.2012.01329.x https://doi.org/10.1111/j.1365-2834.2012...
) |
17 |
47,2 |
Atender chamadas telefônicas(33 Forsyth KL, Hawthorne HJ, El-Sherif N, Varghese RS, Ernste VK, Koenig J, et al. Interruptions experienced by emergency nurses: implications for subjective and objective measures of workload. J Emerg Nurs. 2018;44(6):614-23. https://doi.org/10.1016/j.jen.2018.02.001 https://doi.org/10.1016/j.jen.2018.02.00...
,66 Zhao J, Zhang X, Lan Q, Wang W, Cai Y, Xie X, et al. Interruptions experienced by nurses during pediatric medication administration in China: an observational study. J Spec Pediatr Nurs. 2019;24(4):e12265. https://doi.org/10.1111/jspn.12265 https://doi.org/10.1111/jspn.12265...
,88 Ribeiro HCTC, Rodrigues TM, Teles SAF, Pereira RC, Silva LLT, Mata LRF. Distractions and interruptions in a surgical room: perception of nursing staff. Esc Anna Nery. 2018;22(4): e20180042. https://doi.org/10.1590/2177-9465-ean-2018-0042 https://doi.org/10.1590/2177-9465-ean-20...
,1313 Kosits LM, Jones K. Interruptions experienced by registered nurses working in the emergency department. J Emerg Nurs. 2011;37(1):3-8. https://doi.org/10.1016/j.jen.2009.12.024 https://doi.org/10.1016/j.jen.2009.12.02...
,1616 Kreckler S, Catchpole K, Bottomley M, Handa A, McCulloch P. Interruptions during drug rounds: an observational study. Br J Nurs. 2008;17(21):1326-30. https://doi.org/10.12968/bjon.2008.17.21.31732 https://doi.org/10.12968/bjon.2008.17.21...
,2121 Göras C, Olin K, Unbeck M, Pukk-Härenstam K, Ehrenberg A, Tessma MK, et al. Tasks, multitasking and interruptions among the surgical team in an operating room: a prospective observational study. BMJ Open. 2019;9(5):e026410. https://doi.org/10.1136/bmjopen-2018-026410 https://doi.org/10.1136/bmjopen-2018-026...
-2222 Reed CC, Minnick AF, Dietrich MS. Nurses’ responses to interruptions during medication tasks: a time and motion study. Int J Nurs Stud. 2018;82:113-20. https://doi.org/10.1016/j.ijnurstu.2018.03.017 https://doi.org/10.1016/j.ijnurstu.2018....
,2727 Hall LM, Pedersen C, Hubley P, Ptack E, Hemingway A, Watson C, et al. Interruptions and pediatric patient safety. J Pediatr Nurs. 2010;25(3):167-75. https://doi.org/10.1016/j.pedn.2008.09.005 https://doi.org/10.1016/j.pedn.2008.09.0...
28 Hall LM, Pedersen C, Fairley L. Losing the moment: Understanding interruptions to nurses’ work. J Nurs Adm. 2010;40(4):169-76. https://doi.org/10.1097/NNA.0b013e3181d41162 https://doi.org/10.1097/NNA.0b013e3181d4...
-2929 Hall LM, Ferguson-Paré M, Peter E, White D, Besner J, Chisholm A, et al. Going blank: factors contributing to interruptions to nurses’ work and related outcomes. J Nurs Manag. 2010;18(8):1040-7. https://doi.org/10.1111/j.1365-2834.2010.01166.x https://doi.org/10.1111/j.1365-2834.2010...
,3232 Duruk N, Zencir G, Eşer I. Interruption of the medication preparation process and an examination of factors causing interruptions. J Nurs Manag. 2016;24(3):376-83. https://doi.org/10.1111/jonm.12331 https://doi.org/10.1111/jonm.12331...
33 Hayes C, Jackson D, Davidson PM, Power T. Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration. J Clin Nurs. 2015;24(21-22):3063-76. https://doi.org/10.1111/jocn.12944 https://doi.org/10.1111/jocn.12944...
34 Mahmood A, Chaudhury H, Gaumont A, Rust T. Long-term care physical environments: effect on medication errors. Int J Health Care Qual Assur. 2012;25(5):431-41. https://doi.org/10.1108/09526861211235928 https://doi.org/10.1108/0952686121123592...
35 Blocker RC, Heaton HA, Forsyth KL, Hawthorne HJ, El-Sherif N, Bellolio MF, et al. Physician, Interrupted: Workflow Interruptions and Patient Care in the Emergency Department. J Emerg Med. 2017;53(6):798-804. https://doi.org/10.1016/j.jemermed.2017.08.067 https://doi.org/10.1016/j.jemermed.2017....
-3636 Salmen S. Interruptions in interventional radiology: a review of the literature. J Radiol Nurs. 2016;35(4):305-8. https://doi.org/10.1016/j.jradnu.2016.10.002 https://doi.org/10.1016/j.jradnu.2016.10...
,3838 Tomietto M, Sartor A, Mazzocoli E, Palese A. Paradoxical effects of a hospital-based, multi-intervention programme aimed at reducing medication round interruptions. J Nurs Manag. 2012;20(3):335-43. https://doi.org/10.1111/j.1365-2834.2012.01329.x https://doi.org/10.1111/j.1365-2834.2012...
) |
15 |
41,7 |
Falta de material(55 Monteiro C, Avelar AFM, Pedreira MLG. Interruptions of nurses' activities and patient safety: an integrative literature review. Rev Latino-Am Enfermagem. 2015;23(1):169-79. https://doi.org/10.1590/0104-1169.0251.2539 https://doi.org/10.1590/0104-1169.0251.2...
,88 Ribeiro HCTC, Rodrigues TM, Teles SAF, Pereira RC, Silva LLT, Mata LRF. Distractions and interruptions in a surgical room: perception of nursing staff. Esc Anna Nery. 2018;22(4): e20180042. https://doi.org/10.1590/2177-9465-ean-2018-0042 https://doi.org/10.1590/2177-9465-ean-20...
9 Schroers G. Characteristics of interruptions during medication administration: an integrative review of direct observational studies. J Clin Nurs. 2018;27(19-20):3462-71. https://doi.org/10.1111/jocn.14587 https://doi.org/10.1111/jocn.14587...
-1010 Johnson M, Sanchez P, Langdon R, Manias E, Levett-Jones T, Weidemann G, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507. https://doi.org/10.1111/jonm.12486 https://doi.org/10.1111/jonm.12486...
,1616 Kreckler S, Catchpole K, Bottomley M, Handa A, McCulloch P. Interruptions during drug rounds: an observational study. Br J Nurs. 2008;17(21):1326-30. https://doi.org/10.12968/bjon.2008.17.21.31732 https://doi.org/10.12968/bjon.2008.17.21...
,2222 Reed CC, Minnick AF, Dietrich MS. Nurses’ responses to interruptions during medication tasks: a time and motion study. Int J Nurs Stud. 2018;82:113-20. https://doi.org/10.1016/j.ijnurstu.2018.03.017 https://doi.org/10.1016/j.ijnurstu.2018....
,2727 Hall LM, Pedersen C, Hubley P, Ptack E, Hemingway A, Watson C, et al. Interruptions and pediatric patient safety. J Pediatr Nurs. 2010;25(3):167-75. https://doi.org/10.1016/j.pedn.2008.09.005 https://doi.org/10.1016/j.pedn.2008.09.0...
28 Hall LM, Pedersen C, Fairley L. Losing the moment: Understanding interruptions to nurses’ work. J Nurs Adm. 2010;40(4):169-76. https://doi.org/10.1097/NNA.0b013e3181d41162 https://doi.org/10.1097/NNA.0b013e3181d4...
-2929 Hall LM, Ferguson-Paré M, Peter E, White D, Besner J, Chisholm A, et al. Going blank: factors contributing to interruptions to nurses’ work and related outcomes. J Nurs Manag. 2010;18(8):1040-7. https://doi.org/10.1111/j.1365-2834.2010.01166.x https://doi.org/10.1111/j.1365-2834.2010...
,3434 Mahmood A, Chaudhury H, Gaumont A, Rust T. Long-term care physical environments: effect on medication errors. Int J Health Care Qual Assur. 2012;25(5):431-41. https://doi.org/10.1108/09526861211235928 https://doi.org/10.1108/0952686121123592...
,3636 Salmen S. Interruptions in interventional radiology: a review of the literature. J Radiol Nurs. 2016;35(4):305-8. https://doi.org/10.1016/j.jradnu.2016.10.002 https://doi.org/10.1016/j.jradnu.2016.10...
,3838 Tomietto M, Sartor A, Mazzocoli E, Palese A. Paradoxical effects of a hospital-based, multi-intervention programme aimed at reducing medication round interruptions. J Nurs Manag. 2012;20(3):335-43. https://doi.org/10.1111/j.1365-2834.2012.01329.x https://doi.org/10.1111/j.1365-2834.2012...
-3939 Brixey JJ, Robinson DJ, Tang Z, Johnson TR, Zhang J, Turley JP. Interruptions in workflow for RNs in a Level One Trauma Center. AMIA Annu Symp Proc [Internet]. 2005[cited 2020 Jan 29];2005:86-90. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1560877 https://www.ncbi.nlm.nih.gov/pmc/article...
) |
13 |
36,1 |
Comunicação não relacionada à tarefa em execução(33 Forsyth KL, Hawthorne HJ, El-Sherif N, Varghese RS, Ernste VK, Koenig J, et al. Interruptions experienced by emergency nurses: implications for subjective and objective measures of workload. J Emerg Nurs. 2018;44(6):614-23. https://doi.org/10.1016/j.jen.2018.02.001 https://doi.org/10.1016/j.jen.2018.02.00...
,88 Ribeiro HCTC, Rodrigues TM, Teles SAF, Pereira RC, Silva LLT, Mata LRF. Distractions and interruptions in a surgical room: perception of nursing staff. Esc Anna Nery. 2018;22(4): e20180042. https://doi.org/10.1590/2177-9465-ean-2018-0042 https://doi.org/10.1590/2177-9465-ean-20...
9 Schroers G. Characteristics of interruptions during medication administration: an integrative review of direct observational studies. J Clin Nurs. 2018;27(19-20):3462-71. https://doi.org/10.1111/jocn.14587 https://doi.org/10.1111/jocn.14587...
-1010 Johnson M, Sanchez P, Langdon R, Manias E, Levett-Jones T, Weidemann G, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507. https://doi.org/10.1111/jonm.12486 https://doi.org/10.1111/jonm.12486...
,1414 Mamykina L, Carter EJ, Sheehan B, Hum RS, Twohig BC, Kaufman DR. Driven to distraction: the nature and apparent purpose of interruptions in critical care and implications for HIT. J Biomed Inform. 2017;69:43-54. https://doi.org/10.1016/j.jbi.2017.01.015 https://doi.org/10.1016/j.jbi.2017.01.01...
,2121 Göras C, Olin K, Unbeck M, Pukk-Härenstam K, Ehrenberg A, Tessma MK, et al. Tasks, multitasking and interruptions among the surgical team in an operating room: a prospective observational study. BMJ Open. 2019;9(5):e026410. https://doi.org/10.1136/bmjopen-2018-026410 https://doi.org/10.1136/bmjopen-2018-026...
-2222 Reed CC, Minnick AF, Dietrich MS. Nurses’ responses to interruptions during medication tasks: a time and motion study. Int J Nurs Stud. 2018;82:113-20. https://doi.org/10.1016/j.ijnurstu.2018.03.017 https://doi.org/10.1016/j.ijnurstu.2018....
,2424 Antoniadis S, Passauer-Baierl S, Baschnegger H, Weigl M. Identification and interference of intraoperative distractions and interruptions in operating rooms. J Surg Res. 2014;188(1):21-9. https://doi.org/10.1016/j.jss.2013.12.002 https://doi.org/10.1016/j.jss.2013.12.00...
-2525 Sørensen EE, Brahe L. Interruptions in clinical nursing practice. J Clin Nurs. 2014;23(9-10):1274-82. https://doi.org/10.1111/jocn.12329 https://doi.org/10.1111/jocn.12329...
,2727 Hall LM, Pedersen C, Hubley P, Ptack E, Hemingway A, Watson C, et al. Interruptions and pediatric patient safety. J Pediatr Nurs. 2010;25(3):167-75. https://doi.org/10.1016/j.pedn.2008.09.005 https://doi.org/10.1016/j.pedn.2008.09.0...
,3232 Duruk N, Zencir G, Eşer I. Interruption of the medication preparation process and an examination of factors causing interruptions. J Nurs Manag. 2016;24(3):376-83. https://doi.org/10.1111/jonm.12331 https://doi.org/10.1111/jonm.12331...
-3333 Hayes C, Jackson D, Davidson PM, Power T. Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration. J Clin Nurs. 2015;24(21-22):3063-76. https://doi.org/10.1111/jocn.12944 https://doi.org/10.1111/jocn.12944...
,3535 Blocker RC, Heaton HA, Forsyth KL, Hawthorne HJ, El-Sherif N, Bellolio MF, et al. Physician, Interrupted: Workflow Interruptions and Patient Care in the Emergency Department. J Emerg Med. 2017;53(6):798-804. https://doi.org/10.1016/j.jemermed.2017.08.067 https://doi.org/10.1016/j.jemermed.2017....
) |
13 |
36,1 |
Conversas relacionadas ao paciente(11 Weigl M, Beck J, Wehler M, Schneider A. Workflow interruptions and stress at work: a mixed-methods study among physicians and nurses of a multidisciplinary emergency department. BMJ Open. 2017;7(12):e019074. https://doi.org/10.1136/bmjopen-2017-019074 https://doi.org/10.1136/bmjopen-2017-019...
,33 Forsyth KL, Hawthorne HJ, El-Sherif N, Varghese RS, Ernste VK, Koenig J, et al. Interruptions experienced by emergency nurses: implications for subjective and objective measures of workload. J Emerg Nurs. 2018;44(6):614-23. https://doi.org/10.1016/j.jen.2018.02.001 https://doi.org/10.1016/j.jen.2018.02.00...
,55 Monteiro C, Avelar AFM, Pedreira MLG. Interruptions of nurses' activities and patient safety: an integrative literature review. Rev Latino-Am Enfermagem. 2015;23(1):169-79. https://doi.org/10.1590/0104-1169.0251.2539 https://doi.org/10.1590/0104-1169.0251.2...
-66 Zhao J, Zhang X, Lan Q, Wang W, Cai Y, Xie X, et al. Interruptions experienced by nurses during pediatric medication administration in China: an observational study. J Spec Pediatr Nurs. 2019;24(4):e12265. https://doi.org/10.1111/jspn.12265 https://doi.org/10.1111/jspn.12265...
,1010 Johnson M, Sanchez P, Langdon R, Manias E, Levett-Jones T, Weidemann G, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507. https://doi.org/10.1111/jonm.12486 https://doi.org/10.1111/jonm.12486...
,1616 Kreckler S, Catchpole K, Bottomley M, Handa A, McCulloch P. Interruptions during drug rounds: an observational study. Br J Nurs. 2008;17(21):1326-30. https://doi.org/10.12968/bjon.2008.17.21.31732 https://doi.org/10.12968/bjon.2008.17.21...
,2121 Göras C, Olin K, Unbeck M, Pukk-Härenstam K, Ehrenberg A, Tessma MK, et al. Tasks, multitasking and interruptions among the surgical team in an operating room: a prospective observational study. BMJ Open. 2019;9(5):e026410. https://doi.org/10.1136/bmjopen-2018-026410 https://doi.org/10.1136/bmjopen-2018-026...
-2222 Reed CC, Minnick AF, Dietrich MS. Nurses’ responses to interruptions during medication tasks: a time and motion study. Int J Nurs Stud. 2018;82:113-20. https://doi.org/10.1016/j.ijnurstu.2018.03.017 https://doi.org/10.1016/j.ijnurstu.2018....
,2525 Sørensen EE, Brahe L. Interruptions in clinical nursing practice. J Clin Nurs. 2014;23(9-10):1274-82. https://doi.org/10.1111/jocn.12329 https://doi.org/10.1111/jocn.12329...
,2727 Hall LM, Pedersen C, Hubley P, Ptack E, Hemingway A, Watson C, et al. Interruptions and pediatric patient safety. J Pediatr Nurs. 2010;25(3):167-75. https://doi.org/10.1016/j.pedn.2008.09.005 https://doi.org/10.1016/j.pedn.2008.09.0...
-2828 Hall LM, Pedersen C, Fairley L. Losing the moment: Understanding interruptions to nurses’ work. J Nurs Adm. 2010;40(4):169-76. https://doi.org/10.1097/NNA.0b013e3181d41162 https://doi.org/10.1097/NNA.0b013e3181d4...
,3232 Duruk N, Zencir G, Eşer I. Interruption of the medication preparation process and an examination of factors causing interruptions. J Nurs Manag. 2016;24(3):376-83. https://doi.org/10.1111/jonm.12331 https://doi.org/10.1111/jonm.12331...
,3535 Blocker RC, Heaton HA, Forsyth KL, Hawthorne HJ, El-Sherif N, Bellolio MF, et al. Physician, Interrupted: Workflow Interruptions and Patient Care in the Emergency Department. J Emerg Med. 2017;53(6):798-804. https://doi.org/10.1016/j.jemermed.2017.08.067 https://doi.org/10.1016/j.jemermed.2017....
) |
13 |
36,1 |
Falta de informações sobre o paciente(55 Monteiro C, Avelar AFM, Pedreira MLG. Interruptions of nurses' activities and patient safety: an integrative literature review. Rev Latino-Am Enfermagem. 2015;23(1):169-79. https://doi.org/10.1590/0104-1169.0251.2539 https://doi.org/10.1590/0104-1169.0251.2...
,88 Ribeiro HCTC, Rodrigues TM, Teles SAF, Pereira RC, Silva LLT, Mata LRF. Distractions and interruptions in a surgical room: perception of nursing staff. Esc Anna Nery. 2018;22(4): e20180042. https://doi.org/10.1590/2177-9465-ean-2018-0042 https://doi.org/10.1590/2177-9465-ean-20...
,1010 Johnson M, Sanchez P, Langdon R, Manias E, Levett-Jones T, Weidemann G, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507. https://doi.org/10.1111/jonm.12486 https://doi.org/10.1111/jonm.12486...
,1515 Elganzouri ES, Standish CA, Androwich I. Medication administration time study (mats): nursing staff performance of medication administration. J Nurs Adm. 2009;39(5):204-10. https://doi.org/10.1097/NNA.0b013e3181a23d6d https://doi.org/10.1097/NNA.0b013e3181a2...
,2121 Göras C, Olin K, Unbeck M, Pukk-Härenstam K, Ehrenberg A, Tessma MK, et al. Tasks, multitasking and interruptions among the surgical team in an operating room: a prospective observational study. BMJ Open. 2019;9(5):e026410. https://doi.org/10.1136/bmjopen-2018-026410 https://doi.org/10.1136/bmjopen-2018-026...
,3232 Duruk N, Zencir G, Eşer I. Interruption of the medication preparation process and an examination of factors causing interruptions. J Nurs Manag. 2016;24(3):376-83. https://doi.org/10.1111/jonm.12331 https://doi.org/10.1111/jonm.12331...
-3333 Hayes C, Jackson D, Davidson PM, Power T. Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration. J Clin Nurs. 2015;24(21-22):3063-76. https://doi.org/10.1111/jocn.12944 https://doi.org/10.1111/jocn.12944...
,3535 Blocker RC, Heaton HA, Forsyth KL, Hawthorne HJ, El-Sherif N, Bellolio MF, et al. Physician, Interrupted: Workflow Interruptions and Patient Care in the Emergency Department. J Emerg Med. 2017;53(6):798-804. https://doi.org/10.1016/j.jemermed.2017.08.067 https://doi.org/10.1016/j.jemermed.2017....
-3636 Salmen S. Interruptions in interventional radiology: a review of the literature. J Radiol Nurs. 2016;35(4):305-8. https://doi.org/10.1016/j.jradnu.2016.10.002 https://doi.org/10.1016/j.jradnu.2016.10...
,3838 Tomietto M, Sartor A, Mazzocoli E, Palese A. Paradoxical effects of a hospital-based, multi-intervention programme aimed at reducing medication round interruptions. J Nurs Manag. 2012;20(3):335-43. https://doi.org/10.1111/j.1365-2834.2012.01329.x https://doi.org/10.1111/j.1365-2834.2012...
) |
10 |
27,8 |
Falta de medicamento(1010 Johnson M, Sanchez P, Langdon R, Manias E, Levett-Jones T, Weidemann G, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507. https://doi.org/10.1111/jonm.12486 https://doi.org/10.1111/jonm.12486...
,1616 Kreckler S, Catchpole K, Bottomley M, Handa A, McCulloch P. Interruptions during drug rounds: an observational study. Br J Nurs. 2008;17(21):1326-30. https://doi.org/10.12968/bjon.2008.17.21.31732 https://doi.org/10.12968/bjon.2008.17.21...
,2121 Göras C, Olin K, Unbeck M, Pukk-Härenstam K, Ehrenberg A, Tessma MK, et al. Tasks, multitasking and interruptions among the surgical team in an operating room: a prospective observational study. BMJ Open. 2019;9(5):e026410. https://doi.org/10.1136/bmjopen-2018-026410 https://doi.org/10.1136/bmjopen-2018-026...
,2323 Huckels-Baumgart S, Niederberger M, Manser T, Meier CR, Meyer-Massetti C. A combined intervention to reduce interruptions during medication preparation and double-checking: a pilot-study evaluating the impact of staff training and safety vests. J Nurs Manag. 2017;25(7):539-48. https://doi.org/10.1111/jonm.12491 https://doi.org/10.1111/jonm.12491...
,3232 Duruk N, Zencir G, Eşer I. Interruption of the medication preparation process and an examination of factors causing interruptions. J Nurs Manag. 2016;24(3):376-83. https://doi.org/10.1111/jonm.12331 https://doi.org/10.1111/jonm.12331...
-3333 Hayes C, Jackson D, Davidson PM, Power T. Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration. J Clin Nurs. 2015;24(21-22):3063-76. https://doi.org/10.1111/jocn.12944 https://doi.org/10.1111/jocn.12944...
,3636 Salmen S. Interruptions in interventional radiology: a review of the literature. J Radiol Nurs. 2016;35(4):305-8. https://doi.org/10.1016/j.jradnu.2016.10.002 https://doi.org/10.1016/j.jradnu.2016.10...
-3737 Özkan S, Kocaman G, Öztürk C. Interruptions during pediatric medication preparation and administration. J Pediatr Res. 2016;3(2):104-8. https://doi.org/10.4274/JPR.98704 https://doi.org/10.4274/JPR.98704...
,3939 Brixey JJ, Robinson DJ, Tang Z, Johnson TR, Zhang J, Turley JP. Interruptions in workflow for RNs in a Level One Trauma Center. AMIA Annu Symp Proc [Internet]. 2005[cited 2020 Jan 29];2005:86-90. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1560877 https://www.ncbi.nlm.nih.gov/pmc/article...
) |
10 |
27,8 |
Falta de equipamento(55 Monteiro C, Avelar AFM, Pedreira MLG. Interruptions of nurses' activities and patient safety: an integrative literature review. Rev Latino-Am Enfermagem. 2015;23(1):169-79. https://doi.org/10.1590/0104-1169.0251.2539 https://doi.org/10.1590/0104-1169.0251.2...
,1010 Johnson M, Sanchez P, Langdon R, Manias E, Levett-Jones T, Weidemann G, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507. https://doi.org/10.1111/jonm.12486 https://doi.org/10.1111/jonm.12486...
,1616 Kreckler S, Catchpole K, Bottomley M, Handa A, McCulloch P. Interruptions during drug rounds: an observational study. Br J Nurs. 2008;17(21):1326-30. https://doi.org/10.12968/bjon.2008.17.21.31732 https://doi.org/10.12968/bjon.2008.17.21...
,2121 Göras C, Olin K, Unbeck M, Pukk-Härenstam K, Ehrenberg A, Tessma MK, et al. Tasks, multitasking and interruptions among the surgical team in an operating room: a prospective observational study. BMJ Open. 2019;9(5):e026410. https://doi.org/10.1136/bmjopen-2018-026410 https://doi.org/10.1136/bmjopen-2018-026...
-2222 Reed CC, Minnick AF, Dietrich MS. Nurses’ responses to interruptions during medication tasks: a time and motion study. Int J Nurs Stud. 2018;82:113-20. https://doi.org/10.1016/j.ijnurstu.2018.03.017 https://doi.org/10.1016/j.ijnurstu.2018....
,2828 Hall LM, Pedersen C, Fairley L. Losing the moment: Understanding interruptions to nurses’ work. J Nurs Adm. 2010;40(4):169-76. https://doi.org/10.1097/NNA.0b013e3181d41162 https://doi.org/10.1097/NNA.0b013e3181d4...
-2929 Hall LM, Ferguson-Paré M, Peter E, White D, Besner J, Chisholm A, et al. Going blank: factors contributing to interruptions to nurses’ work and related outcomes. J Nurs Manag. 2010;18(8):1040-7. https://doi.org/10.1111/j.1365-2834.2010.01166.x https://doi.org/10.1111/j.1365-2834.2010...
,3939 Brixey JJ, Robinson DJ, Tang Z, Johnson TR, Zhang J, Turley JP. Interruptions in workflow for RNs in a Level One Trauma Center. AMIA Annu Symp Proc [Internet]. 2005[cited 2020 Jan 29];2005:86-90. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1560877 https://www.ncbi.nlm.nih.gov/pmc/article...
) |
8 |
22,2 |
Paciente/familiar fornece ou solicita informações(22 Alteren J, Hermstad M, White J, Jordan S. Conflicting priorities: observation of medicine administration. J Clin Nurs. 2018;27(19-20):3613-21. https://doi.org/10.1111/jocn.14518 https://doi.org/10.1111/jocn.14518...
,1010 Johnson M, Sanchez P, Langdon R, Manias E, Levett-Jones T, Weidemann G, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507. https://doi.org/10.1111/jonm.12486 https://doi.org/10.1111/jonm.12486...
-1111 Rhudy LM, Johnson MR, Krecke CA, Keigley DS, Schnell SJ, Maxson PM, et al. Change-of-shift nursing handoff interruptions: implications for evidence-based practice. Worldviews Evid Based Nurs. 2019;16(5):362-70. https://doi.org/10.1111/wvn.12390 https://doi.org/10.1111/wvn.12390...
,2828 Hall LM, Pedersen C, Fairley L. Losing the moment: Understanding interruptions to nurses’ work. J Nurs Adm. 2010;40(4):169-76. https://doi.org/10.1097/NNA.0b013e3181d41162 https://doi.org/10.1097/NNA.0b013e3181d4...
,3434 Mahmood A, Chaudhury H, Gaumont A, Rust T. Long-term care physical environments: effect on medication errors. Int J Health Care Qual Assur. 2012;25(5):431-41. https://doi.org/10.1108/09526861211235928 https://doi.org/10.1108/0952686121123592...
-3535 Blocker RC, Heaton HA, Forsyth KL, Hawthorne HJ, El-Sherif N, Bellolio MF, et al. Physician, Interrupted: Workflow Interruptions and Patient Care in the Emergency Department. J Emerg Med. 2017;53(6):798-804. https://doi.org/10.1016/j.jemermed.2017.08.067 https://doi.org/10.1016/j.jemermed.2017....
,3737 Özkan S, Kocaman G, Öztürk C. Interruptions during pediatric medication preparation and administration. J Pediatr Res. 2016;3(2):104-8. https://doi.org/10.4274/JPR.98704 https://doi.org/10.4274/JPR.98704...
-3838 Tomietto M, Sartor A, Mazzocoli E, Palese A. Paradoxical effects of a hospital-based, multi-intervention programme aimed at reducing medication round interruptions. J Nurs Manag. 2012;20(3):335-43. https://doi.org/10.1111/j.1365-2834.2012.01329.x https://doi.org/10.1111/j.1365-2834.2012...
) |
8 |
22,2 |
Funcionários fazendo perguntas(1010 Johnson M, Sanchez P, Langdon R, Manias E, Levett-Jones T, Weidemann G, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507. https://doi.org/10.1111/jonm.12486 https://doi.org/10.1111/jonm.12486...
,1515 Elganzouri ES, Standish CA, Androwich I. Medication administration time study (mats): nursing staff performance of medication administration. J Nurs Adm. 2009;39(5):204-10. https://doi.org/10.1097/NNA.0b013e3181a23d6d https://doi.org/10.1097/NNA.0b013e3181a2...
,2121 Göras C, Olin K, Unbeck M, Pukk-Härenstam K, Ehrenberg A, Tessma MK, et al. Tasks, multitasking and interruptions among the surgical team in an operating room: a prospective observational study. BMJ Open. 2019;9(5):e026410. https://doi.org/10.1136/bmjopen-2018-026410 https://doi.org/10.1136/bmjopen-2018-026...
,2828 Hall LM, Pedersen C, Fairley L. Losing the moment: Understanding interruptions to nurses’ work. J Nurs Adm. 2010;40(4):169-76. https://doi.org/10.1097/NNA.0b013e3181d41162 https://doi.org/10.1097/NNA.0b013e3181d4...
,3434 Mahmood A, Chaudhury H, Gaumont A, Rust T. Long-term care physical environments: effect on medication errors. Int J Health Care Qual Assur. 2012;25(5):431-41. https://doi.org/10.1108/09526861211235928 https://doi.org/10.1108/0952686121123592...
,3838 Tomietto M, Sartor A, Mazzocoli E, Palese A. Paradoxical effects of a hospital-based, multi-intervention programme aimed at reducing medication round interruptions. J Nurs Manag. 2012;20(3):335-43. https://doi.org/10.1111/j.1365-2834.2012.01329.x https://doi.org/10.1111/j.1365-2834.2012...
,4040 Vasconcelos PF, Freitas CHA, Jorge MSB, Carvalho REF, Freire VECS, Araújo MFM, et al. Safety attributes in primary care: understanding the needs of patients, health professionals, and managers. Public Health. 2019;171:31-40. https://doi.org/10.1016/j.puhe.2019.03.021 https://doi.org/10.1016/j.puhe.2019.03.0...
) |
7 |
19,4 |
Falha no equipamento(11 Weigl M, Beck J, Wehler M, Schneider A. Workflow interruptions and stress at work: a mixed-methods study among physicians and nurses of a multidisciplinary emergency department. BMJ Open. 2017;7(12):e019074. https://doi.org/10.1136/bmjopen-2017-019074 https://doi.org/10.1136/bmjopen-2017-019...
,88 Ribeiro HCTC, Rodrigues TM, Teles SAF, Pereira RC, Silva LLT, Mata LRF. Distractions and interruptions in a surgical room: perception of nursing staff. Esc Anna Nery. 2018;22(4): e20180042. https://doi.org/10.1590/2177-9465-ean-2018-0042 https://doi.org/10.1590/2177-9465-ean-20...
,1515 Elganzouri ES, Standish CA, Androwich I. Medication administration time study (mats): nursing staff performance of medication administration. J Nurs Adm. 2009;39(5):204-10. https://doi.org/10.1097/NNA.0b013e3181a23d6d https://doi.org/10.1097/NNA.0b013e3181a2...
,2121 Göras C, Olin K, Unbeck M, Pukk-Härenstam K, Ehrenberg A, Tessma MK, et al. Tasks, multitasking and interruptions among the surgical team in an operating room: a prospective observational study. BMJ Open. 2019;9(5):e026410. https://doi.org/10.1136/bmjopen-2018-026410 https://doi.org/10.1136/bmjopen-2018-026...
,2424 Antoniadis S, Passauer-Baierl S, Baschnegger H, Weigl M. Identification and interference of intraoperative distractions and interruptions in operating rooms. J Surg Res. 2014;188(1):21-9. https://doi.org/10.1016/j.jss.2013.12.002 https://doi.org/10.1016/j.jss.2013.12.00...
,3535 Blocker RC, Heaton HA, Forsyth KL, Hawthorne HJ, El-Sherif N, Bellolio MF, et al. Physician, Interrupted: Workflow Interruptions and Patient Care in the Emergency Department. J Emerg Med. 2017;53(6):798-804. https://doi.org/10.1016/j.jemermed.2017.08.067 https://doi.org/10.1016/j.jemermed.2017....
) |
6 |
16,7 |
Conversa com paciente/familiar(22 Alteren J, Hermstad M, White J, Jordan S. Conflicting priorities: observation of medicine administration. J Clin Nurs. 2018;27(19-20):3613-21. https://doi.org/10.1111/jocn.14518 https://doi.org/10.1111/jocn.14518...
,1010 Johnson M, Sanchez P, Langdon R, Manias E, Levett-Jones T, Weidemann G, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507. https://doi.org/10.1111/jonm.12486 https://doi.org/10.1111/jonm.12486...
,3333 Hayes C, Jackson D, Davidson PM, Power T. Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration. J Clin Nurs. 2015;24(21-22):3063-76. https://doi.org/10.1111/jocn.12944 https://doi.org/10.1111/jocn.12944...
-3434 Mahmood A, Chaudhury H, Gaumont A, Rust T. Long-term care physical environments: effect on medication errors. Int J Health Care Qual Assur. 2012;25(5):431-41. https://doi.org/10.1108/09526861211235928 https://doi.org/10.1108/0952686121123592...
) |
4 |
11,1 |
Atender solicitações de profissionais médicos(55 Monteiro C, Avelar AFM, Pedreira MLG. Interruptions of nurses' activities and patient safety: an integrative literature review. Rev Latino-Am Enfermagem. 2015;23(1):169-79. https://doi.org/10.1590/0104-1169.0251.2539 https://doi.org/10.1590/0104-1169.0251.2...
,1010 Johnson M, Sanchez P, Langdon R, Manias E, Levett-Jones T, Weidemann G, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507. https://doi.org/10.1111/jonm.12486 https://doi.org/10.1111/jonm.12486...
,3636 Salmen S. Interruptions in interventional radiology: a review of the literature. J Radiol Nurs. 2016;35(4):305-8. https://doi.org/10.1016/j.jradnu.2016.10.002 https://doi.org/10.1016/j.jradnu.2016.10...
) |
3 |
8,3 |
Aguardar retorno (comunicação) de outro profissional(1010 Johnson M, Sanchez P, Langdon R, Manias E, Levett-Jones T, Weidemann G, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507. https://doi.org/10.1111/jonm.12486 https://doi.org/10.1111/jonm.12486...
,2222 Reed CC, Minnick AF, Dietrich MS. Nurses’ responses to interruptions during medication tasks: a time and motion study. Int J Nurs Stud. 2018;82:113-20. https://doi.org/10.1016/j.ijnurstu.2018.03.017 https://doi.org/10.1016/j.ijnurstu.2018....
) |
2 |
5,6 |
Recebimento/troca/controle de materiais(3131 Schutijser BCFM, Klopotowska JE, Jongerden IP, Spreeuwenberg PMM, De Bruijne MC, Wagner C. Interruptions during intravenous medication administration: a multicentre observational study. J Adv Nurs. 2019;75(3):555-62. https://doi.org/10.1111/jan.13880 https://doi.org/10.1111/jan.13880...
-3232 Duruk N, Zencir G, Eşer I. Interruption of the medication preparation process and an examination of factors causing interruptions. J Nurs Manag. 2016;24(3):376-83. https://doi.org/10.1111/jonm.12331 https://doi.org/10.1111/jonm.12331...
) |
2 |
5,6 |
Acionar serviço de manutenção(3232 Duruk N, Zencir G, Eşer I. Interruption of the medication preparation process and an examination of factors causing interruptions. J Nurs Manag. 2016;24(3):376-83. https://doi.org/10.1111/jonm.12331 https://doi.org/10.1111/jonm.12331...
,3434 Mahmood A, Chaudhury H, Gaumont A, Rust T. Long-term care physical environments: effect on medication errors. Int J Health Care Qual Assur. 2012;25(5):431-41. https://doi.org/10.1108/09526861211235928 https://doi.org/10.1108/0952686121123592...
) |
2 |
5,6 |
Falhas no planejamento de procedimento(2121 Göras C, Olin K, Unbeck M, Pukk-Härenstam K, Ehrenberg A, Tessma MK, et al. Tasks, multitasking and interruptions among the surgical team in an operating room: a prospective observational study. BMJ Open. 2019;9(5):e026410. https://doi.org/10.1136/bmjopen-2018-026410 https://doi.org/10.1136/bmjopen-2018-026...
,3131 Schutijser BCFM, Klopotowska JE, Jongerden IP, Spreeuwenberg PMM, De Bruijne MC, Wagner C. Interruptions during intravenous medication administration: a multicentre observational study. J Adv Nurs. 2019;75(3):555-62. https://doi.org/10.1111/jan.13880 https://doi.org/10.1111/jan.13880...
) |
2 |
5,6 |
Comunicação relacionada à unidade ou instituição(2222 Reed CC, Minnick AF, Dietrich MS. Nurses’ responses to interruptions during medication tasks: a time and motion study. Int J Nurs Stud. 2018;82:113-20. https://doi.org/10.1016/j.ijnurstu.2018.03.017 https://doi.org/10.1016/j.ijnurstu.2018....
) |
1 |
2,8 |
Ausência do profissional anestesiologista(88 Ribeiro HCTC, Rodrigues TM, Teles SAF, Pereira RC, Silva LLT, Mata LRF. Distractions and interruptions in a surgical room: perception of nursing staff. Esc Anna Nery. 2018;22(4): e20180042. https://doi.org/10.1590/2177-9465-ean-2018-0042 https://doi.org/10.1590/2177-9465-ean-20...
) |
1 |
2,8 |
Aguardar resultado de exame(88 Ribeiro HCTC, Rodrigues TM, Teles SAF, Pereira RC, Silva LLT, Mata LRF. Distractions and interruptions in a surgical room: perception of nursing staff. Esc Anna Nery. 2018;22(4): e20180042. https://doi.org/10.1590/2177-9465-ean-2018-0042 https://doi.org/10.1590/2177-9465-ean-20...
) |
1 |
2,8 |
Contribuição para educação (orientar estudante)(3232 Duruk N, Zencir G, Eşer I. Interruption of the medication preparation process and an examination of factors causing interruptions. J Nurs Manag. 2016;24(3):376-83. https://doi.org/10.1111/jonm.12331 https://doi.org/10.1111/jonm.12331...
) |
1 |
2,8 |
Equipe de limpeza(3232 Duruk N, Zencir G, Eşer I. Interruption of the medication preparation process and an examination of factors causing interruptions. J Nurs Manag. 2016;24(3):376-83. https://doi.org/10.1111/jonm.12331 https://doi.org/10.1111/jonm.12331...
) |
1 |
2,8 |
Admissão de novos pacientes(3232 Duruk N, Zencir G, Eşer I. Interruption of the medication preparation process and an examination of factors causing interruptions. J Nurs Manag. 2016;24(3):376-83. https://doi.org/10.1111/jonm.12331 https://doi.org/10.1111/jonm.12331...
) |
1 |
2,8 |
Entrega de material para o laboratório(4141 D’Esmond LK. Distracted practice and patient safety: the healthcare team experience. Nurs Forum. 2017;52(3):149-64. https://doi.org/10.1111/nuf.12173 https://doi.org/10.1111/nuf.12173...
) |
1 |
2,8 |
Troca de turno/horário de almoço(2121 Göras C, Olin K, Unbeck M, Pukk-Härenstam K, Ehrenberg A, Tessma MK, et al. Tasks, multitasking and interruptions among the surgical team in an operating room: a prospective observational study. BMJ Open. 2019;9(5):e026410. https://doi.org/10.1136/bmjopen-2018-026410 https://doi.org/10.1136/bmjopen-2018-026...
) |
1 |
2,8 |
Consequentes |
|
|
Erros de medicação(22 Alteren J, Hermstad M, White J, Jordan S. Conflicting priorities: observation of medicine administration. J Clin Nurs. 2018;27(19-20):3613-21. https://doi.org/10.1111/jocn.14518 https://doi.org/10.1111/jocn.14518...
,55 Monteiro C, Avelar AFM, Pedreira MLG. Interruptions of nurses' activities and patient safety: an integrative literature review. Rev Latino-Am Enfermagem. 2015;23(1):169-79. https://doi.org/10.1590/0104-1169.0251.2539 https://doi.org/10.1590/0104-1169.0251.2...
-66 Zhao J, Zhang X, Lan Q, Wang W, Cai Y, Xie X, et al. Interruptions experienced by nurses during pediatric medication administration in China: an observational study. J Spec Pediatr Nurs. 2019;24(4):e12265. https://doi.org/10.1111/jspn.12265 https://doi.org/10.1111/jspn.12265...
,1010 Johnson M, Sanchez P, Langdon R, Manias E, Levett-Jones T, Weidemann G, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507. https://doi.org/10.1111/jonm.12486 https://doi.org/10.1111/jonm.12486...
,1212 Bower R, Jackson C, Manning JC. Interruptions and medication administration in critical care. Nurs Crit Care. 2015;20(4):183-95. https://doi.org/10.1111/nicc.12185 https://doi.org/10.1111/nicc.12185...
,1616 Kreckler S, Catchpole K, Bottomley M, Handa A, McCulloch P. Interruptions during drug rounds: an observational study. Br J Nurs. 2008;17(21):1326-30. https://doi.org/10.12968/bjon.2008.17.21.31732 https://doi.org/10.12968/bjon.2008.17.21...
,2121 Göras C, Olin K, Unbeck M, Pukk-Härenstam K, Ehrenberg A, Tessma MK, et al. Tasks, multitasking and interruptions among the surgical team in an operating room: a prospective observational study. BMJ Open. 2019;9(5):e026410. https://doi.org/10.1136/bmjopen-2018-026410 https://doi.org/10.1136/bmjopen-2018-026...
-2222 Reed CC, Minnick AF, Dietrich MS. Nurses’ responses to interruptions during medication tasks: a time and motion study. Int J Nurs Stud. 2018;82:113-20. https://doi.org/10.1016/j.ijnurstu.2018.03.017 https://doi.org/10.1016/j.ijnurstu.2018....
,2525 Sørensen EE, Brahe L. Interruptions in clinical nursing practice. J Clin Nurs. 2014;23(9-10):1274-82. https://doi.org/10.1111/jocn.12329 https://doi.org/10.1111/jocn.12329...
26 Trbovich P, Prakash V, Stewart J, Trip K, Savage P. Interruptions during the delivery of high-risk medications. J Nurs Adm. 2010;40(5):211-8. https://doi.org/10.1097/NNA.0b013e3181da4047 https://doi.org/10.1097/NNA.0b013e3181da...
27 Hall LM, Pedersen C, Hubley P, Ptack E, Hemingway A, Watson C, et al. Interruptions and pediatric patient safety. J Pediatr Nurs. 2010;25(3):167-75. https://doi.org/10.1016/j.pedn.2008.09.005 https://doi.org/10.1016/j.pedn.2008.09.0...
-2828 Hall LM, Pedersen C, Fairley L. Losing the moment: Understanding interruptions to nurses’ work. J Nurs Adm. 2010;40(4):169-76. https://doi.org/10.1097/NNA.0b013e3181d41162 https://doi.org/10.1097/NNA.0b013e3181d4...
,3131 Schutijser BCFM, Klopotowska JE, Jongerden IP, Spreeuwenberg PMM, De Bruijne MC, Wagner C. Interruptions during intravenous medication administration: a multicentre observational study. J Adv Nurs. 2019;75(3):555-62. https://doi.org/10.1111/jan.13880 https://doi.org/10.1111/jan.13880...
32 Duruk N, Zencir G, Eşer I. Interruption of the medication preparation process and an examination of factors causing interruptions. J Nurs Manag. 2016;24(3):376-83. https://doi.org/10.1111/jonm.12331 https://doi.org/10.1111/jonm.12331...
33 Hayes C, Jackson D, Davidson PM, Power T. Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration. J Clin Nurs. 2015;24(21-22):3063-76. https://doi.org/10.1111/jocn.12944 https://doi.org/10.1111/jocn.12944...
-3434 Mahmood A, Chaudhury H, Gaumont A, Rust T. Long-term care physical environments: effect on medication errors. Int J Health Care Qual Assur. 2012;25(5):431-41. https://doi.org/10.1108/09526861211235928 https://doi.org/10.1108/0952686121123592...
,3636 Salmen S. Interruptions in interventional radiology: a review of the literature. J Radiol Nurs. 2016;35(4):305-8. https://doi.org/10.1016/j.jradnu.2016.10.002 https://doi.org/10.1016/j.jradnu.2016.10...
-3737 Özkan S, Kocaman G, Öztürk C. Interruptions during pediatric medication preparation and administration. J Pediatr Res. 2016;3(2):104-8. https://doi.org/10.4274/JPR.98704 https://doi.org/10.4274/JPR.98704...
) |
18 |
50,0 |
Mudança de foco(11 Weigl M, Beck J, Wehler M, Schneider A. Workflow interruptions and stress at work: a mixed-methods study among physicians and nurses of a multidisciplinary emergency department. BMJ Open. 2017;7(12):e019074. https://doi.org/10.1136/bmjopen-2017-019074 https://doi.org/10.1136/bmjopen-2017-019...
,33 Forsyth KL, Hawthorne HJ, El-Sherif N, Varghese RS, Ernste VK, Koenig J, et al. Interruptions experienced by emergency nurses: implications for subjective and objective measures of workload. J Emerg Nurs. 2018;44(6):614-23. https://doi.org/10.1016/j.jen.2018.02.001 https://doi.org/10.1016/j.jen.2018.02.00...
,55 Monteiro C, Avelar AFM, Pedreira MLG. Interruptions of nurses' activities and patient safety: an integrative literature review. Rev Latino-Am Enfermagem. 2015;23(1):169-79. https://doi.org/10.1590/0104-1169.0251.2539 https://doi.org/10.1590/0104-1169.0251.2...
-66 Zhao J, Zhang X, Lan Q, Wang W, Cai Y, Xie X, et al. Interruptions experienced by nurses during pediatric medication administration in China: an observational study. J Spec Pediatr Nurs. 2019;24(4):e12265. https://doi.org/10.1111/jspn.12265 https://doi.org/10.1111/jspn.12265...
,1111 Rhudy LM, Johnson MR, Krecke CA, Keigley DS, Schnell SJ, Maxson PM, et al. Change-of-shift nursing handoff interruptions: implications for evidence-based practice. Worldviews Evid Based Nurs. 2019;16(5):362-70. https://doi.org/10.1111/wvn.12390 https://doi.org/10.1111/wvn.12390...
-1212 Bower R, Jackson C, Manning JC. Interruptions and medication administration in critical care. Nurs Crit Care. 2015;20(4):183-95. https://doi.org/10.1111/nicc.12185 https://doi.org/10.1111/nicc.12185...
,2121 Göras C, Olin K, Unbeck M, Pukk-Härenstam K, Ehrenberg A, Tessma MK, et al. Tasks, multitasking and interruptions among the surgical team in an operating room: a prospective observational study. BMJ Open. 2019;9(5):e026410. https://doi.org/10.1136/bmjopen-2018-026410 https://doi.org/10.1136/bmjopen-2018-026...
,2525 Sørensen EE, Brahe L. Interruptions in clinical nursing practice. J Clin Nurs. 2014;23(9-10):1274-82. https://doi.org/10.1111/jocn.12329 https://doi.org/10.1111/jocn.12329...
,2929 Hall LM, Ferguson-Paré M, Peter E, White D, Besner J, Chisholm A, et al. Going blank: factors contributing to interruptions to nurses’ work and related outcomes. J Nurs Manag. 2010;18(8):1040-7. https://doi.org/10.1111/j.1365-2834.2010.01166.x https://doi.org/10.1111/j.1365-2834.2010...
-3030 Spooner AJ, Corley A, Chaboyer W, Hammond NE, Fraser JF. Measurement of the frequency and source of interruptions occurring during bedside nursing handover in the intensive care unit: an observational study. Aust Crit Care. 2015;28(1):19-23. https://doi.org/10.1016/j.aucc.2014.04.002 https://doi.org/10.1016/j.aucc.2014.04.0...
,3232 Duruk N, Zencir G, Eşer I. Interruption of the medication preparation process and an examination of factors causing interruptions. J Nurs Manag. 2016;24(3):376-83. https://doi.org/10.1111/jonm.12331 https://doi.org/10.1111/jonm.12331...
-3333 Hayes C, Jackson D, Davidson PM, Power T. Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration. J Clin Nurs. 2015;24(21-22):3063-76. https://doi.org/10.1111/jocn.12944 https://doi.org/10.1111/jocn.12944...
) |
13 |
36,1 |
Erros clínicos(55 Monteiro C, Avelar AFM, Pedreira MLG. Interruptions of nurses' activities and patient safety: an integrative literature review. Rev Latino-Am Enfermagem. 2015;23(1):169-79. https://doi.org/10.1590/0104-1169.0251.2539 https://doi.org/10.1590/0104-1169.0251.2...
-66 Zhao J, Zhang X, Lan Q, Wang W, Cai Y, Xie X, et al. Interruptions experienced by nurses during pediatric medication administration in China: an observational study. J Spec Pediatr Nurs. 2019;24(4):e12265. https://doi.org/10.1111/jspn.12265 https://doi.org/10.1111/jspn.12265...
,1010 Johnson M, Sanchez P, Langdon R, Manias E, Levett-Jones T, Weidemann G, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507. https://doi.org/10.1111/jonm.12486 https://doi.org/10.1111/jonm.12486...
-1111 Rhudy LM, Johnson MR, Krecke CA, Keigley DS, Schnell SJ, Maxson PM, et al. Change-of-shift nursing handoff interruptions: implications for evidence-based practice. Worldviews Evid Based Nurs. 2019;16(5):362-70. https://doi.org/10.1111/wvn.12390 https://doi.org/10.1111/wvn.12390...
,3030 Spooner AJ, Corley A, Chaboyer W, Hammond NE, Fraser JF. Measurement of the frequency and source of interruptions occurring during bedside nursing handover in the intensive care unit: an observational study. Aust Crit Care. 2015;28(1):19-23. https://doi.org/10.1016/j.aucc.2014.04.002 https://doi.org/10.1016/j.aucc.2014.04.0...
,3333 Hayes C, Jackson D, Davidson PM, Power T. Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration. J Clin Nurs. 2015;24(21-22):3063-76. https://doi.org/10.1111/jocn.12944 https://doi.org/10.1111/jocn.12944...
,3636 Salmen S. Interruptions in interventional radiology: a review of the literature. J Radiol Nurs. 2016;35(4):305-8. https://doi.org/10.1016/j.jradnu.2016.10.002 https://doi.org/10.1016/j.jradnu.2016.10...
,3939 Brixey JJ, Robinson DJ, Tang Z, Johnson TR, Zhang J, Turley JP. Interruptions in workflow for RNs in a Level One Trauma Center. AMIA Annu Symp Proc [Internet]. 2005[cited 2020 Jan 29];2005:86-90. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1560877 https://www.ncbi.nlm.nih.gov/pmc/article...
) |
8 |
22,2 |
Atraso no atendimento/tratamento(55 Monteiro C, Avelar AFM, Pedreira MLG. Interruptions of nurses' activities and patient safety: an integrative literature review. Rev Latino-Am Enfermagem. 2015;23(1):169-79. https://doi.org/10.1590/0104-1169.0251.2539 https://doi.org/10.1590/0104-1169.0251.2...
,1010 Johnson M, Sanchez P, Langdon R, Manias E, Levett-Jones T, Weidemann G, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507. https://doi.org/10.1111/jonm.12486 https://doi.org/10.1111/jonm.12486...
11 Rhudy LM, Johnson MR, Krecke CA, Keigley DS, Schnell SJ, Maxson PM, et al. Change-of-shift nursing handoff interruptions: implications for evidence-based practice. Worldviews Evid Based Nurs. 2019;16(5):362-70. https://doi.org/10.1111/wvn.12390 https://doi.org/10.1111/wvn.12390...
-1212 Bower R, Jackson C, Manning JC. Interruptions and medication administration in critical care. Nurs Crit Care. 2015;20(4):183-95. https://doi.org/10.1111/nicc.12185 https://doi.org/10.1111/nicc.12185...
,2727 Hall LM, Pedersen C, Hubley P, Ptack E, Hemingway A, Watson C, et al. Interruptions and pediatric patient safety. J Pediatr Nurs. 2010;25(3):167-75. https://doi.org/10.1016/j.pedn.2008.09.005 https://doi.org/10.1016/j.pedn.2008.09.0...
28 Hall LM, Pedersen C, Fairley L. Losing the moment: Understanding interruptions to nurses’ work. J Nurs Adm. 2010;40(4):169-76. https://doi.org/10.1097/NNA.0b013e3181d41162 https://doi.org/10.1097/NNA.0b013e3181d4...
-2929 Hall LM, Ferguson-Paré M, Peter E, White D, Besner J, Chisholm A, et al. Going blank: factors contributing to interruptions to nurses’ work and related outcomes. J Nurs Manag. 2010;18(8):1040-7. https://doi.org/10.1111/j.1365-2834.2010.01166.x https://doi.org/10.1111/j.1365-2834.2010...
) |
7 |
19,4 |
Aumento na frequência e gravidade dos erros de administração de medicamentos(66 Zhao J, Zhang X, Lan Q, Wang W, Cai Y, Xie X, et al. Interruptions experienced by nurses during pediatric medication administration in China: an observational study. J Spec Pediatr Nurs. 2019;24(4):e12265. https://doi.org/10.1111/jspn.12265 https://doi.org/10.1111/jspn.12265...
,99 Schroers G. Characteristics of interruptions during medication administration: an integrative review of direct observational studies. J Clin Nurs. 2018;27(19-20):3462-71. https://doi.org/10.1111/jocn.14587 https://doi.org/10.1111/jocn.14587...
-1010 Johnson M, Sanchez P, Langdon R, Manias E, Levett-Jones T, Weidemann G, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507. https://doi.org/10.1111/jonm.12486 https://doi.org/10.1111/jonm.12486...
,2525 Sørensen EE, Brahe L. Interruptions in clinical nursing practice. J Clin Nurs. 2014;23(9-10):1274-82. https://doi.org/10.1111/jocn.12329 https://doi.org/10.1111/jocn.12329...
-2626 Trbovich P, Prakash V, Stewart J, Trip K, Savage P. Interruptions during the delivery of high-risk medications. J Nurs Adm. 2010;40(5):211-8. https://doi.org/10.1097/NNA.0b013e3181da4047 https://doi.org/10.1097/NNA.0b013e3181da...
,3333 Hayes C, Jackson D, Davidson PM, Power T. Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration. J Clin Nurs. 2015;24(21-22):3063-76. https://doi.org/10.1111/jocn.12944 https://doi.org/10.1111/jocn.12944...
,3636 Salmen S. Interruptions in interventional radiology: a review of the literature. J Radiol Nurs. 2016;35(4):305-8. https://doi.org/10.1016/j.jradnu.2016.10.002 https://doi.org/10.1016/j.jradnu.2016.10...
) |
7 |
19,4 |
Tempo de conclusão de tarefas mais longos(11 Weigl M, Beck J, Wehler M, Schneider A. Workflow interruptions and stress at work: a mixed-methods study among physicians and nurses of a multidisciplinary emergency department. BMJ Open. 2017;7(12):e019074. https://doi.org/10.1136/bmjopen-2017-019074 https://doi.org/10.1136/bmjopen-2017-019...
,99 Schroers G. Characteristics of interruptions during medication administration: an integrative review of direct observational studies. J Clin Nurs. 2018;27(19-20):3462-71. https://doi.org/10.1111/jocn.14587 https://doi.org/10.1111/jocn.14587...
,1515 Elganzouri ES, Standish CA, Androwich I. Medication administration time study (mats): nursing staff performance of medication administration. J Nurs Adm. 2009;39(5):204-10. https://doi.org/10.1097/NNA.0b013e3181a23d6d https://doi.org/10.1097/NNA.0b013e3181a2...
,2525 Sørensen EE, Brahe L. Interruptions in clinical nursing practice. J Clin Nurs. 2014;23(9-10):1274-82. https://doi.org/10.1111/jocn.12329 https://doi.org/10.1111/jocn.12329...
,2727 Hall LM, Pedersen C, Hubley P, Ptack E, Hemingway A, Watson C, et al. Interruptions and pediatric patient safety. J Pediatr Nurs. 2010;25(3):167-75. https://doi.org/10.1016/j.pedn.2008.09.005 https://doi.org/10.1016/j.pedn.2008.09.0...
,3232 Duruk N, Zencir G, Eşer I. Interruption of the medication preparation process and an examination of factors causing interruptions. J Nurs Manag. 2016;24(3):376-83. https://doi.org/10.1111/jonm.12331 https://doi.org/10.1111/jonm.12331...
) |
6 |
16,7 |
Sobrecarga cognitiva(33 Forsyth KL, Hawthorne HJ, El-Sherif N, Varghese RS, Ernste VK, Koenig J, et al. Interruptions experienced by emergency nurses: implications for subjective and objective measures of workload. J Emerg Nurs. 2018;44(6):614-23. https://doi.org/10.1016/j.jen.2018.02.001 https://doi.org/10.1016/j.jen.2018.02.00...
,55 Monteiro C, Avelar AFM, Pedreira MLG. Interruptions of nurses' activities and patient safety: an integrative literature review. Rev Latino-Am Enfermagem. 2015;23(1):169-79. https://doi.org/10.1590/0104-1169.0251.2539 https://doi.org/10.1590/0104-1169.0251.2...
,2525 Sørensen EE, Brahe L. Interruptions in clinical nursing practice. J Clin Nurs. 2014;23(9-10):1274-82. https://doi.org/10.1111/jocn.12329 https://doi.org/10.1111/jocn.12329...
,3333 Hayes C, Jackson D, Davidson PM, Power T. Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration. J Clin Nurs. 2015;24(21-22):3063-76. https://doi.org/10.1111/jocn.12944 https://doi.org/10.1111/jocn.12944...
,3535 Blocker RC, Heaton HA, Forsyth KL, Hawthorne HJ, El-Sherif N, Bellolio MF, et al. Physician, Interrupted: Workflow Interruptions and Patient Care in the Emergency Department. J Emerg Med. 2017;53(6):798-804. https://doi.org/10.1016/j.jemermed.2017.08.067 https://doi.org/10.1016/j.jemermed.2017....
-3636 Salmen S. Interruptions in interventional radiology: a review of the literature. J Radiol Nurs. 2016;35(4):305-8. https://doi.org/10.1016/j.jradnu.2016.10.002 https://doi.org/10.1016/j.jradnu.2016.10...
) |
6 |
16,7 |
Abandono da tarefa principal(11 Weigl M, Beck J, Wehler M, Schneider A. Workflow interruptions and stress at work: a mixed-methods study among physicians and nurses of a multidisciplinary emergency department. BMJ Open. 2017;7(12):e019074. https://doi.org/10.1136/bmjopen-2017-019074 https://doi.org/10.1136/bmjopen-2017-019...
,44 Drews FA, Markewitz BA, Stoddard GJ, Samore MH. Interruptions and delivery of care in the intensive care unit. Hum Factors. 2019;61(4):564-76. https://doi.org/10.1177/0018720819838090 https://doi.org/10.1177/0018720819838090...
,2121 Göras C, Olin K, Unbeck M, Pukk-Härenstam K, Ehrenberg A, Tessma MK, et al. Tasks, multitasking and interruptions among the surgical team in an operating room: a prospective observational study. BMJ Open. 2019;9(5):e026410. https://doi.org/10.1136/bmjopen-2018-026410 https://doi.org/10.1136/bmjopen-2018-026...
,2727 Hall LM, Pedersen C, Hubley P, Ptack E, Hemingway A, Watson C, et al. Interruptions and pediatric patient safety. J Pediatr Nurs. 2010;25(3):167-75. https://doi.org/10.1016/j.pedn.2008.09.005 https://doi.org/10.1016/j.pedn.2008.09.0...
,3838 Tomietto M, Sartor A, Mazzocoli E, Palese A. Paradoxical effects of a hospital-based, multi-intervention programme aimed at reducing medication round interruptions. J Nurs Manag. 2012;20(3):335-43. https://doi.org/10.1111/j.1365-2834.2012.01329.x https://doi.org/10.1111/j.1365-2834.2012...
) |
5 |
13,9 |
Falhas processuais(33 Forsyth KL, Hawthorne HJ, El-Sherif N, Varghese RS, Ernste VK, Koenig J, et al. Interruptions experienced by emergency nurses: implications for subjective and objective measures of workload. J Emerg Nurs. 2018;44(6):614-23. https://doi.org/10.1016/j.jen.2018.02.001 https://doi.org/10.1016/j.jen.2018.02.00...
,1010 Johnson M, Sanchez P, Langdon R, Manias E, Levett-Jones T, Weidemann G, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507. https://doi.org/10.1111/jonm.12486 https://doi.org/10.1111/jonm.12486...
,3333 Hayes C, Jackson D, Davidson PM, Power T. Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration. J Clin Nurs. 2015;24(21-22):3063-76. https://doi.org/10.1111/jocn.12944 https://doi.org/10.1111/jocn.12944...
,3636 Salmen S. Interruptions in interventional radiology: a review of the literature. J Radiol Nurs. 2016;35(4):305-8. https://doi.org/10.1016/j.jradnu.2016.10.002 https://doi.org/10.1016/j.jradnu.2016.10...
) |
4 |
11,1 |
Evento adverso(1010 Johnson M, Sanchez P, Langdon R, Manias E, Levett-Jones T, Weidemann G, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507. https://doi.org/10.1111/jonm.12486 https://doi.org/10.1111/jonm.12486...
,1212 Bower R, Jackson C, Manning JC. Interruptions and medication administration in critical care. Nurs Crit Care. 2015;20(4):183-95. https://doi.org/10.1111/nicc.12185 https://doi.org/10.1111/nicc.12185...
,3636 Salmen S. Interruptions in interventional radiology: a review of the literature. J Radiol Nurs. 2016;35(4):305-8. https://doi.org/10.1016/j.jradnu.2016.10.002 https://doi.org/10.1016/j.jradnu.2016.10...
) |
3 |
8,3 |
Erros no procedimento cirúrgico(88 Ribeiro HCTC, Rodrigues TM, Teles SAF, Pereira RC, Silva LLT, Mata LRF. Distractions and interruptions in a surgical room: perception of nursing staff. Esc Anna Nery. 2018;22(4): e20180042. https://doi.org/10.1590/2177-9465-ean-2018-0042 https://doi.org/10.1590/2177-9465-ean-20...
,2424 Antoniadis S, Passauer-Baierl S, Baschnegger H, Weigl M. Identification and interference of intraoperative distractions and interruptions in operating rooms. J Surg Res. 2014;188(1):21-9. https://doi.org/10.1016/j.jss.2013.12.002 https://doi.org/10.1016/j.jss.2013.12.00...
) |
2 |
5,6 |
Atendimento de má qualidade(4040 Vasconcelos PF, Freitas CHA, Jorge MSB, Carvalho REF, Freire VECS, Araújo MFM, et al. Safety attributes in primary care: understanding the needs of patients, health professionals, and managers. Public Health. 2019;171:31-40. https://doi.org/10.1016/j.puhe.2019.03.021 https://doi.org/10.1016/j.puhe.2019.03.0...
) |
1 |
2,8 |
Atraso no reconhecimento e na comunicação de alterações do paciente(3030 Spooner AJ, Corley A, Chaboyer W, Hammond NE, Fraser JF. Measurement of the frequency and source of interruptions occurring during bedside nursing handover in the intensive care unit: an observational study. Aust Crit Care. 2015;28(1):19-23. https://doi.org/10.1016/j.aucc.2014.04.002 https://doi.org/10.1016/j.aucc.2014.04.0...
) |
1 |
2,8 |
Aumento da carga de trabalho(66 Zhao J, Zhang X, Lan Q, Wang W, Cai Y, Xie X, et al. Interruptions experienced by nurses during pediatric medication administration in China: an observational study. J Spec Pediatr Nurs. 2019;24(4):e12265. https://doi.org/10.1111/jspn.12265 https://doi.org/10.1111/jspn.12265...
) |
1 |
2,8 |
Aumento do estresse no trabalho(11 Weigl M, Beck J, Wehler M, Schneider A. Workflow interruptions and stress at work: a mixed-methods study among physicians and nurses of a multidisciplinary emergency department. BMJ Open. 2017;7(12):e019074. https://doi.org/10.1136/bmjopen-2017-019074 https://doi.org/10.1136/bmjopen-2017-019...
) |
1 |
2,8 |
Erros de dispensação(44 Drews FA, Markewitz BA, Stoddard GJ, Samore MH. Interruptions and delivery of care in the intensive care unit. Hum Factors. 2019;61(4):564-76. https://doi.org/10.1177/0018720819838090 https://doi.org/10.1177/0018720819838090...
) |
1 |
2,8 |
Erro de prescrição/solicitação de exames(3232 Duruk N, Zencir G, Eşer I. Interruption of the medication preparation process and an examination of factors causing interruptions. J Nurs Manag. 2016;24(3):376-83. https://doi.org/10.1111/jonm.12331 https://doi.org/10.1111/jonm.12331...
) |
1 |
2,8 |
Esmagamento de medicamento sem necessidade(3434 Mahmood A, Chaudhury H, Gaumont A, Rust T. Long-term care physical environments: effect on medication errors. Int J Health Care Qual Assur. 2012;25(5):431-41. https://doi.org/10.1108/09526861211235928 https://doi.org/10.1108/0952686121123592...
) |
1 |
2,8 |
Falha em concluir ou iniciar tarefas(2121 Göras C, Olin K, Unbeck M, Pukk-Härenstam K, Ehrenberg A, Tessma MK, et al. Tasks, multitasking and interruptions among the surgical team in an operating room: a prospective observational study. BMJ Open. 2019;9(5):e026410. https://doi.org/10.1136/bmjopen-2018-026410 https://doi.org/10.1136/bmjopen-2018-026...
) |
1 |
2,8 |
Falha na documentação/registro de informações(1010 Johnson M, Sanchez P, Langdon R, Manias E, Levett-Jones T, Weidemann G, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507. https://doi.org/10.1111/jonm.12486 https://doi.org/10.1111/jonm.12486...
) |
1 |
2,8 |
Falha na verificação dos sinais vitais, do nível de glicose no sangue e da observação neurológica antes da administração de medicamentos ou quando apropriado(1010 Johnson M, Sanchez P, Langdon R, Manias E, Levett-Jones T, Weidemann G, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507. https://doi.org/10.1111/jonm.12486 https://doi.org/10.1111/jonm.12486...
) |
1 |
2,8 |
Fornecer informações críticas e sensíveis relacionadas ao paciente(3535 Blocker RC, Heaton HA, Forsyth KL, Hawthorne HJ, El-Sherif N, Bellolio MF, et al. Physician, Interrupted: Workflow Interruptions and Patient Care in the Emergency Department. J Emerg Med. 2017;53(6):798-804. https://doi.org/10.1016/j.jemermed.2017.08.067 https://doi.org/10.1016/j.jemermed.2017....
) |
1 |
2,8 |
Perdas de informações críticas(2121 Göras C, Olin K, Unbeck M, Pukk-Härenstam K, Ehrenberg A, Tessma MK, et al. Tasks, multitasking and interruptions among the surgical team in an operating room: a prospective observational study. BMJ Open. 2019;9(5):e026410. https://doi.org/10.1136/bmjopen-2018-026410 https://doi.org/10.1136/bmjopen-2018-026...
) |
1 |
2,8 |
Queda do paciente(88 Ribeiro HCTC, Rodrigues TM, Teles SAF, Pereira RC, Silva LLT, Mata LRF. Distractions and interruptions in a surgical room: perception of nursing staff. Esc Anna Nery. 2018;22(4): e20180042. https://doi.org/10.1590/2177-9465-ean-2018-0042 https://doi.org/10.1590/2177-9465-ean-20...
) |
1 |
2,8 |
Verificações de segurança incompletas(2424 Antoniadis S, Passauer-Baierl S, Baschnegger H, Weigl M. Identification and interference of intraoperative distractions and interruptions in operating rooms. J Surg Res. 2014;188(1):21-9. https://doi.org/10.1016/j.jss.2013.12.002 https://doi.org/10.1016/j.jss.2013.12.00...
) |
1 |
2,8 |