Antecedents |
|
|
Ambient noise(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 |
Meet patient requests (how to provide objects: cups, pillows)(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 |
Answering phone calls(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 |
Lack of 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 |
Communication not related to the task to be performed(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 |
Patient-related conversations(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 |
Lack of patient information(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 |
Lack of medication(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 |
Lack of equipment(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 |
Patient/family member provides or requests information(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 |
Employees asking questions(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 |
Equipment failure(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 |
Conversation with patient/family(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 |
Meet requests from medical professionals(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 |
Wait for feedback (communication) from another professional(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 |
Receipt/exchange/control of materials(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 |
Ask maintenance service(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 |
Procedural planning failures(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 |
Communication related to the unit or institution(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 |
Absence of professional anesthesiologist(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 |
Wait for exam result(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 |
Contribution to education (guide student)(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 |
Cleaning staff(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 |
Admission of new patients(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 |
Delivery of material to the laboratory(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 |
Shift change/lunch time(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 |
Consequences |
|
|
Medication errors(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 |
Change of focus(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 |
Clinical malpractices(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 |
Delay in care/treatment(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 |
Increased frequency and severity of medication administration errors(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 |
Longer task completion time(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 |
Cognitive overload(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 |
Abandonment of the main task(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 |
Procedural failures(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 |
Adverse event(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 |
Malpractices in the surgical procedure(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 |
Poor quality service(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 |
Delay in recognition and communication of patient changes(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 |
Increased workload(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 |
Increased stress at work(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 |
Dispensing errors(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 |
Mistakes in prescribing/requesting exams(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 |
Crushing of medicine without need(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 |
Failed to complete or start tasks(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 |
Failure to document/record information(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 |
Failure to check vital signs, blood glucose level, and neurological observation prior to medication administration or when appropriate(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 |
Provide critical and sensitive patient-related information(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 |
Loss of critical information(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 |
Patient fall(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 |
Incomplete security checks(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 |