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      Interruptions of nurses' activities and patient safety: an integrative literature review 1

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          Abstract

          OBJECTIVES:

          to identify characteristics related to the interruption of nurses in professional practice, as well as to assess the implications of interruptions for patient safety.

          METHOD:

          integrative literature review. The following databases were searched: Pubmed/Medline, LILACS, SciELO and Cochrane Library, using the descriptors interruptions and patient safety. An initial date was not established, but the final date was December 31, 2013. A total of 29 papers met the inclusion criteria.

          RESULTS:

          all the papers included describe interruptions as a harmful factor for patient safety. Data analysis revealed three relevant categories: characteristics of interruptions, implications for patient safety, and interventions to minimize interruptions.

          CONCLUSION:

          interruptions favor the occurrence of errors in the health field. Therefore, there is a need for further studies to understand such a phenomenon and its effects on clinical practice.

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          Most cited references87

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          To Err Is Human : Building a Safer Health System

          (2000)
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            Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem

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              Disruptions in surgical flow and their relationship to surgical errors: an exploratory investigation.

              Disruptions in surgical flow have the potential to increase the occurrence of surgical errors; however, little is known about the frequency and nature of surgical flow disruptions and their effect on the etiology of errors, which makes the development of evidence-based interventions extremely difficult. The goal of this project was to study surgical errors and their relationship to surgical flow disruptions in cardiovascular surgery prospectively to understand better the effect of these disruptions on surgical errors and ultimately patient safety. A trained observer recorded surgical errors and flow disruptions during 31 cardiac surgery operations over a 3-week period and categorized them by a classification system of human factors. Flow disruptions were then reviewed and analyzed by an interdisciplinary team of experts in operative and human factors. Flow disruptions consisted of teamwork/communication failures, equipment and technology problems, extraneous interruptions, training-related distractions, and issues in resource accessibility. Surgical errors increased significantly with increases in flow disruptions. Teamwork/communication failures were the strongest predictor of surgical errors. These findings provide preliminary data to develop evidence-based error management and patient safety programs within cardiac surgery with implications to other related surgical programs.
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                Author and article information

                Journal
                Rev Lat Am Enfermagem
                Rev Lat Am Enfermagem
                Revista Latino-Americana de Enfermagem
                Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo
                0104-1169
                1518-8345
                Jan-Feb 2015
                Jan-Feb 2015
                : 23
                : 1
                : 169-179
                Affiliations
                [2 ]Master's student, Escola Paulista de Enfermagem, Universidade Federal de São Paulo, São Paulo, SP, Brazil. RN, Instituto de Oncologia Pediátrica, São Paulo, SP, Brazil. Scholarship holder from Coordenação de Pessoal de Nível Superior (CAPES), Brasil
                [3 ]PhD, Adjunct Professor, Escola Paulista de Enfermagem, Universidade Federal de São Paulo, São Paulo, SP, Brazil
                [4 ]PhD, Associate Professor, Escola Paulista de Enfermagem, Universidade Federal de São Paulo, São Paulo, SP, Brazil
                Author notes
                Corresponding Author: Cintia Monteiro Universidade Federal de São Paulo. Escola Paulista de Enfermagem Rua Napoleão de Barros, 754 Bairro: Vila Clementino CEP: 04024-002, São Paulo, SP, Brasil E-mail: cintiamonteiromsp@ 123456hotmail.com
                Article
                10.1590/0104-1169.0251.2539
                4376046
                25806646
                65e38128-2d68-4e1b-9b8f-99fd4f03e9af

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 24 June 2014
                : 05 November 2014
                Page count
                Figures: 3, Tables: 0, Equations: 0, References: 41, Pages: 11
                Categories
                Review Articles

                nursing,patient safety,human engineering
                nursing, patient safety, human engineering

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