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dc.contributor.authorGillespie, Brigid M
dc.contributor.authorChaboyer, Wendy
dc.contributor.authorFairweather, Nicole
dc.date.accessioned2017-05-03T14:33:18Z
dc.date.available2017-05-03T14:33:18Z
dc.date.issued2012
dc.date.modified2013-06-07T04:15:22Z
dc.identifier.issn2044-5415
dc.identifier.doi10.1136/bmjqs-2011-000169
dc.identifier.urihttp://hdl.handle.net/10072/47509
dc.description.abstractBackground In the operating room, factors such as interruptions, communication failures, team familiarity and the unpredictability of unplanned cases can prolong the length of an operation, and lead to inefficiency and increased costs. However, little is known about the extent to which such factors contribute to extending the expected length of an operation. Aim To describe factors that prolong the expected length of an operation. Methods Structured observations were performed on a purposive sample of 160 surgical procedures across 10 specialties of planned and unplanned surgeries. During the 6-month period, a trained observer structured observations. Bivariate correlations and a standard multiple regression model were developed to describe associations among unplanned operations, interruptions, prebriefings, team familiarity, communication failures and the outcome, and deviation from expected operation time. Results Of the three explanatory variables entered into the regression model, the only significant predictor of deviation in expected length of operation was the number of communication failures (p=0.013). This model explained 4.5% of the variance in deviation in expected length of operation (p=0.018). Conclusions The results of this study validate the role of prospective observational research methods in unveiling critical factors that contribute to deviation in expected length of operation. These results have the potential to inform evidence-based interventions aimed at ameliorating the effects of miscommunications, hence improve patient safety.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.format.extent460253 bytes
dc.format.mimetypeapplication/pdf
dc.languageEnglish
dc.language.isoeng
dc.publisherBMJ
dc.publisher.placeUnited Kingdom
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom3
dc.relation.ispartofpageto12
dc.relation.ispartofissue1
dc.relation.ispartofjournalBMJ Quality & Safety
dc.relation.ispartofvolume21
dc.rights.retentionY
dc.subject.fieldofresearchClinical sciences
dc.subject.fieldofresearchNursing not elsewhere classified
dc.subject.fieldofresearchCurriculum and pedagogy
dc.subject.fieldofresearchcode3202
dc.subject.fieldofresearchcode420599
dc.subject.fieldofresearchcode3901
dc.titleFactors that influence the expected length of operation: results of a prospective study
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.facultyGriffith Health, School of Nursing and Midwifery
gro.rights.copyright© The Author(s) 2012. The attached file is reproduced here in accordance with the copyright policy of the publisher. For information about this journal please refer to the journal’s website or contact the authors.
gro.date.issued2012
gro.hasfulltextFull Text
gro.griffith.authorChaboyer, Wendy
gro.griffith.authorGillespie, Brigid M.


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