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dc.contributor.authorGillespie, Brigiden_US
dc.contributor.authorChaboyer, Wendyen_US
dc.contributor.authorFairweather, Nicoleen_US
dc.date.accessioned2017-04-24T11:51:36Z
dc.date.available2017-04-24T11:51:36Z
dc.date.issued2012en_US
dc.date.modified2013-06-07T04:15:22Z
dc.identifier.issn2044-5423en_US
dc.identifier.doi10.1136/bmjqs-2011-000169en_US
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.en_US
dc.description.peerreviewedYesen_US
dc.description.publicationstatusYesen_US
dc.format.extent460253 bytes
dc.format.mimetypeapplication/pdf
dc.languageEnglishen_US
dc.language.isoen_US
dc.publisherBMJen_US
dc.publisher.placeUnited Kingdomen_US
dc.relation.ispartofstudentpublicationNen_US
dc.relation.ispartofpagefrom3en_US
dc.relation.ispartofpageto12en_US
dc.relation.ispartofissue1en_US
dc.relation.ispartofjournalBMJ Quality & Safetyen_US
dc.relation.ispartofvolume21en_US
dc.rights.retentionYen_US
dc.subject.fieldofresearchNursing not elsewhere classifieden_US
dc.subject.fieldofresearchcode111099en_US
dc.titleFactors that influence the expected length of operation: results of a prospective studyen_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Peer Reviewed (HERDC)en_US
dc.type.codeC - Journal Articlesen_US
gro.facultyGriffith Health, School of Nursing and Midwiferyen_US
gro.rights.copyrightCopyright remains with the authors 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.en_US
gro.date.issued2012
gro.hasfulltextFull Text


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