Developing an observational tool for reliably identifying work system factors in the operating room that impact cardiac surgical care

Renaldo Blocker, Ashley Eggman, Robert Zemple, Chi Tao Elise Wu, Douglas A. Wiegmann

Research output: Chapter in Book/Report/Conference proceedingConference contribution

12 Citations (Scopus)

Abstract

The objective of this study is to develop a reliable Tablet-PC based observational tool for identifying work systems factors that impact cardiac surgical care. Using the tool we observed 26 open heart surgeries over a five-month period. In thirteen of the 26 observations, both observers stood in the same location and in the other thirteen cases the observers stood in different locations within the operation room (OR). The surgical cases typically last five hours and were conducted in multiple operating rooms within the hospital and with mixed surgical teams. There was an average of 8.49 flow disruptions per hour related to work system factors with an average of 42.45 disruptions per case. Results revealed that inter-rater reliability in identifying work system factors that disrupted surgical flow was roughly 87% when observers were standing in the same location. However, when standing in different locations, the reliability decreased to an average of 75%.

Original languageEnglish (US)
Title of host publication54th Human Factors and Ergonomics Society Annual Meeting 2010, HFES 2010
Pages879-883
Number of pages5
Volume2
DOIs
StatePublished - Dec 1 2010
Externally publishedYes
Event54th Human Factors and Ergonomics Society Annual Meeting 2010, HFES 2010 - San Francisco, CA, United States
Duration: Sep 27 2010Oct 1 2010

Other

Other54th Human Factors and Ergonomics Society Annual Meeting 2010, HFES 2010
CountryUnited States
CitySan Francisco, CA
Period9/27/1010/1/10

Fingerprint

Operating rooms
work system
PC
Surgery
surgery

ASJC Scopus subject areas

  • Human Factors and Ergonomics

Cite this

Blocker, R., Eggman, A., Zemple, R., Wu, C. T. E., & Wiegmann, D. A. (2010). Developing an observational tool for reliably identifying work system factors in the operating room that impact cardiac surgical care. In 54th Human Factors and Ergonomics Society Annual Meeting 2010, HFES 2010 (Vol. 2, pp. 879-883) https://doi.org/10.1518/107118110X12829369606648

Developing an observational tool for reliably identifying work system factors in the operating room that impact cardiac surgical care. / Blocker, Renaldo; Eggman, Ashley; Zemple, Robert; Wu, Chi Tao Elise; Wiegmann, Douglas A.

54th Human Factors and Ergonomics Society Annual Meeting 2010, HFES 2010. Vol. 2 2010. p. 879-883.

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Blocker, R, Eggman, A, Zemple, R, Wu, CTE & Wiegmann, DA 2010, Developing an observational tool for reliably identifying work system factors in the operating room that impact cardiac surgical care. in 54th Human Factors and Ergonomics Society Annual Meeting 2010, HFES 2010. vol. 2, pp. 879-883, 54th Human Factors and Ergonomics Society Annual Meeting 2010, HFES 2010, San Francisco, CA, United States, 9/27/10. https://doi.org/10.1518/107118110X12829369606648
Blocker R, Eggman A, Zemple R, Wu CTE, Wiegmann DA. Developing an observational tool for reliably identifying work system factors in the operating room that impact cardiac surgical care. In 54th Human Factors and Ergonomics Society Annual Meeting 2010, HFES 2010. Vol. 2. 2010. p. 879-883 https://doi.org/10.1518/107118110X12829369606648
Blocker, Renaldo ; Eggman, Ashley ; Zemple, Robert ; Wu, Chi Tao Elise ; Wiegmann, Douglas A. / Developing an observational tool for reliably identifying work system factors in the operating room that impact cardiac surgical care. 54th Human Factors and Ergonomics Society Annual Meeting 2010, HFES 2010. Vol. 2 2010. pp. 879-883
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