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

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

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

12 Scopus citations

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
DOIs
StatePublished - Dec 1 2010
Event54th Human Factors and Ergonomics Society Annual Meeting 2010, HFES 2010 - San Francisco, CA, United States
Duration: Sep 27 2010Oct 1 2010

Publication series

NameProceedings of the Human Factors and Ergonomics Society
Volume2
ISSN (Print)1071-1813

Other

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

ASJC Scopus subject areas

  • Human Factors and Ergonomics

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  • Cite this

    Blocker, R. C., 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 (pp. 879-883). (Proceedings of the Human Factors and Ergonomics Society; Vol. 2). https://doi.org/10.1518/107118110X12829369606648