Table 5

Causes of observed interruptions giving overall frequency and proportion, and frequency per hour, for operating room nurses (ORNs), registered nurse anaesthetists (RNAs), surgeons* and for the surgical team as a whole

Causes of interruptionsExamples of causes of interruptionsORNs
n (%)
RNAs
n (%)
Surgeons
n (%)
Total
n (%)
EquipmentMalfunction, missing or wrong equipment.
Change of OR table.
48 (50.5)39 (15.3)27 (35.1)114 (26.8)
Related to procedureProviding additional information.
Contaminating sterile area.
Fog on lens.
23 (24.2)37 (14.6)35 (45.4)95 (22.3)
Related to medicationMissing or wrong medication.046 (18.1)046 (10.8)
Change of shiftChanging staff for break or lunch during the procedure.7 (7.4)33 (13.0)040 (9.4)
AlarmAlarm from devices or monitors.
Indicating high gas pressure.
2 (2.1)31 (12.2)1 (1.3)34 (8.0)
External factorExternal person entering the room to watch the procedure or to discuss test of new equipment.4 (4.2)22 (8.7)4 (5.2)30 (7.0)
Related to patientChanging patient position.
Changes in patient’s vital signs.
4 (4.2)20 (7.9)4 (5.2)28 (6.6)
Telephone/pagerSearching for surgeons.
Planning for next procedure.
6 (6.3)16 (6.3)5 (6.5)27 (6.3)
OtherWrong action when assisting.1 (1.1)10 (3.9)1 (1.3)12 (2.8)
Causes to observed interruptions 95 (22.3) 254 (59.6) 77 (18.1) 426 (100)
  • *Total observation time per profession was 66 hours each for ORNs and RNAs, whereas surgeons were observed for 37 hours.