Investigation of nursing interruptions during endoscopic surgeries

Objective To observe interruption events during endoscopic surgery. Methods Total 63 laparoscopic surgeries(185.1 h totally) had been observed from March to September 2015, through observation recorded source, type, the affairs occupying nurses when the interruptions occurred, results, years of experience and start-stop time. Results Total 702 interruptions had been observed, reasons accounting for interruptions: surgeons (23.1%,162/702) and circumstances (16.7%,117/702); the major type: intrusion (39.7%,279/702); the affairs occupying nurses when the interruptions occurred: sterile operation(19.2%,135/702) and equipment inventory(14.7%,103/702); the major result: negative (84.6%,594/702). Conclusions There is a high level frequency of interruption events, intraoperative workflows need to be well designed to reduce unnecessary interruptions. Key words: Laparoscopes; Nursing interruptions; Operation safe; Observation