Evidence map›Paper›PMID 33252139›Full record

Observational studyAnaesthesia2021

An observational study of distractions in the operating theatre.

A van Harten, H G Gooszen, J J Koksma, T J H Niessen, T A Abma

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Anaesthesia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Understanding Sustainability in Operating Theaters: An Ethnographic Study to Determine Drivers of Unsustainable Behaviors.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2026
    Article
  6. Observational
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Visual Mapping of Operating Theater Team Dynamics and Communication for Reflexive Feedback and Surgical Practice Optimization.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2024
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

A van HartenDepartment of Process Improvement and Innovation, Radboud University Medical Centre, Nijmegen, The Netherlands.ORCID 0000-0002-4213-2373
H G GooszenDepartment of Surgery, Radboud University Medical Centre, Nijmegen, The Netherlands.ORCID 0000-0002-8562-1409
J J KoksmaDepartment of Research in Learning and Education, Radboud University Medical Centre, Nijmegen, The Netherlands.
T J H NiessenFaculty of Nursing, Fontys Hogescholen, Eindhoven, The Netherlands.ORCID 0000-0002-8699-0265
T A AbmaDepartment of Medical Humanities, Amsterdam University Medical Centre, Amsterdam, The Netherlands.ORCID 0000-0002-8902-322X
Radboud University Nijmegen · NLFontys University of Applied Sciences · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Several studies have reported on the negative impact of interruptions and distractions on anaesthetic, surgical and team performance in the operating theatre. This study aimed to gain a deeper understanding of these events and why they remain part of everyday clinical practice. We used a mixed methods observational study design. We scored each distractor and interruption according to an established scheme during induction of anaesthesia and the surgical procedure for 58 general surgical cases requiring general anaesthesia. We made field notes of observations, small conversations and meetings. We observed 64 members of staff for 148 hours and recorded 4594 events, giving a mean (SD) event rate of 32.8 (16.3) h

Indexed as

AttentionAnesthesiologyAnesthetistsClinical CompetenceHealth PersonnelHospitals, TeachingHumansNetherlandsNursesOperating RoomsPatient Care TeamSurgeonsSurgical Procedures, OperativeWorkloadcommunicationdistractionsperformance monitoringresilience

Identifiers

PMID33252139
PMCPMC7891421
OpenAlexW3053603674

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.