The impact of preventable disruption on the operative time for minimally invasive surgery

Article

Al-Hakim, Latif. 2011. "The impact of preventable disruption on the operative time for minimally invasive surgery." Surgical Endoscopy: surgical and interventional techniques. 25 (10), pp. 3385-3392. https://doi.org/10.1007/s00464-011-1735-9
Article Title

The impact of preventable disruption on the operative time for minimally invasive surgery

ERA Journal ID16883
Article CategoryArticle
Authors
AuthorAl-Hakim, Latif
Journal TitleSurgical Endoscopy: surgical and interventional techniques
Journal Citation25 (10), pp. 3385-3392
Number of Pages8
Year2011
PublisherSpringer
Place of PublicationUnited States
ISSN0930-2794
1432-2218
Digital Object Identifier (DOI)https://doi.org/10.1007/s00464-011-1735-9
Web Address (URL)https://link.springer.com/article/10.1007/s00464-011-1735-9
Abstract

Current ergonomic studies show that disruption exposes surgical teams to stress and musculoskeletal disorders. This study considers minimally invasive surgery as a sociotechnical process subjected to a variety of disruption events other than those recognized by ergonomic science. The research takes into consideration the impact of preventable disruption on operating time rather than on the physical and emotional status of the surgical team. Events inside operating rooms that disturbed operative time were recorded for 17 minimally invasive surgeries. The disruption events were classified into four main areas: prerequisite requirements, work design, communication during surgery, and other. Each area was further classified according to sources of disruption. Altogether, 11 sources of disruption were identified: patient record, protocol and policy, surgical requirements and surgeon preferences, operating table and patient positioning, arrangement of instruments, lighting, monitor, clothing, surgical teamwork, coordination, and other. Disruption prolonged operative time by more than 32%. Teamwork forms the main source of disruption followed by operating table and patient positioning and arrangement of instruments. These three sources represented approximately 20% of operative time. Failure to follow principles of work design had a significant negative impact, lengthening operative time by approximately 15%. Although lighting and monitors had a relatively small impact on operative time, these factors could create inconvenience and stress within the surgical teams. In addition, the effect of failure to follow surgical protocols and policies or having incomplete patient records may have a limited effect on operative time but could have serious consequences. This report demonstrates that preventable disruption caused an increase in operative time and forced surgeons and patients to endure unnecessary delay of more than 32%. Such additional time could be used to deal with the pressure of emergency cases and to reduce waiting lists for elective surgery.

Keywordsdisruption; minimally invasive surgery; operative time; musculoskeletal diseases; occupational diseases; operating rooms; patient care team; risk assessment; risk factors; physiological stress; surgical procedures; task performance and analysis; time factors; waiting lists
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020350505. Occupational and workplace health and safety
320226. Surgery
420306. Health care administration
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Byline AffiliationsSchool of Management and Marketing
Institution of OriginUniversity of Southern Queensland
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Al-Hakim, Latif. 2007. "Operations and information quality management: current trends and future directions." Gupta, Omprakash, Saha, Gour and Agrawal, Shivprakash (ed.) Emerging Perspectives of Decision Making in a New Globalized Word: Theory, Practice and Future Directions (2007). Bangkok, Thailand 17 - 20 Oct 2007 Houson, TX, United States.
Perception of students on performance of dual-mode education: information quality perspective
Al-Hakim, Latif. 2007. "Perception of students on performance of dual-mode education: information quality perspective." International Journal of Information Quality. 1 (3), pp. 314-325. https://doi.org/10.1504/IJIQ.2007.016394
The influence of technology attributes, trust and dependency on e-procurement adoption decisions in supply chain relationships
Abdullah, Nik Ab Halim Nik and Al-Hakim, Latif. 2006. "The influence of technology attributes, trust and dependency on e-procurement adoption decisions in supply chain relationships." Logistics Strategies and Technologies for Global Business (LCSM 2006). Hong Kong, China 05 - 07 Jan 2006 Hong Kong.
Data quality and work alignment: do IT professionals think differently?
Al-Hakim, Latif and Xu, Hongjiang. 2005. "Data quality and work alignment: do IT professionals think differently?" Sarmento, Anabela (ed.) Issues of human computer interaction. Hershey, PA, United States. IRM Press (IGI Global). pp. 291-320
Beam search for sequencing point operations in flat plate manufacturing
Shayan, E. and Al-Hakim, Latif. 2002. "Beam search for sequencing point operations in flat plate manufacturing." Computers and Industrial Engineering. 42 (2-4), pp. 309-315. https://doi.org/10.1016/S0360-8352(02)00016-5
The effect of information quality on surgery process variation
Al-Hakim, Latif. 2007. "The effect of information quality on surgery process variation." Khosrow-Pour, Mehdi (ed.) IRMA 2007: Managing Worldwide Operations and Communications with Information Technology. Vancouver, Canada 19 - 23 May 2007 Hershey, PA, United States. https://doi.org/10.4018/978-1-59904-929-8.ch401
IDEF3-based framework for web-based hospital information system
Al-Hakim, Latif. 2007. "IDEF3-based framework for web-based hospital information system." Al-Hakim, Latif (ed.) Web mobile based applications for healthcare management. Hershey, PA, USA. IRM Press (IGI Global). pp. 376-401
Procedure for modeling and improving e-SCM processes
Boonyathan, Patcharee and Al-Hakim, Latif. 2007. "Procedure for modeling and improving e-SCM processes." Zhang, Qingyu (ed.) E-supply chain technologies and management. Hershey, PA, United States. IGI Global. pp. 1-21
Make or buy decisions: perception gap analysis
Mahaorand, Thamrong and Al-Hakim, Latif. 2005. "Make or buy decisions: perception gap analysis." 2005 International Conference on Business and Information (BAI 2005). Hong Kong, China 14 - 15 Jul 2005 Hong Kong.
Identification of waste zones associated with supply chain management
Al-Hakim, Latif. 2005. "Identification of waste zones associated with supply chain management." Boswell, Vince (ed.) SAPICS 2005: Supply Chains in Rhythm. Sun City, South Africa 05 - 08 Jun 2005 South Africa.
Trust and technology diffusion within the meat supply chain: a conceptual framework
Chua, Roberta and Al-Hakim, Latif. 2005. "Trust and technology diffusion within the meat supply chain: a conceptual framework." 2005 International Conference on Business and Information (BAI 2005). Hong Kong, China 14 - 15 Jul 2005 Hong Kong.
Waste identification: a supply chain strategy perspective
Al-Hakim, Latif. 2005. "Waste identification: a supply chain strategy perspective." Tang, Kwei (ed.) 2005 International Conference on Business and Information (BAI 2005). Hong Kong, China 14 - 15 Jul 2005 Hong Kong.
IT outsourcing: an assessment of relative failure factor complexity
Al-Hakim, Latif. 2005. "IT outsourcing: an assessment of relative failure factor complexity." Appicello, Amanda, Neidig, Jennifer, Roth, Kristin and Davies, Renee (ed.) IRMA 2005: Managing Modern Organisations With Information Technology. San Diego, United States 15 - 18 May 2005 Hershey, PA, USA.
Modelling interdependencies for electronic supply chain management
Al-Hakim, Latif. 2005. "Modelling interdependencies for electronic supply chain management." Appicello, Amanda, Neidig, Jennifer, Roth, Kristin and Davies, Renee (ed.) IRMA 2005: Managing Modern Organisations With Information Technology. San Diego, United States 15 - 18 May 2005 Hershey, USA.