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Minor Flow Disruptions, Traffic-Related Factors And Their Effect On Major Flow Disruptions In The Operating Room, Anjali Joseph, Amin Khoshkenar, Kevin Taaffe, Ken Catchpole, Herminia Machry, Sara Bayramzadeh

Publications

Background Studies in operating rooms (OR) show that minor disruptions tend to group together to result in serious adverse events such as surgical errors. Understanding the characteristics of these minor flow disruptions (FD) that impact major events is important in order to proactively design safer systems.

Objective The purpose of this study is to use a systems approach to investigate the aetiology of minor and major FDs in ORs in terms of the people involved, tasks performed and OR traffic, as well as the location of FDs and other environmental characteristics of the OR that may contribute to these disruptions. …