Bold Voices - May 2014 - (Page 10)

AT THE BEDSIDE Interruptions Can Be Dangerous Interruptions can make someone forget to do what they're about to or repeat what they've already done. I n an interview with WebM&M, a clinical communications specialist suggests that interruptions in the clinical setting can result in memory loss and errors, so it is critical for patient safety to employ risk mitigation strategies. "In Conversation with ... Enrico Coiera, MB, BS, PhD" assesses the patient risks associated with interruptions, the ways people are affected and the impact of technology. "The challenge is in understanding why interruptions can cause harm," Coiera, from University of New South Wales, Australia, says in the interview. "They essentially disrupt working memory with the consequence that you can forget to do what you're about to do or, very oddly, repeat the task you've already done. For example, you might have administered a medication to a patient and then been interrupted, but 10 New Challenges, Rewards & Breathtaking Scenery! Critical Care Nurses ~ Meet us at the NTI Expo - Booth #639! Apply online: Toll-Free: 1-866-837-7099 Facebook: fraserhealthcareers Twitter: @FHcareer Together, we create great workplaces. because you do the task so often any individual act is not particularly memorable, and you give the same dose again." Coiera explains that interruptions often result in tasks being done incorrectly. He gives the example of distracted driving, where a person is driving somewhere and receives a phone call. By the time the call is finished, the person has driven to work instead of the original destination. The most common tasks prone to errors because of distractions include "administering medications, preparing injectable chemotherapy and IVs, induction of anesthesia, or putting a central line in," Coiera adds. Both highly cognitive and rote tasks are at risk, and errors include skipping or repeating steps, or omitting a finishing step such as writing notes or communicating outcomes. He recommends "being able to provide the information that people interrupt each other for in another place," empowering interruption when critical information must be delivered and educating staff "to say no, or to rehearse, or to write things down." Electronic devices such as smartphones should be configured to not generate unnecessary alerts, he advises, and medical IT systems need to better reflect "messy clinical environments" to account for potential distractions. Coiera adds that effective interventions for common interruptions and distractions in clinical environments include education on how to reduce them and create alternatives, developing formal rules and signals, and learning handling strategies.

Table of Contents for the Digital Edition of Bold Voices - May 2014

Another Angle
Pres Note Teaser: What Were We Thinking
Come for the Day. Learn for a Lifetime.
How AACN CSI Academy Changed My Practice
Healthcare Professionals Smoke Less Than General Population
Sleep-Deprived Nurses May Regret Clinical Decisions
Detecting Abuse When Kids Have Fractures
Effective Screening and Counseling for Alcohol Use
Most People Who Need Palliative Care Don’t Receive It
Interruptions Are Dangerous
AACN Community Steps Forward on Early Mobility
Satisfied and Engaged Staff Improve Patient Satisfaction
Involve Nurses When Developing Healthcare Technology
Nurses Concerned About Nursing’s Future
How Does This Year’s Flu Compare to Previous Trends?
Fewer Hospital Opportunities for Nursing Graduates
Excessive Crying as a Preemie, Behavioral Problems Later
Hand Amputees Can Feel Objects With New Prostheses
In Our Journals
Certification Capsules
New Editions of ‘AACN Essentials’ Textbooks
New at NTI 2014: Editorial Consults
Call for Nominations: AACN Board, Nominating Committee
Experience a Wasatch Mountain High This Summer at REACH
Thrive at NTI: 10 Tips for the Best Experience
President’s Note

Bold Voices - May 2014