Skip to Main content Skip to Navigation
Journal articles

Impact of the complexity of surgical procedures and intraoperative interruptions on neurosurgical team workload

Abstract : Background: Neurosurgical teams are exposed to various stressors: complexity of surgical procedures, environment, time pressure and interruptions contribute to increasing the perceived workload. Objective: This study aimed to evaluate the impact of interruptions and surgical complexity on neurosurgical team workload. Methods: A prospective observational study was conducted on thirty surgical procedures of graduated complexity recorded in our Department of Neurosurgery. A scale was created and used by neurosurgeons to evaluate the perceived complexity of the surgical procedure. Interruptions and severity of interruptions were noted. The workloads of the neurosurgeon, surgical assistant, scrub nurse and circulating nurse were measured on the Surgery Task Load Index (SURG-TLX) at the end of the procedure. Results: A mean 24.6 interruptions per hour were recorded. The mean interference level of the interruptions was 3.5/7. Mean surgical complexity was 4.3/10. Mean sterile team workload was 43.4/100. The multiple linear regression model showed that sterile team workload increased with surgical complexity (β=6.692, P=.0002) but decreased in spite of increases in the number of interruptions per hour (β=-0.855, P=.027). Neurosurgeon and surgical assistant workload increased with surgical complexity (β=11.53, P<0.0001 and β=7.42, P=0.0007, respectively). Scrub nurse workload decreased in spite of increases in the number of interruptions per hour (β=-1.11, P=.026).
Complete list of metadatas

Cited literature [25 references]  Display  Hide  Download

https://hal-univ-rennes1.archives-ouvertes.fr/hal-02635124
Contributor : Laurent Jonchère <>
Submitted on : Friday, June 5, 2020 - 1:59:15 PM
Last modification on : Monday, June 15, 2020 - 3:11:05 PM

File

 Restricted access
To satisfy the distribution rights of the publisher, the document is embargoed until : 2020-11-13

Please log in to resquest access to the document

Identifiers

Citation

Maxime Bretonnier, Estelle Michinov, Estelle Le Pabic, Pierre-Louis Henaux, Pierre Jannin, et al.. Impact of the complexity of surgical procedures and intraoperative interruptions on neurosurgical team workload. Neurochirurgie, Elsevier Masson, 2020, ⟨10.1016/j.neuchi.2020.02.003⟩. ⟨hal-02635124⟩

Share

Metrics

Record views

21