All across our state and in the nation, the epidemic of distracted driving continues to spread with new strains of distractions. Just like the game of football, we must be capable of successfully tackling and reversing the advance of competing distracted driving behaviors. The rest of this column will explain that.
Print Perspective In everyday life and in health care environments, distractions and interruptions are threats to human performance and safety.
A distraction may occur when a driver is texting while in traffic or when a health care professional is interrupted during a high-risk task such as prescribing or administering a medication.
Interruptions—ringing telephones, active alarms or computerized alerts, or even being asked a question—are ubiquitous in society, and health care is no exception. Despite recent research related to interruptions and distractions in health care, few evidence-based strategies have been identified that effectively mitigate these patient safety problems.
It also remains unclear how to best train clinicians to safely manage their work in the face of the constant onslaught of interruptions and distractions. Sources for interruptions and distractions include noise, other people, or electronic devices.
Noises may include alarms, ringing phones, and other clinicians. Electronic distractions include beepers, text messages, e-mails, or other communication technologies. In the past decade, researchers have studied the nature and frequency of clinician interruptions and distractions.
The evidence suggests that certain tasks and clinical departments are at high risk for interruption- or distraction-related errors. Fewer studies have examined what types of interruptions or distractions cause actual errors in clinical settings. Even less is known about what interventions can be effective in decreasing errors related to interruptions or distractions.
They concluded that each interruption results in a The Institute for Safe Medication Practices recently provided a number of practice recommendations for medication administration. Examining a total of interruptions in a pediatric tertiary care setting, Hall and colleagues found that two-thirds of interruptions resulted in a delay in the original task, and one-fourth related in a loss of concentration or focus.
Studying surgical residents in a simulated environment, Feuerbacher and colleagues 11 found that in 8 of 18 simulated procedures, operating room distractions and interruptions resulted in major surgical errors. In contrast, when there were no operating room distractions or interruptions, only 1 of 18 simulated surgical procedures was complicated by an error.
Cellphone use while performing cardiopulmonary bypass has been reported by Despite a growing knowledge of the nature and type of interruptions, there is limited evidence available to guide efforts designed to mitigate the effects.
Approaches such as the NIZ for medication administration have been among those most widely evaluated and demonstrate that NIZs can decrease interruptions during medication administration in critical care 13 and contribute to overall reductions in medication errors 14 or interruptions.
Although it is important to continue to pursue research evaluating specific interventions, we believe that clinicians can do much to prevent interruptions and distractions or mitigate their adverse effects.
In particular, we are enthusiastic about the potential benefits of clinician mindfulness in allowing for practice habits that can defend against safety hazards related to interruptions and distractions. Langer suggests that mindfulness helps one notice new aspects of things that are familiar.
For example, a physician or nurse might go to a quiet space to review orders or complete other high-risk functions such as calculating a medication dose or writing and reviewing orders.
When clinicians are distracted or interrupted, becoming distressed could further contribute to making an error. There are a number of pragmatic interventions—such as establishing an NIZ or silencing beepers and overhead pages—that may decrease the frequency of interruptions and distractions.
However, in the busy health care environment, it is likely to be impossible to create the hermetically sealed environment of a locked cockpit.
Therefore, clinicians need to find ways to manage interruptions and distractions, and we believe that promoting and teaching mindfulness may serve as an important strategy to improve safety. Challenges in measuring the impact of interruption on patient safety and workflow outcomes.
Interruptions in the pharmacy: University of Missouri-Columbia; Association of interruptions with and increased risk and severity of medication administration errors.Please enter your library ID, barcode, or other ID: password Sign in.
Opposing Perspectives and Solutions of Distracted Driving.
Topics: Mobile phone Distracted driving takes the lives of thousands of people in the United States each year. 5, people were killed in and an additional , were reported injured due to distracted driving. According to the United States Department of Transportation.
Opposing Perspectives and Solutions of Distracted Driving; Opposing Perspectives and Solutions of Distracted Driving.
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Please enter your library ID, barcode, or other ID: password Sign in. An Oregon woman who hit three teenage girls while driving has been sentenced to five months in prison on Nov.
On Jan. 15, Elizabeth Dove was using her cellphone to record her son while driving near Centennial High School in Gresham, Oregon. Three freshmen students were reportedly in a crosswalk.
For every year that passes, more than 5, Americans’ lives come to an abrupt end due to distracted driving. These numbers are almost identical to the number of road fatalities that are caused by intoxicated drivers, showing a correlation that someone who is on their cell phone while driving is just as likely to be.