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Article
Distracted Doctoring: The Role of Personal Electronic Devices in the Operating Room
Perioperative Care and Operating Room Management (2018)
  • Tara N. Cohen, Cedars-Sinai Medical Center, Los Angeles
  • Scott A. Shappell, Embry-Riddle Aeronautical University
  • Scott T. Reeves, University of South Carolina - Charleston
  • Albert J. Boquet, Embry-Riddle Aeronautical University
Abstract
Background
The purpose of this paper is to identify personal electronic device (PED) use by cardiac team members during a series of cardiovascular surgeries. Authors make the case that these devices contribute to the cognitive disconnect between practitioners and their primary task of taking care of the surgical patient.

Methods
This prospective observational study took place over four months of data collection. Twenty-five cardiovascular procedures (totaling 139.06 h) were observed for workflow disruptions and those related to the use of PEDs were further analyzed for frequency of occurrence and time spent attending to the PED.

Results
Data collection yielded 545 events for analysis; each requiring an average of 86.51 s of attention. Most PED use events took place during bypass (n = 233) followed by pre-bypass (n = 197) and post-bypass (n = 115).

Conclusion
The results presented here indicate that mobile devices have infiltrated not just social interactions, but those situations that by their nature demand often times undivided attention to ensure safety and protection of others.
Keywords
  • patient safety,
  • human factors,
  • distractions,
  • surgery,
  • quality impreovement
Publication Date
March, 2018
DOI
https://doi.org/10.1016/j.pcorm.2017.12.001
Citation Information
Tara N. Cohen, Scott A. Shappell, Scott T. Reeves and Albert J. Boquet. "Distracted Doctoring: The Role of Personal Electronic Devices in the Operating Room" Perioperative Care and Operating Room Management Vol. 10 (2018) p. 10 - 13 ISSN: 2405-6030
Available at: http://works.bepress.com/scott-shappell/89/