Graduate Research and Discovery Symposium (GRADS)


Predicting Team v. Individual Surgical Flow Disruption Recovery in Cardiothoracic Operating Rooms


A. Joy Rivera-Rodriguez

Document Type



Industrial Engineering

Publication Date

Spring 2013


Patient safety is a major concern of healthcare organizations and healthcare providers. It is generally, a vital component that most hospitals instill within their culture to prevent sentinel events from occurring. One area of concern that has been a growing topic in literature recently, is the study of surgical flow disruptions (SFDs). SFDs are events that disrupt the flow of the surgical procedure. SFDs are being used as a new metric of patient safety in the operating room (OR), and as the more SFDs occur, the more opportunity there is for errors. Therefore, one way to increase patient safety in the OR is to eliminate or reduce SFDs. In order to do this in an effective manner (i.e., implement interventions that are still compatible with the healthcare providers workflow), more research needs to be completed to understand nuances of SFDs. Therefore, the goals of this research are: to validate a SFD taxonomy that was previously developed after 60 hours of observations in cardiovascular surgeries; and to identify if and by whom (an individual, a team, or none) the SFD are recovered from. These goals will be accomplished by two human factors experts conducting systematic observations during 10 cardiovascular surgical procedures.

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