Anesthesia Providers’ Perceived Distractions In The Operating Room During Induction At a Large Urban Hospital

Doctoral Candidate Name: Elisa Hillman
Program: Doctor of Nursing Practice
Defense Date and Time: December 2, 2022 – 1:00 PM
Defense Location: UNCC College of Health and Human Services; Room 406
Committee chair’s Name: Dr. David Langford
Committee Members: Dr. Katie Shue-McGuffin, Dr. Dianne Earnhardt, Dr. Danielle Brown, Dr. Susan Lynch, Dr. Zhou Job Chen, Dr. Elena Platanova
Abstract:

Induction of anesthesia is a critical part of the anesthesia process where the anesthesia provider begins putting the patient to sleep and secures the airway. The purpose of this group project is to investigate anesthesia provider opinions on the types and frequencies of distractions occurring during induction at three different sites: a level one trauma center, a suburban hospital, and an ambulatory surgery center. The focus of this paper will be on the analysis of the results specifically from the level one trauma center, and its comparison to the results from the other two sites. An anonymous, electronic survey was distributed to physician anesthesiologists, certified registered nurse anesthetists (CRNAs), and student registered nurse anesthetists (SRNAs), at these three different clinical sites within this health system. The survey asked providers rate the severity of each potential distraction on a modified Likert scale. The results were then compared to see how distraction perceptions varied between sites and provider demographics. The results revealed the distraction most frequently ranked as “highly distracting” by providers was conversations during induction of anesthesia. There was no statistical significance between distraction rankings and the three clinical sites.