Study: Software interruptions in the ICU may compromise patient safety

Nurses must often address software interruptions while performing computerized tasks, which may shift their attention away from clinical duties and compromise patient safety, according to a recent study published in the journal Human Factors.

Throughout the workday, intensive care unit nurses must complete a multitude of tasks on the computer and frequently encounter workflow disruptions. To study the effect of software interruptions — alerts that momentarily deviate users from one task to another — researchers observed 30 ICU nurses performing a computerized medication order-entry task. Nurses completed the tasks with no interruption, back-to-back interruptions and nested interruptions where nurses had to perform two tasks during the interruption period, one of which was also interrupted.

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Researchers found the nested interruptions delayed the nurses' return to the primary task and resulted in less accurate completion of the medication order-entry.

"Hospital environments are becoming increasingly complex," said Farzan Sasangohar, PhD, an assistant professor of industrial and systems engineering at Texas A&M University in College Station. "This can cause healthcare personnel to experience a heavy workload and numerous interruptions, many of which are unnecessary and can be delayed. It's essential to appropriately time interruptions in order to better ensure patient safety."

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