Disruptive behavior in the operating room: Systemic over individual determinants

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dc.contributor.authorCampos, Mauricio
dc.contributor.authorLira, Maria Jesus
dc.contributor.authorMery, Pamela
dc.contributor.authorCalderon, Maribel
dc.contributor.authorSepulveda, Macarena
dc.contributor.authorPimentel, Fernando
dc.contributor.authorZuniga, Denisse
dc.date.accessioned2024-01-10T13:45:14Z
dc.date.available2024-01-10T13:45:14Z
dc.date.issued2022
dc.description.abstractBackground: The operating room (OR) environment presents specific conditions that put stress on work dynamics. Disruptive behavior among members of the health team is recognized to affect work dynamics and patient outcomes. As surgeons have been syndicated as frequent disruptors, the objective was to explore their perceptions about OR working dynamics and the occurrence of disruptive behavior. Study design: Qualitative exploratory study, based on semi-structured individual interviews. Twenty participants were sampled until data saturation. For better context, we also included in the sample anesthesiologists, nurses, and technicians, among others. Using grounded theory framework, investigators extracted data from verbatim transcriptions with qualitative software. Results: Problems of infrastructure, interpersonal relationships, and organizational failures had most density of citations and trigger the most disruptive behavior narrated events. Although personality traits were noted to promote some disruptive behavior occurrence, systemic determinants were critical, such as poorly defined working roles and a plethora of personal ways to cope or avoid disruptive behavior. Conclusion: Our results suggest that disruptive behavior events are not just a matter of a surgeon's personality traits but also substantiated by systemic normalization, informal communication strategies, and undefined roles, making teams less resilient to unexpected events.
dc.fechaingreso.objetodigital26-03-2024
dc.fuente.origenWOS
dc.identifier.doi10.1016/j.ijso.2022.100492
dc.identifier.issn2405-8572
dc.identifier.urihttps://doi.org/10.1016/j.ijso.2022.100492
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/79002
dc.identifier.wosidWOS:000813397700008
dc.information.autorucFacultad de Medicina; Lira Salas, Maria Jesus; S/I; 195663
dc.language.isoen
dc.nota.accesocontenido parcial
dc.publisherELSEVIER SCI LTD
dc.rightsacceso restringido
dc.subjectDisruptive behavior
dc.subjectPatient safety
dc.subjectOperating room
dc.subjectSurgeons
dc.subjectEffective teamwork
dc.subjectOrganizational culture
dc.subject.ods04 Quality Education
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa04 Educación y calidad
dc.subject.odspa03 Salud y bienestar
dc.titleDisruptive behavior in the operating room: Systemic over individual determinants
dc.typeartículo
dc.volumen43
sipa.codpersvinculados195663
sipa.indexWOS
sipa.trazabilidadCarga SIPA;09-01-2024
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