Anne van Dalen

4 Analyzing and discussing human factors affecting surgical patient safety I 145 Unexpected task complication Ex. Error/issue/complication on anaesthesia side temporarily delays surgical case progression Preventable Secondary Tasks Diversion, personnel issue Clinician required to attend to secondary task that diverts attention from primary objective task/delays the completion of another task; diverts attention, interrupts action, Ex. Correcting form of inexperienced scrub nurse Diversion, tool/tech issue Clinician required to attend to secondary task that diverts attention from primary objective task/delays the completion of another task; diverts attention, interrupts action; Ex. Troubleshooting malfunction Diversion, workspace issue Clinician required to attend to secondary task that diverts attention from primary objective task/delays the completion of another task; diverts attention, interrupts action; Ex. Rearranging obtrusive equipment Diversion, organization/ management Clinician required to attend to secondary task that diverts attention from primary objective task/delays the completion of another task; diverts attention, interrupts action; Ex. Managing scheduling issues Patient-Related Challenges Patient complexity Unique patient factors (ex. Implant, pacemaker) add extra layer of complexity to case (known prior to surgery initiation)