Abstract
There is a surge of research exploring the role of task interruptions in the manifestation of primary task errors both in controlled experimental settings, and safety critical workplaces such as healthcare. Despite such research providing valuable insights into the disruptive properties of task interruption, and, the importance of considering the likely disruptive consequences of clinical task interruptions in healthcare environments, there is an urgent need for an approach that best mimics complex working environments such as healthcare, whilst allowing better control over experimental variables with minimal constraints. We propose that this can be achieved with ecologically sensitive experimental tasks designed to have high levels of experimental control so that theoretical as well as practical parameters and factors can be tested. We developed a theoretically and ecologically informed procedural memory-based task - the CAMROSE Medication Pre-Administration Task. Results revealed significantly more sequence errors were made on low, moderate and high complex conditions compared to no interruption condition. There was no significant difference in non-sequence errors. Findings reveal the importance of developing ecologically valid tasks to explore non-observable characteristics of clinical task interruptions. Both theoretical and possible practical implications are discussed.
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References
Kohn, L., Corrigan, J., Donaldson, M.: To Err is Human. Building a Safer Health System. Committee on Quality of Health Care in America. Institute of Medicine, Washington, DC (1999)
Brixey, J.J., Robinson, D.J., Turley, J.P., Zhang, J.: Initiators of interruption in workflow: the role of MDs and RNs. Stud. Health Technol. Inform. 130(103), 103–109 (2007)
Werner, N.E., Holden, R.J.: Interruptions in the wild: development of a sociotechnical systems model of interruptions in the emergency department through a systematic review. Appl. Ergon. 51, 244–254 (2015)
Biron, A.D., Loiselle, C.G., Lavoie-Tremblay, M.: Work interruptions and their contribution to medication administration errors: an evidence review. Worldviews Evid.-Based Nurs. 6(2), 70–86 (2009)
Westbrook, J.I., Coiera, E., Dunsmuir, W.T., Brown, B.M., Kelk, N., Paoloni, R., Tran, C.: The impact of interruptions on clinical task completion. BMJ Qual. Saf. 19, 284–289 (2010)
Collins, S., Currie, L., Patel, V., Bakken, S., Cimino, J.J.: Multitasking by clinicians in the context of CPOE and CIS use. In: 2007 Proceedings of the 12th World Congress on Health (Medical) Informatics; Building Sustainable Health Systems, p. 958. IOS Press (2017)
Forsyth, K.L., Hawthorne, H.J., El-Sherif, N., Varghese, R.S., Ernste, V.K., Koenig, J., Blocker, R.C.: Interruptions experienced by emergency nurses: implications for subjective and objective measures of workload. J. Emerg. Nurs. 44, 614–623 (2018)
Weigl, M., Müller, A., Vincent, C., Angerer, P., Sevdalis, N.: The association of workflow interruptions and hospital doctors’ workload: a prospective observational study. BMJ Qual. Saf. 21(5), 399–407 (2012)
Westbrook, J.I., Woods, A., Rob, M.I., Dunsmuir, W.T., Day, R.O.: Association of interruptions with an increased risk and severity of medication administration errors. Arch. Intern. Med. 170(8), 683–690 (2010)
Schroers, G.: Characteristics of interruptions during medication administration: an integrative review of direct observational studies. J. Clin. Nurs. 27(19–20), 3462–3471 (2018)
Cloete, L.: Reducing medication errors in nursing practice. Nurs. Stand. 29(20), 50–59 (2015)
Roughead, L., Semple, S., Rosenfeld, E.: Literature review: medication safety in Australia. Australian Commission on Safety and Quality in Health Care (2013)
Karavasiliadou, S., Athanasakis, E.: An inside look into the factors contributing to medication errors in the clinical nursing practice. Health Sci. J. 8(1), 32–44 (2014)
Johnson, M., Sanchez, P., Langdon, R., Manias, E., Levett-Jones, T., Weidemann, G., Aguilar, V., Everett, B.: The impact of interruptions on medication errors in hospitals: an observational study of nurses. J. Nurs. Manag. 25(7), 498–507 (2017)
Hall, L.M., Pedersen, C., Fairley, L.: Losing the moment: understanding interruptions to nurses’ work. J. Nurs. Adm. 40(4), 169–176 (2010)
Davey, A.L., Britland, A., Naylor, R.J.: Decreasing paediatric prescribing errors in a district general hospital. BMJ Qual. Saf. 17(2), 146–149 (2008)
Elliott, M., Liu, Y.: The nine rights of medication administration: an overview. Br. J. Nurs. 19(5), 300–305 (2010)
Thomas, L., Donohue-Porter, P., Fishbein, J.S.: Impact of interruptions, distractions, and cognitive load on procedure failures and medication administration errors. J. Nurs. Care Qual. 32(4), 309–317 (2017)
Balas, M.C., Scott, L.D., Rogers, A.E.: Frequency and type of errors and near errors reported by critical care nurses. CJNR (Can. J. Nurs. Res.) 38(2), 24–41 (2006)
Ozkan, S., Kocaman, G., Ozturk, C., Seren, S.: Frequency of pediatric medication administration errors and contributing factors. J. Nurs. Care Qual. 26(2), 136–143 (2011)
Craker, N.C., Myers, R.A., Eid, J., Parikh, P., McCarthy, M.C., Zink, K., Parikh, P.J.: Nursing interruptions in a trauma intensive care unit: a prospective observational study. J. Nurs. Adm. 47(4), 205–211 (2017)
Sasangohar, F., Donmez, B., Easty, A.C., Trbovich, P.L.: Effects of nested interruptions on task resumption: a laboratory study with intensive care nurses. Hum. Factors 59(4), 628–639 (2017)
Monk, C.A., Trafton, J.G., Boehm-Davis, D.A.: The effect of interruption duration and demand on resuming suspended goals. J. Exp. Psychol.: Appl. 14(4), 299 (2008)
Hodgetts, H.M., Jones, D.M.: Interruption of the tower of London task: support for a goal-activation approach. J. Exp. Psychol. Gen. 135(1), 103 (2006)
Campbell, D.J.: Task complexity: a review and analysis. Acad. Manag. Rev. 13(1), 40–52 (1988)
Altmann, E.M., Trafton, J.G.: Memory for goals: an activation-based model. Cogn. Sci. 26(1), 39–83 (2002)
Altmann, E.M., Trafton, J.G.: Timecourse of recovery from task interruption: data and a model. Psychon. Bull. Rev. 14(6), 1079–1084 (2007)
Altmann, E.M., Trafton, J.G., Hambrick, D.Z.: Momentary interruptions can derail the train of thought. J. Exp. Psychol. Gen. 143(1), 215 (2014)
Altmann, E.M., Trafton, J.G., Hambrick, D.Z.: Effects of interruption length on procedural errors. J. Exp. Psychol.: Appl. 23(2), 216 (2017)
Trafton, J.G., Altmann, E.M., Ratwani, R.M.: A memory for goals model of sequence errors. Cogn. Syst. Res. 12(2), 134–143 (2011)
Peirce, J., MacAskill, M.: Building Experiments in PsychoPy. Sage, Newcastle upon Tyne (2018)
Patterson, C., Maclean, F., Bell, C., Mukherjee, E., Bryan, L., Woodcock, T., Bell, D.: Early warning systems in the UK: variation in content and implementation strategy has implications for a NHS early warning system. Clin. Med. 11(5), 424–427 (2011)
Hodgetts, H.M., Vachon, F., Tremblay, S.: Background sound impairs interruption recovery in dynamic task situations: procedural conflict? Appl. Cogn. Psychol. 28(1), 10–21 (2014)
Collins, S., Currie, L., Bakken, S., Cimino, J.J.: Interruptions during the use of a CPOE system for MICU rounds. In: 2006 AMIA Symposium, p. 895. American Medical Informatics Association (2006)
Collins, S., Currie, L., Patel, V., Bakken, S., Cimino, J.J.: Multitasking by clinicians in the context of CPOE and CIS use. In: 2007 Proceedings of the 12th World Congress on Health (Medical) Informatics; Building Sustainable Health Systems, p. 958. IOS Press (2007)
Benda, N.C., Meadors, M.L., Hettinger, A.Z., Ratwani, R.M.: Emergency physician task switching increases with the introduction of a commercial electronic health record. Ann. Emerg. Med. 67(6), 741–746 (2016)
Morgan, P.L., Patrick, J., Waldron, S.M., King, S.L., Patrick, T.: Improving memory after interruption: Exploiting soft constraints and manipulating information access cost. J. Exp. Psychol.: Appl. 15(4), 291 (2009)
Morgan, P.L., Patrick, J.: Paying the price works: increasing goal-state access cost improves problem solving and mitigates the effect of interruption. Q. J. Exp. Psychol. 66(1), 160–178 (2013)
Morgan, P.L., Patrick, J., Tiley, L.: Improving the effectiveness of an interruption lag by inducing a memory-based strategy. Acta Physiol. (Oxf) 142(1), 87–95 (2013)
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Williams, C., Morgan, P.L., Christopher, G., Zook, N., Hoskins, R. (2020). The Effects of Clinical Task Interruptions on Subsequent Performance of a Medication Pre-Administration Task. In: Ahram, T., Falcão, C. (eds) Advances in Usability and User Experience. AHFE 2019. Advances in Intelligent Systems and Computing, vol 972. Springer, Cham. https://doi.org/10.1007/978-3-030-19135-1_9
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