Mapping Distractions in the Hybrid OR During Elective Endovascular Aortic Procedures

This study investigated the frequency and nature of distractions in a hybrid operating room (OR) during elective endovascular aortic procedures. Using audiovisual data from the OR Black Box®, researchers retrospectively analyzed 22 procedures to quantify intraoperative distractions and assess their distribution across different phases of surgery. Distractions were categorized using a modified Disruptions in Surgery Index, and statistical analyses examined their association with surgical duration and OR staffing.

The results revealed that distractions occurred at a median rate of 81 per hour, with internal traffic being the most common source. The closing phase of surgery experienced significantly more distractions than other phases. Notably, neither the length of the procedure nor the number of healthcare workers present correlated with distraction frequency. These findings highlight the prevalence of distractions in the hybrid OR and underscore the need for targeted strategies to mitigate their potential impact on surgical performance and patient outcomes.