Interrupções e distrações na sala de cirurgia do trauma: Entendendo a ameaça do erro humano

Translated title of the contribution: Interruptions and distractions in the trauma operating room: Understanding the threat of human error

Bruno Monteiro Tavares Pereira, Alexandre Monteiro Tavares Pereira, Clarissa Dos Santos Correia, Antonio Carlos Marttos, Rossano Kepler Alvim Fiorelli, Gustavo Pereira Fraga

Research output: Contribution to journalArticle

17 Scopus citations


Objective: To understand the human factor as a threat to the security of trauma patients in the operating room, bringing to the operating room some important rules already applied in the field of aviation. Methods: The sample included 50 cases of surgical trauma patients prospectively collected by observers in shifts of 12 hours, for six months in a Level I trauma center in the United States of America. Information regarding the type of trauma, severity score and mortality were collected, as well as determinants of distractions/interruptions and the volume of noise in the operating room during surgery. Results: There was an average of 60 interruptions or distractions during surgery, most often triggered by the movement of people in the room. In more severe patients (ISS> 45), subjected to damage control, the incidence of distractions was even greater. The average noise in the trauma surgery room was very high, close to the noise of a hair dryer. Conclusion: Interruptions and distractions are frequent and should be studied by the trauma surgeon to develop prevention strategies and lines of defense to minimize them and reduce their effects.

Original languagePortuguese
Pages (from-to)292-298
Number of pages7
JournalRevista do Colegio Brasileiro de Cirurgioes
Issue number5
StatePublished - Sep 1 2011



  • Hospital
  • Medical errors
  • Patients
  • Security measures
  • Surgery departament

ASJC Scopus subject areas

  • Surgery

Cite this

Pereira, B. M. T., Pereira, A. M. T., Correia, C. D. S., Marttos, A. C., Fiorelli, R. K. A., & Fraga, G. P. (2011). Interrupções e distrações na sala de cirurgia do trauma: Entendendo a ameaça do erro humano. Revista do Colegio Brasileiro de Cirurgioes, 38(5), 292-298.