Percepciones sobre el riesgo del uso de teléfonos inteligentes durante la práctica anestésica en salas de cirugía, en especialistas y estudiantes de posgrado en Anestesiología del Hospital Universitario Nacional de Colombia

ilustraciones, gráficas

Autores:
Gerardo Alfonso, Galeano Triviño
Tipo de recurso:
Fecha de publicación:
2022
Institución:
Universidad Nacional de Colombia
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Universidad Nacional de Colombia
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spa
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https://repositorio.unal.edu.co/
Palabra clave:
610 - Medicina y salud::613 - Salud y seguridad personal
Prácticas clínicas
Salas de cirugía
Clinical Clerkship
Operating Rooms
Anestesia
Distracción
Percepción
Aplicación móvil
Seguridad del paciente
Teléfono inteligente
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openAccess
License
Reconocimiento 4.0 Internacional
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oai_identifier_str oai:repositorio.unal.edu.co:unal/82916
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repository_id_str
dc.title.none.fl_str_mv Percepciones sobre el riesgo del uso de teléfonos inteligentes durante la práctica anestésica en salas de cirugía, en especialistas y estudiantes de posgrado en Anestesiología del Hospital Universitario Nacional de Colombia
dc.title.translated.none.fl_str_mv Perceptions about the risk of using smartphones during anesthetic practice in operating rooms, in specialists and postgraduate students in Anesthesiology of the National University Hospital of Colombia
title Percepciones sobre el riesgo del uso de teléfonos inteligentes durante la práctica anestésica en salas de cirugía, en especialistas y estudiantes de posgrado en Anestesiología del Hospital Universitario Nacional de Colombia
spellingShingle Percepciones sobre el riesgo del uso de teléfonos inteligentes durante la práctica anestésica en salas de cirugía, en especialistas y estudiantes de posgrado en Anestesiología del Hospital Universitario Nacional de Colombia
610 - Medicina y salud::613 - Salud y seguridad personal
Prácticas clínicas
Salas de cirugía
Clinical Clerkship
Operating Rooms
Anestesia
Distracción
Percepción
Aplicación móvil
Seguridad del paciente
Teléfono inteligente
title_short Percepciones sobre el riesgo del uso de teléfonos inteligentes durante la práctica anestésica en salas de cirugía, en especialistas y estudiantes de posgrado en Anestesiología del Hospital Universitario Nacional de Colombia
title_full Percepciones sobre el riesgo del uso de teléfonos inteligentes durante la práctica anestésica en salas de cirugía, en especialistas y estudiantes de posgrado en Anestesiología del Hospital Universitario Nacional de Colombia
title_fullStr Percepciones sobre el riesgo del uso de teléfonos inteligentes durante la práctica anestésica en salas de cirugía, en especialistas y estudiantes de posgrado en Anestesiología del Hospital Universitario Nacional de Colombia
title_full_unstemmed Percepciones sobre el riesgo del uso de teléfonos inteligentes durante la práctica anestésica en salas de cirugía, en especialistas y estudiantes de posgrado en Anestesiología del Hospital Universitario Nacional de Colombia
title_sort Percepciones sobre el riesgo del uso de teléfonos inteligentes durante la práctica anestésica en salas de cirugía, en especialistas y estudiantes de posgrado en Anestesiología del Hospital Universitario Nacional de Colombia
dc.creator.fl_str_mv Gerardo Alfonso, Galeano Triviño
dc.contributor.advisor.none.fl_str_mv David Alberto, Rincón Valenzuela
dc.contributor.author.none.fl_str_mv Gerardo Alfonso, Galeano Triviño
dc.subject.ddc.spa.fl_str_mv 610 - Medicina y salud::613 - Salud y seguridad personal
topic 610 - Medicina y salud::613 - Salud y seguridad personal
Prácticas clínicas
Salas de cirugía
Clinical Clerkship
Operating Rooms
Anestesia
Distracción
Percepción
Aplicación móvil
Seguridad del paciente
Teléfono inteligente
dc.subject.mesh.spa.fl_str_mv Prácticas clínicas
Salas de cirugía
dc.subject.mesh.eng.fl_str_mv Clinical Clerkship
Operating Rooms
dc.subject.proposal.spa.fl_str_mv Anestesia
Distracción
Percepción
Aplicación móvil
Seguridad del paciente
Teléfono inteligente
description ilustraciones, gráficas
publishDate 2022
dc.date.issued.none.fl_str_mv 2022
dc.date.accessioned.none.fl_str_mv 2023-01-13T15:38:14Z
dc.date.available.none.fl_str_mv 2023-01-13T15:38:14Z
dc.type.spa.fl_str_mv Trabajo de grado - Especialidad Médica
dc.type.driver.spa.fl_str_mv info:eu-repo/semantics/masterThesis
dc.type.version.spa.fl_str_mv info:eu-repo/semantics/acceptedVersion
dc.type.content.spa.fl_str_mv Text
dc.type.redcol.spa.fl_str_mv http://purl.org/redcol/resource_type/TM
status_str acceptedVersion
dc.identifier.uri.none.fl_str_mv https://repositorio.unal.edu.co/handle/unal/82916
dc.identifier.instname.spa.fl_str_mv Universidad Nacional de Colombia
dc.identifier.reponame.spa.fl_str_mv Repositorio Institucional Universidad Nacional de Colombia
dc.identifier.repourl.spa.fl_str_mv https://repositorio.unal.edu.co/
url https://repositorio.unal.edu.co/handle/unal/82916
https://repositorio.unal.edu.co/
identifier_str_mv Universidad Nacional de Colombia
Repositorio Institucional Universidad Nacional de Colombia
dc.language.iso.spa.fl_str_mv spa
language spa
dc.relation.references.spa.fl_str_mv 1.Zarandona J, Cariñanos-Ayala S, Cristóbal-Domínguez E, Martín-Bezos J, Yoldi-Mitxelena A, Hoyos Cillero I. With a smartphone in one 's pocket: A descriptive cross-sectional study on smartphone use, distraction and restriction policies in nursing students. Nurse Educ Today. 2019; 82:67–73.
2.Thomairy NA, Mummaneni M, Alsalamah S, Moussa N, Coustasse A. Use of smartphones in hospitals. Health Care Manag (Frederick). 2015;34(4):297–307.
3.Atlas de acceso Fijo a Internet - Cuarto trimestre de 2020 [Internet]. Gov.co. [citado 22 de septiembre de 2021]. Disponible en: https://colombiatic.mintic.gov.co/679/w3-article-178186.html
4.Sheraton TE, Wilkes AR, Hall JE. Mobile phones and the developing world: Editorial. Anaesthesia [Internet]. 2012;67(9):945–50. Disponible en: http://dx.doi.org/10.1111/j.1365-2044.2012.07298.
5.Pınar HU, Karaca O, Doğan R, Konuk ÜM. Smartphone use habits of anesthesia providers during anesthetized patient care: a survey from Turkey. BMC Anesthesiol. 2016;16(1):88.
6.Cho S, Lee E. Distraction by smartphone use during clinical practice and opinions about smartphone restriction policies: A cross-sectional descriptive study of nursing students. Nurse Educ Today. 2016; 40:128–33.
7.Campbell G, Arfanis K, Smith AF. Distraction and interruption in anesthetic practice. Br J Anaesth. 2012;109(5):707–15.
8.McBride DL. Distraction of clinicians by smartphones in hospitals: a concept analysis. J Adv Nurs. 2015;71(9):2020-2030.
9.McNally G, Frey R, Crossan M. Nurse manager and student nurse perceptions of the use of personal smartphones or tablets and the adjunct applications, as an educational tool in clinical settings. Nurse Educ Pract. 2017;23:1–7.
10.Soto RG, Chu LF, Goldman JM, Rampil IJ, Ruskin KJ. Communication in critical care environments: mobile telephones improve patient care. Anesth Analg. 2006;102(2):535–41.
11.Domino KB, Sessler DI. Internet use during anesthesia care: does it matter? Anesthesiology. 2012;117(6):1156–8.
12.Raman J. Mobile technology in nursing education: where do we go from here? A review of the literature. Nurse Educ Today. 2015;35(5):663–72.
13.Murthy VS, Malhotra SK, Bala I, Raghunathan M. Detrimental effects of noise on anesthetists. Can J Anaesth. 1995;42(7):608–11.
14.Tsiou C, Efthimiatos G, Katostaras T. Noise in the operating rooms of Greek hospitals. J Acoust Soc Am. 2008;123(2):757–65.
15.Gui JL, Nemergut EC, Forkin KT. Distraction in the operating room: A narrative review of environmental and self-initiated distractions and their effect on anesthesia providers. J Clin Anesth. 2021;68(110110):110110.
16.Padmakumar AD, Cohen O, Churton A, Groves JB, Mitchell DA, Brennan PA. Effect of noise on tasks in operating theaters: a survey of the perceptions of healthcare staff. Br J Oral Maxillofac Surg. 2017;55(2):164–7.
17.Crockett CJ, Donahue BS, Vandivier DC. Distraction-Free Induction Zone: A quality improvement initiative at a large academic children’s hospital to improve the quality and safety of anesthetic care for our patients. Anesth Analg. 2019;129(3):794–803.
18.Hawksworth CR, Sivalingam P, Asbury AJ. The effect of music on anesthetists’ psychomotor performance. Anaesthesia. 1998;53(2):195–7.
19.Sevdalis N, Healey AN, Vincent CA. Distracting communications in the operating theater. J Eval Clin Pract. 2007;13(3):390–4.
20.Hawksworth C, Asbury AJ, Millar K. Music in theater: not so harmonious: A survey of attitudes to music played in the operating theater. Anaesthesia. 1997;52(1):79–83.
21.Savoldelli GL, Thieblemont J, Clergue F, Waeber J-L, Forster A, Garnerin P. Incidence and impact of distracting events during induction of general anaesthesia for urgent surgical cases. Eur J Anaesthesiol. 2010;27(8):683– 9.
22.Wheelock A, Suliman A, Wharton R, Babu ED, Hull L, Vincent C, et al. The impact of operating room distractions on stress, workload, and teamwork. Ann Surg. 2015;261(6):1079–84.
23.Beauregard P, Arnaert A, Ponzoni N. Nursing students’ perceptions of using smartphones in the community practicum: A qualitative study. Nurse Educ Today. 2017;53:1–6.
24.Broom MA, Capek AL, Carachi P, Akeroyd MA, Hilditch G. Critical phase distractions in anesthesia and the sterile cockpit concept: Critical phase distractions in anesthesia. Anaesthesia. 2011;66(3):175–9.
25.Jenkins A, Wilkinson JV, Akeroyd MA, Broom MA. Distractions during critical phases of anesthesia for cesarean section: an observational study. Anaesthesia. 2015;70(5):543–8.
26.Avidan A, Yacobi G, Weissman C, Levin PD. Cell phone calls in the operating theater and staff distractions: An observational study: An observational study. J Patient Saf. 2019;15(4):e52–5.
27.Jorm CM, O’Sullivan G. Laptops and smartphones in the operating theater - how does our knowledge of vigilance, multi-tasking and anesthetist performance help us in our approach to this new distraction? Anaesth Intensive Care. 2012;40(1):71–8.
28.Van Pelt M, Weinger MB. Distractions in the anesthesia work environment: Impact on patient safety? Report of a meeting sponsored by the anesthesia patient safety foundation. Anesth Analg. 2017;125(1):347–50.
29.Schulte TE, Roberts EK, Birch K, Lisco SJ. Assessing electronic interruptions experienced by an anesthesiology clinical director. J Clin Anesth. 2016;34:658–60.
30.Cohen TN, Shappell SA, Reeves ST, Boquet AJ. Distracted doctoring: The role of personal electronic devices in the operating room. Perioper Care Oper Room Manag. 2018;10:10–3.
31.Weinger MB, Herndon OW, Gaba DM. The effect of electronic record keeping and transesophageal echocardiography on task distribution, workload, and vigilance during cardiac anesthesia. Anesthesiology. 1997;87(1):144–55; discussion 29A-30A.
32.Jones CPL, Fawkner-Corbett J, Groom P, Morton B, Lister C, Mercer SJ. Human factors in preventing complications in anesthesia: a systematic review. Anaesthesia. 2018;73 Suppl 1:12–24.
33.Chou E, Lim J, Brant R, Ford S, Ansermino JM. Accuracy of detecting changes in auditory heart rate in a simulated operating room environment. Anaesthesia. 2008;63(11):1181–6.
34.Wiegmann DA, ElBardissi AW, Dearani JA, Daly RC, Sundt TM 3rd. Disruptions in surgical flow and their relationship to surgical errors: an exploratory investigation. Surgery. 2007;142(5):658–65.
35.van Harten A, Gooszen HG, Koksma JJ, Niessen TJH, Abma TA. An observational study of distractions in the operating theatre. Anaesthesia. 2021;76(3):346–56.
36.Grow JN, Vargo JD, Nazir N, Korentager R. Smartphone applications in plastic surgery: A cross-sectional survey of 577 Plastic Surgeons, fellows, residents, and medical students. Aesthet Surg J. 2019;39(12):NP530–7.
37.Perkins EJ, Edelman DA, Brewster DJ. Smartphone use and perceptions of their benefit and detriment within Australian anesthetic practice. Anaesth Intensive Care. 2020;48(5):366–72.
38.Fioratou E, Flin R, Glavin R, Patey R. Beyond monitoring: distributed situation awareness in anaesthesia. Br J Anaesth. 2010;105(1):83–90.
39.Statement on Distractions [Internet]. Asahq.org. [citado 1 de octubre de 2021]. Disponible en: https://www.asahq.org/standards-and- guidelines/statement-on-distractions
40.American College of Surgeons (ACS) Committee on Perioperative Care. Statement on distractions in the operating room. Bull Am Coll Surg. 2016;101(10):42–4.
41.Bayramzadeh S, Aghaei P. Technology integration in complex healthcare environments: A systematic literature review. Appl Ergon. 2021;92(103351):103351.
42.Melgarejo V, María L. Sobre el concepto de percepción. Redalyc.org. 1994.RT Journal Article SR Electronic
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46.Coronavirus Disease (COVID-19) - events as they happen [Internet]. Who.int. [citado 22 de septiembre de 2021]. Disponible en: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/events- as-they-happe
47.Hussey LK, Arku G. Conceptualizations of climate-related health risks among health experts and the public in Ghana. Soc Sci Med. 2019; 223:40– 50.
48.Davidson DJ, Freudenburg WR. Gender and environmental risk concerns: A review and analysis of available research. Environ Behav. 1996;28(3):302– 39
49.McCright AM, Dunlap RE. Cool dudes: The denial of climate change among conservative white males in the United States. Glob Environ Change. 2011;21(4):1163–72.
50.Chen Y, Feng J, Chen A, Lee JE, An L. Risk perception of COVID-19: A comparative analysis of China and South Korea. Int J Disaster Risk Reduct. 2021;61(102373):102373.
51.Blanco, F. Cognitive Bias. In: Vonk, J., Shackelford, T. (eds) Encyclopedia of Animal Cognition and Behavior. Springer,
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dc.publisher.spa.fl_str_mv Universidad Nacional de Colombia
dc.publisher.program.spa.fl_str_mv Bogotá - Medicina - Especialidad en Anestesiología y Reanimación
dc.publisher.faculty.spa.fl_str_mv Facultad de Medicina
dc.publisher.place.spa.fl_str_mv Bogotá, Colombia
dc.publisher.branch.spa.fl_str_mv Universidad Nacional de Colombia - Sede Bogotá
institution Universidad Nacional de Colombia
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spelling Reconocimiento 4.0 Internacionalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2David Alberto, Rincón Valenzuelad6bba23e6201522bd617f2a42e38d6d5Gerardo Alfonso, Galeano Triviño2e55208ab4de03347f7333621872da312023-01-13T15:38:14Z2023-01-13T15:38:14Z2022https://repositorio.unal.edu.co/handle/unal/82916Universidad Nacional de ColombiaRepositorio Institucional Universidad Nacional de Colombiahttps://repositorio.unal.edu.co/ilustraciones, gráficasIntroducción: Recientemente, hemos sido testigos de un crecimiento y avance de las tecnologías móviles y el internet, debiéndose destacar la rápida evolución de los teléfonos inteligentes o smartphones. En el ámbito de la anestesiología estos dispositivos permiten la comunicación entre los distintos miembros del equipo, la adquisición de conocimientos, la implementación de la telemedicina y/o monitoreo remoto, entre otros. No obstante, se ha sugerido que estos dispositivos pueden representar una amenaza para la seguridad del paciente, ya que son una fuente de distracción durante las tareas cognitivas, pudiendo provocar eventos adversos. Globalmente, algunos estudios se han centrado principalmente en los beneficios del uso de teléfonos inteligentes en la educación y capacitación de los profesionales de la salud, sin embargo, existe un vacío en la investigación acerca de las percepciones sobre el riesgo que representa el uso de teléfonos inteligentes durante la práctica clínica. Objetivos: Describir las percepciones sobre el riesgo que conlleva el uso de teléfonos inteligentes durante la práctica anestésica en salas de cirugía, en especialistas y estudiantes de posgrado en Anestesiología del Hospital Universitario Nacional de Colombia Metodología: Se realizó un estudio descriptivo de corte transversal, en el cual se evaluaron las percepciones sobre el riesgo del uso de teléfonos inteligentes durante la práctica anestésica en salas de cirugía, en especialistas y estudiantes de posgrado en Anestesiología del Hospital Universitario Nacional de Colombia; a partir de la aplicación de un cuestionario virtual autoaplicado (encuesta), diseñado para tal fin. Resultados: La totalidad de los participantes informaron usar teléfonos inteligentes durante la atención del paciente anestesiado. La mayoría de los participantes, reconocen las ventajas y beneficios que ofrecen estos dispositivos. Conclusiones: El uso de teléfonos inteligentes es una práctica regular en el ámbito de la anestesia. El uso de teléfonos inteligentes, no se percibió por la población como una distracción en su práctica rutinaria. (Texto tomado de la fuente)Introduction: Recently, we have witnessed a growth and advancement of mobile technologies and the internet, highlighting the rapid evolution of smart phones or smartphones. In the field of anesthesiology, these devices allow communication between the different team members, the acquisition of knowledge, the implementation of telemedicine and/or remote monitoring, among others. However, it has been suggested that these devices may represent a threat to patient safety, since they are a source of distraction during cognitive tasks, and may cause adverse events. Globally, some studies have focused primarily on the benefits of smartphone use in the education and training of health professionals, however, there is a research gap regarding perceptions of the risk posed by smartphone use. intelligent during clinical practice. Objectives: To describe the perceptions of the risk associated with the use of smartphones during anesthetic practice in operating rooms, among specialists and postgraduate students in Anesthesiology at the National University Hospital of Colombia. Methodology: A descriptive cross-sectional study was carried out, in which the perceptions about the risk of the use of smartphones during anesthetic practice in operating rooms, in specialists and postgraduate students in Anesthesiology of the National University Hospital of Colombia were evaluated; from the application of a self-applied virtual questionnaire (survey), designed for this purpose. Results: All the participants reported using smartphones during the care of the anesthetized patient. Most of the participants recognize the advantages and benefits offered by these devices. Conclusions: The use of smartphones is a regular practice in the field of anesthesia. The use of smartphones was not perceived by the population as a distraction in their routine practice.Especialidades MédicasEspecialista en Anestesiología y ReanimaciónEstudio descriptivo de corte transversalSeguridad del paciente71 páginasapplication/pdfspaUniversidad Nacional de ColombiaBogotá - Medicina - Especialidad en Anestesiología y ReanimaciónFacultad de MedicinaBogotá, ColombiaUniversidad Nacional de Colombia - Sede Bogotá610 - Medicina y salud::613 - Salud y seguridad personalPrácticas clínicasSalas de cirugíaClinical ClerkshipOperating RoomsAnestesiaDistracciónPercepciónAplicación móvilSeguridad del pacienteTeléfono inteligentePercepciones sobre el riesgo del uso de teléfonos inteligentes durante la práctica anestésica en salas de cirugía, en especialistas y estudiantes de posgrado en Anestesiología del Hospital Universitario Nacional de ColombiaPerceptions about the risk of using smartphones during anesthetic practice in operating rooms, in specialists and postgraduate students in Anesthesiology of the National University Hospital of ColombiaTrabajo de grado - Especialidad Médicainfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/acceptedVersionTexthttp://purl.org/redcol/resource_type/TM1.Zarandona J, Cariñanos-Ayala S, Cristóbal-Domínguez E, Martín-Bezos J, Yoldi-Mitxelena A, Hoyos Cillero I. With a smartphone in one 's pocket: A descriptive cross-sectional study on smartphone use, distraction and restriction policies in nursing students. Nurse Educ Today. 2019; 82:67–73.2.Thomairy NA, Mummaneni M, Alsalamah S, Moussa N, Coustasse A. Use of smartphones in hospitals. Health Care Manag (Frederick). 2015;34(4):297–307.3.Atlas de acceso Fijo a Internet - Cuarto trimestre de 2020 [Internet]. Gov.co. [citado 22 de septiembre de 2021]. Disponible en: https://colombiatic.mintic.gov.co/679/w3-article-178186.html4.Sheraton TE, Wilkes AR, Hall JE. Mobile phones and the developing world: Editorial. Anaesthesia [Internet]. 2012;67(9):945–50. Disponible en: http://dx.doi.org/10.1111/j.1365-2044.2012.07298.5.Pınar HU, Karaca O, Doğan R, Konuk ÜM. Smartphone use habits of anesthesia providers during anesthetized patient care: a survey from Turkey. BMC Anesthesiol. 2016;16(1):88.6.Cho S, Lee E. Distraction by smartphone use during clinical practice and opinions about smartphone restriction policies: A cross-sectional descriptive study of nursing students. Nurse Educ Today. 2016; 40:128–33.7.Campbell G, Arfanis K, Smith AF. Distraction and interruption in anesthetic practice. Br J Anaesth. 2012;109(5):707–15.8.McBride DL. Distraction of clinicians by smartphones in hospitals: a concept analysis. J Adv Nurs. 2015;71(9):2020-2030.9.McNally G, Frey R, Crossan M. Nurse manager and student nurse perceptions of the use of personal smartphones or tablets and the adjunct applications, as an educational tool in clinical settings. Nurse Educ Pract. 2017;23:1–7.10.Soto RG, Chu LF, Goldman JM, Rampil IJ, Ruskin KJ. Communication in critical care environments: mobile telephones improve patient care. Anesth Analg. 2006;102(2):535–41.11.Domino KB, Sessler DI. Internet use during anesthesia care: does it matter? Anesthesiology. 2012;117(6):1156–8.12.Raman J. Mobile technology in nursing education: where do we go from here? A review of the literature. Nurse Educ Today. 2015;35(5):663–72.13.Murthy VS, Malhotra SK, Bala I, Raghunathan M. Detrimental effects of noise on anesthetists. Can J Anaesth. 1995;42(7):608–11.14.Tsiou C, Efthimiatos G, Katostaras T. Noise in the operating rooms of Greek hospitals. J Acoust Soc Am. 2008;123(2):757–65.15.Gui JL, Nemergut EC, Forkin KT. Distraction in the operating room: A narrative review of environmental and self-initiated distractions and their effect on anesthesia providers. J Clin Anesth. 2021;68(110110):110110.16.Padmakumar AD, Cohen O, Churton A, Groves JB, Mitchell DA, Brennan PA. Effect of noise on tasks in operating theaters: a survey of the perceptions of healthcare staff. Br J Oral Maxillofac Surg. 2017;55(2):164–7.17.Crockett CJ, Donahue BS, Vandivier DC. Distraction-Free Induction Zone: A quality improvement initiative at a large academic children’s hospital to improve the quality and safety of anesthetic care for our patients. Anesth Analg. 2019;129(3):794–803.18.Hawksworth CR, Sivalingam P, Asbury AJ. The effect of music on anesthetists’ psychomotor performance. Anaesthesia. 1998;53(2):195–7.19.Sevdalis N, Healey AN, Vincent CA. Distracting communications in the operating theater. J Eval Clin Pract. 2007;13(3):390–4.20.Hawksworth C, Asbury AJ, Millar K. Music in theater: not so harmonious: A survey of attitudes to music played in the operating theater. Anaesthesia. 1997;52(1):79–83.21.Savoldelli GL, Thieblemont J, Clergue F, Waeber J-L, Forster A, Garnerin P. Incidence and impact of distracting events during induction of general anaesthesia for urgent surgical cases. Eur J Anaesthesiol. 2010;27(8):683– 9.22.Wheelock A, Suliman A, Wharton R, Babu ED, Hull L, Vincent C, et al. The impact of operating room distractions on stress, workload, and teamwork. Ann Surg. 2015;261(6):1079–84.23.Beauregard P, Arnaert A, Ponzoni N. Nursing students’ perceptions of using smartphones in the community practicum: A qualitative study. Nurse Educ Today. 2017;53:1–6.24.Broom MA, Capek AL, Carachi P, Akeroyd MA, Hilditch G. Critical phase distractions in anesthesia and the sterile cockpit concept: Critical phase distractions in anesthesia. Anaesthesia. 2011;66(3):175–9.25.Jenkins A, Wilkinson JV, Akeroyd MA, Broom MA. Distractions during critical phases of anesthesia for cesarean section: an observational study. Anaesthesia. 2015;70(5):543–8.26.Avidan A, Yacobi G, Weissman C, Levin PD. Cell phone calls in the operating theater and staff distractions: An observational study: An observational study. J Patient Saf. 2019;15(4):e52–5.27.Jorm CM, O’Sullivan G. 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