Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Graefe's Archive for Clinical and Experimental Ophthalmology
Published in: Graefe's Archive for Clinical and Experimental Ophthalmology 3/2018

Open Access 01-03-2018 | Retinal Disorders

QUIET PLEASE! Effect of distraction on simulated posterior segment surgical performance

Authors: Gerard McGowan, Lona Jawaheer, David Young, David Yorston

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 3/2018

Login to get access

Abstract

Purpose

To determine the effect of distraction on posterior segment surgical performance using a virtual reality simulator in expert and novice ophthalmic surgeons.

Methods

Twenty subjects were given 6 min to read an unpublished research paper and then were randomized into two groups. Group 1 subjects were allowed 3 min to complete a standardized vitreoretinal simulated task undistracted. Group 2 subjects were asked six questions on the research paper whilst completing the same task. Each subject then performed the alternate scenario. Finally, all participants were asked six questions on the research paper whilst not operating.

Results

There was no evidence of a difference in the odometer values (p = 0.127), cognitive task score (p = 0.390) or overall surgical task scores (p = 0.113) between the two groups. The time taken by the distracted group was significantly greater (95% CI −26.03 to −1.67, t-test p = 0.028).

Conclusion

Distraction significantly increases the time taken to perform a simulated vitreoretinal surgical task for all grades of surgeon. More studies are required to understand the impact on different types of distraction on surgical performance.
Literature
1.
Harbluk JL, Noy YI, Trbovich PL et al (2007) An on-road assessment of cognitive distraction: impacts on drivers' visual behavior and braking performance. Accid Anal Prev 39(2):372–379CrossRefPubMed
2.
Van Selts M (1999) Can practice eliminate the psychological refractory period effect? J Exp Psychol 25:1268–1283
3.
de Vries E, Ramrattan MA, Smorenburg SM et al (2008) The incidence and nature of in-hospital adverse events: a systematic review. Qual Saf Health Care 17:216–223CrossRefPubMedPubMedCentral
4.
Sevdalis N, Undre S, McDermott J (2014) Impact of Intraoperative distractions on patient safety: a prospective descriptive study using validated instruments. World J Surg 38(4):751–758CrossRefPubMed
5.
Healey AN, Sevdalis N, Vincent CA (2006) Measuring intra-operative interference from distraction and interruption observed in the operating theatre. Ergonomics 49:589–604CrossRefPubMed
6.
Feil M (2014) Distractions in the operating room. PA-PSRS Patient Saf Advis 11:45–52
7.
Park J, Waqar S, Kersey T et al (2011) Effect of distraction on simulated anterior segment surgical performance. J Cataract Refract Surg 37(8):1517–1522CrossRefPubMed
8.
Waqar S, Park J, Kersey TL, Modi N, Ong C, Sleep TJ (2011) Assessment of fatigue in intraocular surgery: analysis using a virtual reality simulator. Graefes Arch Clin Exp Ophthalmol 249:77–81CrossRefPubMed
9.
Waqar S, Williams O, Park J et al (2012) Can virtual reality simulation help to determine the importance of stereopsis in intraocular surgery? Br J Ophthalmol 96:742–746CrossRefPubMed
10.
Park J, Williams O, Waqar S et al (2012) Safety of nondominant-hand ophthalmic surgery. J Cataract Refract Surg 38:2112–2116CrossRefPubMed
11.
Pluyter JR, Buzink SN, Rutkowski AF (2010) Do absorption and realistic distraction influence performance of component task surgical procedure? Surg Endosc 24:902–907CrossRefPubMed
12.
Feuerbacher RL, Funk KH II, Spight DH et al (2012) Realistic distractions and interruptions that impair simulated surgical performance by novice surgeons. Arch Surg 147(11):1026–1030CrossRefPubMed
13.
Suh IH, Chien JH, Mukherjee M et al (2010) The negative effect of distraction on performance of robot-assisted surgical skills in medical students and residents. Int J Med Robotics Comput Assis Surg 6(4):377–381CrossRef
14.
Hsu KE, Man FY, Gizicki RA et al (2008) Experienced surgeons can do more than one thing at a time: effect of distraction on performance of a simple laparoscopic and cognitive task by experienced and novice surgeons. Surg Endosc 22(1):196–201CrossRefPubMed
15.
Gillian SN, Okravi N, O’Sullivan F et al (2016) Influence of medical student career aims on ophthalmic surgical simulator performance (part of the international forum for ophthalmic simulation studies). BJO 100:411–414CrossRef
16.
Lies SR, Zhang AY (2015) Prospective randomized study of the effect of music on the efficiency of surgical closures. Aesthet Surg J 35(7):858–863CrossRefPubMed
Metadata
Title
QUIET PLEASE! Effect of distraction on simulated posterior segment surgical performance
Authors
Gerard McGowan
Lona Jawaheer
David Young
David Yorston
Publication date
01-03-2018
Publisher
Springer Berlin Heidelberg
Published in
Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 3/2018
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI
https://doi.org/10.1007/s00417-017-3891-7

Other articles of this Issue 3/2018

Graefe's Archive for Clinical and Experimental Ophthalmology 3/2018 Go to the issue

Genetics

Mitochondrial A3243G mutation results in corneal endothelial polymegathism

Basic Science

Safety study of intravitreal and suprachoroidal Laponite clay in rabbit eyes

Letter to the Editor (by invitation)

Reply to a letter to the editor: inner nuclear layer cystoid spaces are a poor prognostic factor in typical age-related macular degeneration and polypoidal choroidal vasculopathy

Glaucoma

Correlation of flow density, as measured using optical coherence tomography angiography, with structural and functional parameters in glaucoma patients

Review Article

Bilateral lateral rectus recession versus unilateral recession resection for basic intermittent exotropia: a meta-analysis

Cornea

Intraoperative changes in corneal structure during excimer laser phototherapeutic keratectomy (PTK) assessed by intraoperative optical coherence tomography