Single-center task analysis and user-centered assessment of physical space impacts on emergency Cesarean delivery

Cesarean delivery is the most common surgery performed in the United States, accounting for approximately 32% of all births. Emergency Cesarean deliveries are performed in the event of critical maternal or fetal distress and require effective collaboration and coordination of care by a multidiscipli...

Full description

Bibliographic Details
Main Authors: Kenji T. Sotto, Laura C. Hedli, Lillian Sie, Kimber Padua, Nicole Yamada, Henry Lee, Louis Halamek, Kay Daniels, Dan Nathan-Roberts, Naola S. Austin
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2021-01-01
Series:PLoS ONE
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8191948/?tool=EBI
id doaj-5c653e56149247f7ae09e2a695607d87
record_format Article
spelling doaj-5c653e56149247f7ae09e2a695607d872021-06-13T04:30:50ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-01166Single-center task analysis and user-centered assessment of physical space impacts on emergency Cesarean deliveryKenji T. SottoLaura C. HedliLillian SieKimber PaduaNicole YamadaHenry LeeLouis HalamekKay DanielsDan Nathan-RobertsNaola S. AustinCesarean delivery is the most common surgery performed in the United States, accounting for approximately 32% of all births. Emergency Cesarean deliveries are performed in the event of critical maternal or fetal distress and require effective collaboration and coordination of care by a multidisciplinary team with a high level of technical expertise. It is not well understood how the physical environment of the operating room (OR) impacts performance and how specialties work together in the space. <h4>Objective</h4> This study aimed to begin to address this gap using validated techniques in human factors to perform a participatory user-centered analysis of physical space during emergency Cesarean. <h4>Methods</h4> This study employed a mixed-methods design. Focus group interviews and surveys were administered to a convenience sample (n = 34) of multidisciplinary obstetric teams. Data collected from focus group interviews were used to perform a task and equipment analysis. Survey data were coded and mapped by specialty to identify reported areas of congestion and time spent, and to identify themes related to physical space of the OR and labor and delivery unit. <h4>Results</h4> Task analysis revealed complex interdependencies between specialties. Thirty task groupings requiring over 20 pieces of equipment were identified. Perceived areas of congestion and areas of time spent in the OR varied by clinical specialty. The following categories emerged as main challenges encountered during an emergency Cesarean: 1) size of physical space and equipment, 2) layout and orientation, and 3) patient transport. <h4>Conclusion</h4> User insights on physical space and workflow processes during emergency Cesarean section at the institution studied revealed challenges related to getting the patients into the OR expediently and having space to perform tasks without crowding or staff injury. By utilizing human factors techniques, other institutions may build upon our findings to improve safety during emergency situations on labor and delivery.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8191948/?tool=EBI
collection DOAJ
language English
format Article
sources DOAJ
author Kenji T. Sotto
Laura C. Hedli
Lillian Sie
Kimber Padua
Nicole Yamada
Henry Lee
Louis Halamek
Kay Daniels
Dan Nathan-Roberts
Naola S. Austin
spellingShingle Kenji T. Sotto
Laura C. Hedli
Lillian Sie
Kimber Padua
Nicole Yamada
Henry Lee
Louis Halamek
Kay Daniels
Dan Nathan-Roberts
Naola S. Austin
Single-center task analysis and user-centered assessment of physical space impacts on emergency Cesarean delivery
PLoS ONE
author_facet Kenji T. Sotto
Laura C. Hedli
Lillian Sie
Kimber Padua
Nicole Yamada
Henry Lee
Louis Halamek
Kay Daniels
Dan Nathan-Roberts
Naola S. Austin
author_sort Kenji T. Sotto
title Single-center task analysis and user-centered assessment of physical space impacts on emergency Cesarean delivery
title_short Single-center task analysis and user-centered assessment of physical space impacts on emergency Cesarean delivery
title_full Single-center task analysis and user-centered assessment of physical space impacts on emergency Cesarean delivery
title_fullStr Single-center task analysis and user-centered assessment of physical space impacts on emergency Cesarean delivery
title_full_unstemmed Single-center task analysis and user-centered assessment of physical space impacts on emergency Cesarean delivery
title_sort single-center task analysis and user-centered assessment of physical space impacts on emergency cesarean delivery
publisher Public Library of Science (PLoS)
series PLoS ONE
issn 1932-6203
publishDate 2021-01-01
description Cesarean delivery is the most common surgery performed in the United States, accounting for approximately 32% of all births. Emergency Cesarean deliveries are performed in the event of critical maternal or fetal distress and require effective collaboration and coordination of care by a multidisciplinary team with a high level of technical expertise. It is not well understood how the physical environment of the operating room (OR) impacts performance and how specialties work together in the space. <h4>Objective</h4> This study aimed to begin to address this gap using validated techniques in human factors to perform a participatory user-centered analysis of physical space during emergency Cesarean. <h4>Methods</h4> This study employed a mixed-methods design. Focus group interviews and surveys were administered to a convenience sample (n = 34) of multidisciplinary obstetric teams. Data collected from focus group interviews were used to perform a task and equipment analysis. Survey data were coded and mapped by specialty to identify reported areas of congestion and time spent, and to identify themes related to physical space of the OR and labor and delivery unit. <h4>Results</h4> Task analysis revealed complex interdependencies between specialties. Thirty task groupings requiring over 20 pieces of equipment were identified. Perceived areas of congestion and areas of time spent in the OR varied by clinical specialty. The following categories emerged as main challenges encountered during an emergency Cesarean: 1) size of physical space and equipment, 2) layout and orientation, and 3) patient transport. <h4>Conclusion</h4> User insights on physical space and workflow processes during emergency Cesarean section at the institution studied revealed challenges related to getting the patients into the OR expediently and having space to perform tasks without crowding or staff injury. By utilizing human factors techniques, other institutions may build upon our findings to improve safety during emergency situations on labor and delivery.
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8191948/?tool=EBI
work_keys_str_mv AT kenjitsotto singlecentertaskanalysisandusercenteredassessmentofphysicalspaceimpactsonemergencycesareandelivery
AT laurachedli singlecentertaskanalysisandusercenteredassessmentofphysicalspaceimpactsonemergencycesareandelivery
AT lilliansie singlecentertaskanalysisandusercenteredassessmentofphysicalspaceimpactsonemergencycesareandelivery
AT kimberpadua singlecentertaskanalysisandusercenteredassessmentofphysicalspaceimpactsonemergencycesareandelivery
AT nicoleyamada singlecentertaskanalysisandusercenteredassessmentofphysicalspaceimpactsonemergencycesareandelivery
AT henrylee singlecentertaskanalysisandusercenteredassessmentofphysicalspaceimpactsonemergencycesareandelivery
AT louishalamek singlecentertaskanalysisandusercenteredassessmentofphysicalspaceimpactsonemergencycesareandelivery
AT kaydaniels singlecentertaskanalysisandusercenteredassessmentofphysicalspaceimpactsonemergencycesareandelivery
AT dannathanroberts singlecentertaskanalysisandusercenteredassessmentofphysicalspaceimpactsonemergencycesareandelivery
AT naolasaustin singlecentertaskanalysisandusercenteredassessmentofphysicalspaceimpactsonemergencycesareandelivery
_version_ 1721380597947957248