Interrupção no trabalho de profissionais de enfermagem: análise conceitual

estudo conceitual conforme método proposto por Walker e Avant conduzido mediante revisão integrativa da literatura. A busca nas bases de dados foi realizada mediante os descritores: “Attention”, “Attention Bias”, “Health Personnel”, “Nurses”, “Patient Safety” e “Medical Errors”. A amostra foi composta por 36 estudos.

Resultados:

os antecedentes do conceito identificados foram: alarmes, atender chamadas telefônicas, prestar assistência ao paciente e falta de material/medicamento. Os atributos definidores foram: pausa, suspensão, quebra e intrusão. Consequentes destacados: aumento na frequência e gravidade dos erros de medicação; e mudança de foco.

Considerações Finais:

a análise conceitual identificou os atributos, antecedentes e consequentes e permitiu construir uma definição operacional para “interrupção no trabalho de profissionais de enfermagem”. Isso contribuirá na melhoria do processo de trabalho e na criação de estratégias que garantam uma assistência mais segura ao paciente.

Descritores:
Enfermagem; Segurança do Paciente; Cuidados de Enfermagem; Formação de Conceito; Trabalho

Fatores relacionados	*F^ * F - frequência absoluta;%† - frequência relativa.**	% ^† * F - frequência absoluta;%† - frequência relativa.
Antecedentes
Ruído ambiental(¹1 Weigl M, Beck J, Wehler M, Schneider A. Workflow interruptions and stress at work: a mixed-methods study among physicians and nurses of a multidisciplinary emergency department. BMJ Open. 2017;7(12):e019074. https://doi.org/10.1136/bmjopen-2017-019074 https://doi.org/10.1136/bmjopen-2017-019... -²2 Alteren J, Hermstad M, White J, Jordan S. Conflicting priorities: observation of medicine administration. J Clin Nurs. 2018;27(19-20):3613-21. https://doi.org/10.1111/jocn.14518 https://doi.org/10.1111/jocn.14518... ,⁴4 Drews FA, Markewitz BA, Stoddard GJ, Samore MH. Interruptions and delivery of care in the intensive care unit. Hum Factors. 2019;61(4):564-76. https://doi.org/10.1177/0018720819838090 https://doi.org/10.1177/0018720819838090... ,⁶6 Zhao J, Zhang X, Lan Q, Wang W, Cai Y, Xie X, et al. Interruptions experienced by nurses during pediatric medication administration in China: an observational study. J Spec Pediatr Nurs. 2019;24(4):e12265. https://doi.org/10.1111/jspn.12265 https://doi.org/10.1111/jspn.12265... ,⁸8 Ribeiro HCTC, Rodrigues TM, Teles SAF, Pereira RC, Silva LLT, Mata LRF. Distractions and interruptions in a surgical room: perception of nursing staff. Esc Anna Nery. 2018;22(4): e20180042. https://doi.org/10.1590/2177-9465-ean-2018-0042 https://doi.org/10.1590/2177-9465-ean-20... ,¹⁰10 Johnson M, Sanchez P, Langdon R, Manias E, Levett-Jones T, Weidemann G, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507. https://doi.org/10.1111/jonm.12486 https://doi.org/10.1111/jonm.12486... -¹¹11 Rhudy LM, Johnson MR, Krecke CA, Keigley DS, Schnell SJ, Maxson PM, et al. Change-of-shift nursing handoff interruptions: implications for evidence-based practice. Worldviews Evid Based Nurs. 2019;16(5):362-70. https://doi.org/10.1111/wvn.12390 https://doi.org/10.1111/wvn.12390... ,¹³13 Kosits LM, Jones K. Interruptions experienced by registered nurses working in the emergency department. J Emerg Nurs. 2011;37(1):3-8. https://doi.org/10.1016/j.jen.2009.12.024 https://doi.org/10.1016/j.jen.2009.12.02... -¹⁴14 Mamykina L, Carter EJ, Sheehan B, Hum RS, Twohig BC, Kaufman DR. Driven to distraction: the nature and apparent purpose of interruptions in critical care and implications for HIT. J Biomed Inform. 2017;69:43-54. https://doi.org/10.1016/j.jbi.2017.01.015 https://doi.org/10.1016/j.jbi.2017.01.01... ,²¹21 Göras C, Olin K, Unbeck M, Pukk-Härenstam K, Ehrenberg A, Tessma MK, et al. Tasks, multitasking and interruptions among the surgical team in an operating room: a prospective observational study. BMJ Open. 2019;9(5):e026410. https://doi.org/10.1136/bmjopen-2018-026410 https://doi.org/10.1136/bmjopen-2018-026... 22 Reed CC, Minnick AF, Dietrich MS. Nurses’ responses to interruptions during medication tasks: a time and motion study. Int J Nurs Stud. 2018;82:113-20. https://doi.org/10.1016/j.ijnurstu.2018.03.017 https://doi.org/10.1016/j.ijnurstu.2018.... 23 Huckels-Baumgart S, Niederberger M, Manser T, Meier CR, Meyer-Massetti C. A combined intervention to reduce interruptions during medication preparation and double-checking: a pilot-study evaluating the impact of staff training and safety vests. J Nurs Manag. 2017;25(7):539-48. https://doi.org/10.1111/jonm.12491 https://doi.org/10.1111/jonm.12491... 24 Antoniadis S, Passauer-Baierl S, Baschnegger H, Weigl M. Identification and interference of intraoperative distractions and interruptions in operating rooms. J Surg Res. 2014;188(1):21-9. https://doi.org/10.1016/j.jss.2013.12.002 https://doi.org/10.1016/j.jss.2013.12.00... 25 Sørensen EE, Brahe L. Interruptions in clinical nursing practice. J Clin Nurs. 2014;23(9-10):1274-82. https://doi.org/10.1111/jocn.12329 https://doi.org/10.1111/jocn.12329... 26 Trbovich P, Prakash V, Stewart J, Trip K, Savage P. Interruptions during the delivery of high-risk medications. J Nurs Adm. 2010;40(5):211-8. https://doi.org/10.1097/NNA.0b013e3181da4047 https://doi.org/10.1097/NNA.0b013e3181da... 27 Hall LM, Pedersen C, Hubley P, Ptack E, Hemingway A, Watson C, et al. Interruptions and pediatric patient safety. J Pediatr Nurs. 2010;25(3):167-75. https://doi.org/10.1016/j.pedn.2008.09.005 https://doi.org/10.1016/j.pedn.2008.09.0... 28 Hall LM, Pedersen C, Fairley L. Losing the moment: Understanding interruptions to nurses’ work. J Nurs Adm. 2010;40(4):169-76. https://doi.org/10.1097/NNA.0b013e3181d41162 https://doi.org/10.1097/NNA.0b013e3181d4... -²⁹29 Hall LM, Ferguson-Paré M, Peter E, White D, Besner J, Chisholm A, et al. Going blank: factors contributing to interruptions to nurses’ work and related outcomes. J Nurs Manag. 2010;18(8):1040-7. https://doi.org/10.1111/j.1365-2834.2010.01166.x https://doi.org/10.1111/j.1365-2834.2010... ,³²32 Duruk N, Zencir G, Eşer I. Interruption of the medication preparation process and an examination of factors causing interruptions. J Nurs Manag. 2016;24(3):376-83. https://doi.org/10.1111/jonm.12331 https://doi.org/10.1111/jonm.12331... 33 Hayes C, Jackson D, Davidson PM, Power T. Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration. J Clin Nurs. 2015;24(21-22):3063-76. https://doi.org/10.1111/jocn.12944 https://doi.org/10.1111/jocn.12944... 34 Mahmood A, Chaudhury H, Gaumont A, Rust T. Long-term care physical environments: effect on medication errors. Int J Health Care Qual Assur. 2012;25(5):431-41. https://doi.org/10.1108/09526861211235928 https://doi.org/10.1108/0952686121123592... -³⁵35 Blocker RC, Heaton HA, Forsyth KL, Hawthorne HJ, El-Sherif N, Bellolio MF, et al. Physician, Interrupted: Workflow Interruptions and Patient Care in the Emergency Department. J Emerg Med. 2017;53(6):798-804. https://doi.org/10.1016/j.jemermed.2017.08.067 https://doi.org/10.1016/j.jemermed.2017.... )	24	66,7
Atender solicitações do paciente (como fornecer objetos: copos, travesseiros)(¹1 Weigl M, Beck J, Wehler M, Schneider A. Workflow interruptions and stress at work: a mixed-methods study among physicians and nurses of a multidisciplinary emergency department. BMJ Open. 2017;7(12):e019074. https://doi.org/10.1136/bmjopen-2017-019074 https://doi.org/10.1136/bmjopen-2017-019... -²2 Alteren J, Hermstad M, White J, Jordan S. Conflicting priorities: observation of medicine administration. J Clin Nurs. 2018;27(19-20):3613-21. https://doi.org/10.1111/jocn.14518 https://doi.org/10.1111/jocn.14518... ,⁵5 Monteiro C, Avelar AFM, Pedreira MLG. Interruptions of nurses' activities and patient safety: an integrative literature review. Rev Latino-Am Enfermagem. 2015;23(1):169-79. https://doi.org/10.1590/0104-1169.0251.2539 https://doi.org/10.1590/0104-1169.0251.2... ,¹⁰10 Johnson M, Sanchez P, Langdon R, Manias E, Levett-Jones T, Weidemann G, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507. https://doi.org/10.1111/jonm.12486 https://doi.org/10.1111/jonm.12486... ,¹⁴14 Mamykina L, Carter EJ, Sheehan B, Hum RS, Twohig BC, Kaufman DR. Driven to distraction: the nature and apparent purpose of interruptions in critical care and implications for HIT. J Biomed Inform. 2017;69:43-54. https://doi.org/10.1016/j.jbi.2017.01.015 https://doi.org/10.1016/j.jbi.2017.01.01... 15 Elganzouri ES, Standish CA, Androwich I. Medication administration time study (mats): nursing staff performance of medication administration. J Nurs Adm. 2009;39(5):204-10. https://doi.org/10.1097/NNA.0b013e3181a23d6d https://doi.org/10.1097/NNA.0b013e3181a2... -¹⁶16 Kreckler S, Catchpole K, Bottomley M, Handa A, McCulloch P. Interruptions during drug rounds: an observational study. Br J Nurs. 2008;17(21):1326-30. https://doi.org/10.12968/bjon.2008.17.21.31732 https://doi.org/10.12968/bjon.2008.17.21... ,²¹21 Göras C, Olin K, Unbeck M, Pukk-Härenstam K, Ehrenberg A, Tessma MK, et al. Tasks, multitasking and interruptions among the surgical team in an operating room: a prospective observational study. BMJ Open. 2019;9(5):e026410. https://doi.org/10.1136/bmjopen-2018-026410 https://doi.org/10.1136/bmjopen-2018-026... ,²⁵25 Sørensen EE, Brahe L. Interruptions in clinical nursing practice. J Clin Nurs. 2014;23(9-10):1274-82. https://doi.org/10.1111/jocn.12329 https://doi.org/10.1111/jocn.12329... ,²⁷27 Hall LM, Pedersen C, Hubley P, Ptack E, Hemingway A, Watson C, et al. Interruptions and pediatric patient safety. J Pediatr Nurs. 2010;25(3):167-75. https://doi.org/10.1016/j.pedn.2008.09.005 https://doi.org/10.1016/j.pedn.2008.09.0... ,²⁹29 Hall LM, Ferguson-Paré M, Peter E, White D, Besner J, Chisholm A, et al. Going blank: factors contributing to interruptions to nurses’ work and related outcomes. J Nurs Manag. 2010;18(8):1040-7. https://doi.org/10.1111/j.1365-2834.2010.01166.x https://doi.org/10.1111/j.1365-2834.2010... ,³²32 Duruk N, Zencir G, Eşer I. Interruption of the medication preparation process and an examination of factors causing interruptions. J Nurs Manag. 2016;24(3):376-83. https://doi.org/10.1111/jonm.12331 https://doi.org/10.1111/jonm.12331... 33 Hayes C, Jackson D, Davidson PM, Power T. Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration. J Clin Nurs. 2015;24(21-22):3063-76. https://doi.org/10.1111/jocn.12944 https://doi.org/10.1111/jocn.12944... -³⁴34 Mahmood A, Chaudhury H, Gaumont A, Rust T. Long-term care physical environments: effect on medication errors. Int J Health Care Qual Assur. 2012;25(5):431-41. https://doi.org/10.1108/09526861211235928 https://doi.org/10.1108/0952686121123592... ,³⁶36 Salmen S. Interruptions in interventional radiology: a review of the literature. J Radiol Nurs. 2016;35(4):305-8. https://doi.org/10.1016/j.jradnu.2016.10.002 https://doi.org/10.1016/j.jradnu.2016.10... 37 Özkan S, Kocaman G, Öztürk C. Interruptions during pediatric medication preparation and administration. J Pediatr Res. 2016;3(2):104-8. https://doi.org/10.4274/JPR.98704 https://doi.org/10.4274/JPR.98704... -³⁸38 Tomietto M, Sartor A, Mazzocoli E, Palese A. Paradoxical effects of a hospital-based, multi-intervention programme aimed at reducing medication round interruptions. J Nurs Manag. 2012;20(3):335-43. https://doi.org/10.1111/j.1365-2834.2012.01329.x https://doi.org/10.1111/j.1365-2834.2012... )	17	47,2
Atender chamadas telefônicas(³3 Forsyth KL, Hawthorne HJ, El-Sherif N, Varghese RS, Ernste VK, Koenig J, et al. Interruptions experienced by emergency nurses: implications for subjective and objective measures of workload. J Emerg Nurs. 2018;44(6):614-23. https://doi.org/10.1016/j.jen.2018.02.001 https://doi.org/10.1016/j.jen.2018.02.00... ,⁶6 Zhao J, Zhang X, Lan Q, Wang W, Cai Y, Xie X, et al. Interruptions experienced by nurses during pediatric medication administration in China: an observational study. J Spec Pediatr Nurs. 2019;24(4):e12265. https://doi.org/10.1111/jspn.12265 https://doi.org/10.1111/jspn.12265... ,⁸8 Ribeiro HCTC, Rodrigues TM, Teles SAF, Pereira RC, Silva LLT, Mata LRF. Distractions and interruptions in a surgical room: perception of nursing staff. Esc Anna Nery. 2018;22(4): e20180042. https://doi.org/10.1590/2177-9465-ean-2018-0042 https://doi.org/10.1590/2177-9465-ean-20... ,¹³13 Kosits LM, Jones K. Interruptions experienced by registered nurses working in the emergency department. J Emerg Nurs. 2011;37(1):3-8. https://doi.org/10.1016/j.jen.2009.12.024 https://doi.org/10.1016/j.jen.2009.12.02... ,¹⁶16 Kreckler S, Catchpole K, Bottomley M, Handa A, McCulloch P. Interruptions during drug rounds: an observational study. Br J Nurs. 2008;17(21):1326-30. https://doi.org/10.12968/bjon.2008.17.21.31732 https://doi.org/10.12968/bjon.2008.17.21... ,²¹21 Göras C, Olin K, Unbeck M, Pukk-Härenstam K, Ehrenberg A, Tessma MK, et al. Tasks, multitasking and interruptions among the surgical team in an operating room: a prospective observational study. BMJ Open. 2019;9(5):e026410. https://doi.org/10.1136/bmjopen-2018-026410 https://doi.org/10.1136/bmjopen-2018-026... -²²22 Reed CC, Minnick AF, Dietrich MS. Nurses’ responses to interruptions during medication tasks: a time and motion study. Int J Nurs Stud. 2018;82:113-20. https://doi.org/10.1016/j.ijnurstu.2018.03.017 https://doi.org/10.1016/j.ijnurstu.2018.... ,²⁷27 Hall LM, Pedersen C, Hubley P, Ptack E, Hemingway A, Watson C, et al. Interruptions and pediatric patient safety. J Pediatr Nurs. 2010;25(3):167-75. https://doi.org/10.1016/j.pedn.2008.09.005 https://doi.org/10.1016/j.pedn.2008.09.0... 28 Hall LM, Pedersen C, Fairley L. Losing the moment: Understanding interruptions to nurses’ work. J Nurs Adm. 2010;40(4):169-76. https://doi.org/10.1097/NNA.0b013e3181d41162 https://doi.org/10.1097/NNA.0b013e3181d4... -²⁹29 Hall LM, Ferguson-Paré M, Peter E, White D, Besner J, Chisholm A, et al. Going blank: factors contributing to interruptions to nurses’ work and related outcomes. J Nurs Manag. 2010;18(8):1040-7. https://doi.org/10.1111/j.1365-2834.2010.01166.x https://doi.org/10.1111/j.1365-2834.2010... ,³²32 Duruk N, Zencir G, Eşer I. Interruption of the medication preparation process and an examination of factors causing interruptions. J Nurs Manag. 2016;24(3):376-83. https://doi.org/10.1111/jonm.12331 https://doi.org/10.1111/jonm.12331... 33 Hayes C, Jackson D, Davidson PM, Power T. Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration. J Clin Nurs. 2015;24(21-22):3063-76. https://doi.org/10.1111/jocn.12944 https://doi.org/10.1111/jocn.12944... 34 Mahmood A, Chaudhury H, Gaumont A, Rust T. Long-term care physical environments: effect on medication errors. Int J Health Care Qual Assur. 2012;25(5):431-41. https://doi.org/10.1108/09526861211235928 https://doi.org/10.1108/0952686121123592... 35 Blocker RC, Heaton HA, Forsyth KL, Hawthorne HJ, El-Sherif N, Bellolio MF, et al. Physician, Interrupted: Workflow Interruptions and Patient Care in the Emergency Department. J Emerg Med. 2017;53(6):798-804. https://doi.org/10.1016/j.jemermed.2017.08.067 https://doi.org/10.1016/j.jemermed.2017.... -³⁶36 Salmen S. Interruptions in interventional radiology: a review of the literature. J Radiol Nurs. 2016;35(4):305-8. https://doi.org/10.1016/j.jradnu.2016.10.002 https://doi.org/10.1016/j.jradnu.2016.10... ,³⁸38 Tomietto M, Sartor A, Mazzocoli E, Palese A. Paradoxical effects of a hospital-based, multi-intervention programme aimed at reducing medication round interruptions. J Nurs Manag. 2012;20(3):335-43. https://doi.org/10.1111/j.1365-2834.2012.01329.x https://doi.org/10.1111/j.1365-2834.2012... )	15	41,7
Falta de material(⁵5 Monteiro C, Avelar AFM, Pedreira MLG. Interruptions of nurses' activities and patient safety: an integrative literature review. Rev Latino-Am Enfermagem. 2015;23(1):169-79. https://doi.org/10.1590/0104-1169.0251.2539 https://doi.org/10.1590/0104-1169.0251.2... ,⁸8 Ribeiro HCTC, Rodrigues TM, Teles SAF, Pereira RC, Silva LLT, Mata LRF. Distractions and interruptions in a surgical room: perception of nursing staff. Esc Anna Nery. 2018;22(4): e20180042. https://doi.org/10.1590/2177-9465-ean-2018-0042 https://doi.org/10.1590/2177-9465-ean-20... 9 Schroers G. Characteristics of interruptions during medication administration: an integrative review of direct observational studies. J Clin Nurs. 2018;27(19-20):3462-71. https://doi.org/10.1111/jocn.14587 https://doi.org/10.1111/jocn.14587... -¹⁰10 Johnson M, Sanchez P, Langdon R, Manias E, Levett-Jones T, Weidemann G, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507. https://doi.org/10.1111/jonm.12486 https://doi.org/10.1111/jonm.12486... ,¹⁶16 Kreckler S, Catchpole K, Bottomley M, Handa A, McCulloch P. Interruptions during drug rounds: an observational study. Br J Nurs. 2008;17(21):1326-30. https://doi.org/10.12968/bjon.2008.17.21.31732 https://doi.org/10.12968/bjon.2008.17.21... ,²²22 Reed CC, Minnick AF, Dietrich MS. Nurses’ responses to interruptions during medication tasks: a time and motion study. Int J Nurs Stud. 2018;82:113-20. https://doi.org/10.1016/j.ijnurstu.2018.03.017 https://doi.org/10.1016/j.ijnurstu.2018.... ,²⁷27 Hall LM, Pedersen C, Hubley P, Ptack E, Hemingway A, Watson C, et al. Interruptions and pediatric patient safety. J Pediatr Nurs. 2010;25(3):167-75. https://doi.org/10.1016/j.pedn.2008.09.005 https://doi.org/10.1016/j.pedn.2008.09.0... 28 Hall LM, Pedersen C, Fairley L. Losing the moment: Understanding interruptions to nurses’ work. J Nurs Adm. 2010;40(4):169-76. https://doi.org/10.1097/NNA.0b013e3181d41162 https://doi.org/10.1097/NNA.0b013e3181d4... -²⁹29 Hall LM, Ferguson-Paré M, Peter E, White D, Besner J, Chisholm A, et al. Going blank: factors contributing to interruptions to nurses’ work and related outcomes. J Nurs Manag. 2010;18(8):1040-7. https://doi.org/10.1111/j.1365-2834.2010.01166.x https://doi.org/10.1111/j.1365-2834.2010... ,³⁴34 Mahmood A, Chaudhury H, Gaumont A, Rust T. Long-term care physical environments: effect on medication errors. Int J Health Care Qual Assur. 2012;25(5):431-41. https://doi.org/10.1108/09526861211235928 https://doi.org/10.1108/0952686121123592... ,³⁶36 Salmen S. Interruptions in interventional radiology: a review of the literature. J Radiol Nurs. 2016;35(4):305-8. https://doi.org/10.1016/j.jradnu.2016.10.002 https://doi.org/10.1016/j.jradnu.2016.10... ,³⁸38 Tomietto M, Sartor A, Mazzocoli E, Palese A. Paradoxical effects of a hospital-based, multi-intervention programme aimed at reducing medication round interruptions. J Nurs Manag. 2012;20(3):335-43. https://doi.org/10.1111/j.1365-2834.2012.01329.x https://doi.org/10.1111/j.1365-2834.2012... -³⁹39 Brixey JJ, Robinson DJ, Tang Z, Johnson TR, Zhang J, Turley JP. Interruptions in workflow for RNs in a Level One Trauma Center. AMIA Annu Symp Proc [Internet]. 2005[cited 2020 Jan 29];2005:86-90. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1560877 https://www.ncbi.nlm.nih.gov/pmc/article... )	13	36,1
Comunicação não relacionada à tarefa em execução(³3 Forsyth KL, Hawthorne HJ, El-Sherif N, Varghese RS, Ernste VK, Koenig J, et al. Interruptions experienced by emergency nurses: implications for subjective and objective measures of workload. J Emerg Nurs. 2018;44(6):614-23. https://doi.org/10.1016/j.jen.2018.02.001 https://doi.org/10.1016/j.jen.2018.02.00... ,⁸8 Ribeiro HCTC, Rodrigues TM, Teles SAF, Pereira RC, Silva LLT, Mata LRF. Distractions and interruptions in a surgical room: perception of nursing staff. Esc Anna Nery. 2018;22(4): e20180042. https://doi.org/10.1590/2177-9465-ean-2018-0042 https://doi.org/10.1590/2177-9465-ean-20... 9 Schroers G. Characteristics of interruptions during medication administration: an integrative review of direct observational studies. J Clin Nurs. 2018;27(19-20):3462-71. https://doi.org/10.1111/jocn.14587 https://doi.org/10.1111/jocn.14587... -¹⁰10 Johnson M, Sanchez P, Langdon R, Manias E, Levett-Jones T, Weidemann G, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507. https://doi.org/10.1111/jonm.12486 https://doi.org/10.1111/jonm.12486... ,¹⁴14 Mamykina L, Carter EJ, Sheehan B, Hum RS, Twohig BC, Kaufman DR. Driven to distraction: the nature and apparent purpose of interruptions in critical care and implications for HIT. J Biomed Inform. 2017;69:43-54. https://doi.org/10.1016/j.jbi.2017.01.015 https://doi.org/10.1016/j.jbi.2017.01.01... ,²¹21 Göras C, Olin K, Unbeck M, Pukk-Härenstam K, Ehrenberg A, Tessma MK, et al. Tasks, multitasking and interruptions among the surgical team in an operating room: a prospective observational study. BMJ Open. 2019;9(5):e026410. https://doi.org/10.1136/bmjopen-2018-026410 https://doi.org/10.1136/bmjopen-2018-026... -²²22 Reed CC, Minnick AF, Dietrich MS. Nurses’ responses to interruptions during medication tasks: a time and motion study. Int J Nurs Stud. 2018;82:113-20. https://doi.org/10.1016/j.ijnurstu.2018.03.017 https://doi.org/10.1016/j.ijnurstu.2018.... ,²⁴24 Antoniadis S, Passauer-Baierl S, Baschnegger H, Weigl M. Identification and interference of intraoperative distractions and interruptions in operating rooms. J Surg Res. 2014;188(1):21-9. https://doi.org/10.1016/j.jss.2013.12.002 https://doi.org/10.1016/j.jss.2013.12.00... -²⁵25 Sørensen EE, Brahe L. Interruptions in clinical nursing practice. J Clin Nurs. 2014;23(9-10):1274-82. https://doi.org/10.1111/jocn.12329 https://doi.org/10.1111/jocn.12329... ,²⁷27 Hall LM, Pedersen C, Hubley P, Ptack E, Hemingway A, Watson C, et al. Interruptions and pediatric patient safety. J Pediatr Nurs. 2010;25(3):167-75. https://doi.org/10.1016/j.pedn.2008.09.005 https://doi.org/10.1016/j.pedn.2008.09.0... ,³²32 Duruk N, Zencir G, Eşer I. Interruption of the medication preparation process and an examination of factors causing interruptions. J Nurs Manag. 2016;24(3):376-83. https://doi.org/10.1111/jonm.12331 https://doi.org/10.1111/jonm.12331... -³³33 Hayes C, Jackson D, Davidson PM, Power T. Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration. J Clin Nurs. 2015;24(21-22):3063-76. https://doi.org/10.1111/jocn.12944 https://doi.org/10.1111/jocn.12944... ,³⁵35 Blocker RC, Heaton HA, Forsyth KL, Hawthorne HJ, El-Sherif N, Bellolio MF, et al. Physician, Interrupted: Workflow Interruptions and Patient Care in the Emergency Department. J Emerg Med. 2017;53(6):798-804. https://doi.org/10.1016/j.jemermed.2017.08.067 https://doi.org/10.1016/j.jemermed.2017.... )	13	36,1
Conversas relacionadas ao paciente(¹1 Weigl M, Beck J, Wehler M, Schneider A. Workflow interruptions and stress at work: a mixed-methods study among physicians and nurses of a multidisciplinary emergency department. BMJ Open. 2017;7(12):e019074. https://doi.org/10.1136/bmjopen-2017-019074 https://doi.org/10.1136/bmjopen-2017-019... ,³3 Forsyth KL, Hawthorne HJ, El-Sherif N, Varghese RS, Ernste VK, Koenig J, et al. Interruptions experienced by emergency nurses: implications for subjective and objective measures of workload. J Emerg Nurs. 2018;44(6):614-23. https://doi.org/10.1016/j.jen.2018.02.001 https://doi.org/10.1016/j.jen.2018.02.00... ,⁵5 Monteiro C, Avelar AFM, Pedreira MLG. Interruptions of nurses' activities and patient safety: an integrative literature review. Rev Latino-Am Enfermagem. 2015;23(1):169-79. https://doi.org/10.1590/0104-1169.0251.2539 https://doi.org/10.1590/0104-1169.0251.2... -⁶6 Zhao J, Zhang X, Lan Q, Wang W, Cai Y, Xie X, et al. Interruptions experienced by nurses during pediatric medication administration in China: an observational study. J Spec Pediatr Nurs. 2019;24(4):e12265. https://doi.org/10.1111/jspn.12265 https://doi.org/10.1111/jspn.12265... ,¹⁰10 Johnson M, Sanchez P, Langdon R, Manias E, Levett-Jones T, Weidemann G, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507. https://doi.org/10.1111/jonm.12486 https://doi.org/10.1111/jonm.12486... ,¹⁶16 Kreckler S, Catchpole K, Bottomley M, Handa A, McCulloch P. Interruptions during drug rounds: an observational study. Br J Nurs. 2008;17(21):1326-30. https://doi.org/10.12968/bjon.2008.17.21.31732 https://doi.org/10.12968/bjon.2008.17.21... ,²¹21 Göras C, Olin K, Unbeck M, Pukk-Härenstam K, Ehrenberg A, Tessma MK, et al. Tasks, multitasking and interruptions among the surgical team in an operating room: a prospective observational study. BMJ Open. 2019;9(5):e026410. https://doi.org/10.1136/bmjopen-2018-026410 https://doi.org/10.1136/bmjopen-2018-026... -²²22 Reed CC, Minnick AF, Dietrich MS. Nurses’ responses to interruptions during medication tasks: a time and motion study. Int J Nurs Stud. 2018;82:113-20. https://doi.org/10.1016/j.ijnurstu.2018.03.017 https://doi.org/10.1016/j.ijnurstu.2018.... ,²⁵25 Sørensen EE, Brahe L. Interruptions in clinical nursing practice. J Clin Nurs. 2014;23(9-10):1274-82. https://doi.org/10.1111/jocn.12329 https://doi.org/10.1111/jocn.12329... ,²⁷27 Hall LM, Pedersen C, Hubley P, Ptack E, Hemingway A, Watson C, et al. Interruptions and pediatric patient safety. J Pediatr Nurs. 2010;25(3):167-75. https://doi.org/10.1016/j.pedn.2008.09.005 https://doi.org/10.1016/j.pedn.2008.09.0... -²⁸28 Hall LM, Pedersen C, Fairley L. Losing the moment: Understanding interruptions to nurses’ work. J Nurs Adm. 2010;40(4):169-76. https://doi.org/10.1097/NNA.0b013e3181d41162 https://doi.org/10.1097/NNA.0b013e3181d4... ,³²32 Duruk N, Zencir G, Eşer I. Interruption of the medication preparation process and an examination of factors causing interruptions. J Nurs Manag. 2016;24(3):376-83. https://doi.org/10.1111/jonm.12331 https://doi.org/10.1111/jonm.12331... ,³⁵35 Blocker RC, Heaton HA, Forsyth KL, Hawthorne HJ, El-Sherif N, Bellolio MF, et al. Physician, Interrupted: Workflow Interruptions and Patient Care in the Emergency Department. J Emerg Med. 2017;53(6):798-804. https://doi.org/10.1016/j.jemermed.2017.08.067 https://doi.org/10.1016/j.jemermed.2017.... )	13	36,1
Falta de informações sobre o paciente(⁵5 Monteiro C, Avelar AFM, Pedreira MLG. Interruptions of nurses' activities and patient safety: an integrative literature review. Rev Latino-Am Enfermagem. 2015;23(1):169-79. https://doi.org/10.1590/0104-1169.0251.2539 https://doi.org/10.1590/0104-1169.0251.2... ,⁸8 Ribeiro HCTC, Rodrigues TM, Teles SAF, Pereira RC, Silva LLT, Mata LRF. Distractions and interruptions in a surgical room: perception of nursing staff. Esc Anna Nery. 2018;22(4): e20180042. https://doi.org/10.1590/2177-9465-ean-2018-0042 https://doi.org/10.1590/2177-9465-ean-20... ,¹⁰10 Johnson M, Sanchez P, Langdon R, Manias E, Levett-Jones T, Weidemann G, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507. https://doi.org/10.1111/jonm.12486 https://doi.org/10.1111/jonm.12486... ,¹⁵15 Elganzouri ES, Standish CA, Androwich I. Medication administration time study (mats): nursing staff performance of medication administration. J Nurs Adm. 2009;39(5):204-10. https://doi.org/10.1097/NNA.0b013e3181a23d6d https://doi.org/10.1097/NNA.0b013e3181a2... ,²¹21 Göras C, Olin K, Unbeck M, Pukk-Härenstam K, Ehrenberg A, Tessma MK, et al. Tasks, multitasking and interruptions among the surgical team in an operating room: a prospective observational study. BMJ Open. 2019;9(5):e026410. https://doi.org/10.1136/bmjopen-2018-026410 https://doi.org/10.1136/bmjopen-2018-026... ,³²32 Duruk N, Zencir G, Eşer I. Interruption of the medication preparation process and an examination of factors causing interruptions. J Nurs Manag. 2016;24(3):376-83. https://doi.org/10.1111/jonm.12331 https://doi.org/10.1111/jonm.12331... -³³33 Hayes C, Jackson D, Davidson PM, Power T. Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration. J Clin Nurs. 2015;24(21-22):3063-76. https://doi.org/10.1111/jocn.12944 https://doi.org/10.1111/jocn.12944... ,³⁵35 Blocker RC, Heaton HA, Forsyth KL, Hawthorne HJ, El-Sherif N, Bellolio MF, et al. Physician, Interrupted: Workflow Interruptions and Patient Care in the Emergency Department. J Emerg Med. 2017;53(6):798-804. https://doi.org/10.1016/j.jemermed.2017.08.067 https://doi.org/10.1016/j.jemermed.2017.... -³⁶36 Salmen S. Interruptions in interventional radiology: a review of the literature. J Radiol Nurs. 2016;35(4):305-8. https://doi.org/10.1016/j.jradnu.2016.10.002 https://doi.org/10.1016/j.jradnu.2016.10... ,³⁸38 Tomietto M, Sartor A, Mazzocoli E, Palese A. Paradoxical effects of a hospital-based, multi-intervention programme aimed at reducing medication round interruptions. J Nurs Manag. 2012;20(3):335-43. https://doi.org/10.1111/j.1365-2834.2012.01329.x https://doi.org/10.1111/j.1365-2834.2012... )	10	27,8
Falta de medicamento(¹⁰10 Johnson M, Sanchez P, Langdon R, Manias E, Levett-Jones T, Weidemann G, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507. https://doi.org/10.1111/jonm.12486 https://doi.org/10.1111/jonm.12486... ,¹⁶16 Kreckler S, Catchpole K, Bottomley M, Handa A, McCulloch P. Interruptions during drug rounds: an observational study. Br J Nurs. 2008;17(21):1326-30. https://doi.org/10.12968/bjon.2008.17.21.31732 https://doi.org/10.12968/bjon.2008.17.21... ,²¹21 Göras C, Olin K, Unbeck M, Pukk-Härenstam K, Ehrenberg A, Tessma MK, et al. Tasks, multitasking and interruptions among the surgical team in an operating room: a prospective observational study. BMJ Open. 2019;9(5):e026410. https://doi.org/10.1136/bmjopen-2018-026410 https://doi.org/10.1136/bmjopen-2018-026... ,²³23 Huckels-Baumgart S, Niederberger M, Manser T, Meier CR, Meyer-Massetti C. A combined intervention to reduce interruptions during medication preparation and double-checking: a pilot-study evaluating the impact of staff training and safety vests. J Nurs Manag. 2017;25(7):539-48. https://doi.org/10.1111/jonm.12491 https://doi.org/10.1111/jonm.12491... ,³²32 Duruk N, Zencir G, Eşer I. Interruption of the medication preparation process and an examination of factors causing interruptions. J Nurs Manag. 2016;24(3):376-83. https://doi.org/10.1111/jonm.12331 https://doi.org/10.1111/jonm.12331... -³³33 Hayes C, Jackson D, Davidson PM, Power T. Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration. J Clin Nurs. 2015;24(21-22):3063-76. https://doi.org/10.1111/jocn.12944 https://doi.org/10.1111/jocn.12944... ,³⁶36 Salmen S. Interruptions in interventional radiology: a review of the literature. J Radiol Nurs. 2016;35(4):305-8. https://doi.org/10.1016/j.jradnu.2016.10.002 https://doi.org/10.1016/j.jradnu.2016.10... -³⁷37 Özkan S, Kocaman G, Öztürk C. Interruptions during pediatric medication preparation and administration. J Pediatr Res. 2016;3(2):104-8. https://doi.org/10.4274/JPR.98704 https://doi.org/10.4274/JPR.98704... ,³⁹39 Brixey JJ, Robinson DJ, Tang Z, Johnson TR, Zhang J, Turley JP. Interruptions in workflow for RNs in a Level One Trauma Center. AMIA Annu Symp Proc [Internet]. 2005[cited 2020 Jan 29];2005:86-90. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1560877 https://www.ncbi.nlm.nih.gov/pmc/article... )	10	27,8
Falta de equipamento(⁵5 Monteiro C, Avelar AFM, Pedreira MLG. Interruptions of nurses' activities and patient safety: an integrative literature review. Rev Latino-Am Enfermagem. 2015;23(1):169-79. https://doi.org/10.1590/0104-1169.0251.2539 https://doi.org/10.1590/0104-1169.0251.2... ,¹⁰10 Johnson M, Sanchez P, Langdon R, Manias E, Levett-Jones T, Weidemann G, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507. https://doi.org/10.1111/jonm.12486 https://doi.org/10.1111/jonm.12486... ,¹⁶16 Kreckler S, Catchpole K, Bottomley M, Handa A, McCulloch P. Interruptions during drug rounds: an observational study. Br J Nurs. 2008;17(21):1326-30. https://doi.org/10.12968/bjon.2008.17.21.31732 https://doi.org/10.12968/bjon.2008.17.21... ,²¹21 Göras C, Olin K, Unbeck M, Pukk-Härenstam K, Ehrenberg A, Tessma MK, et al. Tasks, multitasking and interruptions among the surgical team in an operating room: a prospective observational study. BMJ Open. 2019;9(5):e026410. https://doi.org/10.1136/bmjopen-2018-026410 https://doi.org/10.1136/bmjopen-2018-026... -²²22 Reed CC, Minnick AF, Dietrich MS. Nurses’ responses to interruptions during medication tasks: a time and motion study. Int J Nurs Stud. 2018;82:113-20. https://doi.org/10.1016/j.ijnurstu.2018.03.017 https://doi.org/10.1016/j.ijnurstu.2018.... ,²⁸28 Hall LM, Pedersen C, Fairley L. Losing the moment: Understanding interruptions to nurses’ work. J Nurs Adm. 2010;40(4):169-76. https://doi.org/10.1097/NNA.0b013e3181d41162 https://doi.org/10.1097/NNA.0b013e3181d4... -²⁹29 Hall LM, Ferguson-Paré M, Peter E, White D, Besner J, Chisholm A, et al. Going blank: factors contributing to interruptions to nurses’ work and related outcomes. J Nurs Manag. 2010;18(8):1040-7. https://doi.org/10.1111/j.1365-2834.2010.01166.x https://doi.org/10.1111/j.1365-2834.2010... ,³⁹39 Brixey JJ, Robinson DJ, Tang Z, Johnson TR, Zhang J, Turley JP. Interruptions in workflow for RNs in a Level One Trauma Center. AMIA Annu Symp Proc [Internet]. 2005[cited 2020 Jan 29];2005:86-90. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1560877 https://www.ncbi.nlm.nih.gov/pmc/article... )	8	22,2
Paciente/familiar fornece ou solicita informações(²2 Alteren J, Hermstad M, White J, Jordan S. Conflicting priorities: observation of medicine administration. J Clin Nurs. 2018;27(19-20):3613-21. https://doi.org/10.1111/jocn.14518 https://doi.org/10.1111/jocn.14518... ,¹⁰10 Johnson M, Sanchez P, Langdon R, Manias E, Levett-Jones T, Weidemann G, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507. https://doi.org/10.1111/jonm.12486 https://doi.org/10.1111/jonm.12486... -¹¹11 Rhudy LM, Johnson MR, Krecke CA, Keigley DS, Schnell SJ, Maxson PM, et al. Change-of-shift nursing handoff interruptions: implications for evidence-based practice. Worldviews Evid Based Nurs. 2019;16(5):362-70. https://doi.org/10.1111/wvn.12390 https://doi.org/10.1111/wvn.12390... ,²⁸28 Hall LM, Pedersen C, Fairley L. Losing the moment: Understanding interruptions to nurses’ work. J Nurs Adm. 2010;40(4):169-76. https://doi.org/10.1097/NNA.0b013e3181d41162 https://doi.org/10.1097/NNA.0b013e3181d4... ,³⁴34 Mahmood A, Chaudhury H, Gaumont A, Rust T. Long-term care physical environments: effect on medication errors. Int J Health Care Qual Assur. 2012;25(5):431-41. https://doi.org/10.1108/09526861211235928 https://doi.org/10.1108/0952686121123592... -³⁵35 Blocker RC, Heaton HA, Forsyth KL, Hawthorne HJ, El-Sherif N, Bellolio MF, et al. Physician, Interrupted: Workflow Interruptions and Patient Care in the Emergency Department. J Emerg Med. 2017;53(6):798-804. https://doi.org/10.1016/j.jemermed.2017.08.067 https://doi.org/10.1016/j.jemermed.2017.... ,³⁷37 Özkan S, Kocaman G, Öztürk C. Interruptions during pediatric medication preparation and administration. J Pediatr Res. 2016;3(2):104-8. https://doi.org/10.4274/JPR.98704 https://doi.org/10.4274/JPR.98704... -³⁸38 Tomietto M, Sartor A, Mazzocoli E, Palese A. Paradoxical effects of a hospital-based, multi-intervention programme aimed at reducing medication round interruptions. J Nurs Manag. 2012;20(3):335-43. https://doi.org/10.1111/j.1365-2834.2012.01329.x https://doi.org/10.1111/j.1365-2834.2012... )	8	22,2
Funcionários fazendo perguntas(¹⁰10 Johnson M, Sanchez P, Langdon R, Manias E, Levett-Jones T, Weidemann G, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507. https://doi.org/10.1111/jonm.12486 https://doi.org/10.1111/jonm.12486... ,¹⁵15 Elganzouri ES, Standish CA, Androwich I. Medication administration time study (mats): nursing staff performance of medication administration. J Nurs Adm. 2009;39(5):204-10. https://doi.org/10.1097/NNA.0b013e3181a23d6d https://doi.org/10.1097/NNA.0b013e3181a2... ,²¹21 Göras C, Olin K, Unbeck M, Pukk-Härenstam K, Ehrenberg A, Tessma MK, et al. Tasks, multitasking and interruptions among the surgical team in an operating room: a prospective observational study. BMJ Open. 2019;9(5):e026410. https://doi.org/10.1136/bmjopen-2018-026410 https://doi.org/10.1136/bmjopen-2018-026... ,²⁸28 Hall LM, Pedersen C, Fairley L. Losing the moment: Understanding interruptions to nurses’ work. J Nurs Adm. 2010;40(4):169-76. https://doi.org/10.1097/NNA.0b013e3181d41162 https://doi.org/10.1097/NNA.0b013e3181d4... ,³⁴34 Mahmood A, Chaudhury H, Gaumont A, Rust T. Long-term care physical environments: effect on medication errors. Int J Health Care Qual Assur. 2012;25(5):431-41. https://doi.org/10.1108/09526861211235928 https://doi.org/10.1108/0952686121123592... ,³⁸38 Tomietto M, Sartor A, Mazzocoli E, Palese A. Paradoxical effects of a hospital-based, multi-intervention programme aimed at reducing medication round interruptions. J Nurs Manag. 2012;20(3):335-43. https://doi.org/10.1111/j.1365-2834.2012.01329.x https://doi.org/10.1111/j.1365-2834.2012... ,⁴⁰40 Vasconcelos PF, Freitas CHA, Jorge MSB, Carvalho REF, Freire VECS, Araújo MFM, et al. Safety attributes in primary care: understanding the needs of patients, health professionals, and managers. Public Health. 2019;171:31-40. https://doi.org/10.1016/j.puhe.2019.03.021 https://doi.org/10.1016/j.puhe.2019.03.0... )	7	19,4
Falha no equipamento(¹1 Weigl M, Beck J, Wehler M, Schneider A. Workflow interruptions and stress at work: a mixed-methods study among physicians and nurses of a multidisciplinary emergency department. BMJ Open. 2017;7(12):e019074. https://doi.org/10.1136/bmjopen-2017-019074 https://doi.org/10.1136/bmjopen-2017-019... ,⁸8 Ribeiro HCTC, Rodrigues TM, Teles SAF, Pereira RC, Silva LLT, Mata LRF. Distractions and interruptions in a surgical room: perception of nursing staff. Esc Anna Nery. 2018;22(4): e20180042. https://doi.org/10.1590/2177-9465-ean-2018-0042 https://doi.org/10.1590/2177-9465-ean-20... ,¹⁵15 Elganzouri ES, Standish CA, Androwich I. Medication administration time study (mats): nursing staff performance of medication administration. J Nurs Adm. 2009;39(5):204-10. https://doi.org/10.1097/NNA.0b013e3181a23d6d https://doi.org/10.1097/NNA.0b013e3181a2... ,²¹21 Göras C, Olin K, Unbeck M, Pukk-Härenstam K, Ehrenberg A, Tessma MK, et al. Tasks, multitasking and interruptions among the surgical team in an operating room: a prospective observational study. BMJ Open. 2019;9(5):e026410. https://doi.org/10.1136/bmjopen-2018-026410 https://doi.org/10.1136/bmjopen-2018-026... ,²⁴24 Antoniadis S, Passauer-Baierl S, Baschnegger H, Weigl M. Identification and interference of intraoperative distractions and interruptions in operating rooms. J Surg Res. 2014;188(1):21-9. https://doi.org/10.1016/j.jss.2013.12.002 https://doi.org/10.1016/j.jss.2013.12.00... ,³⁵35 Blocker RC, Heaton HA, Forsyth KL, Hawthorne HJ, El-Sherif N, Bellolio MF, et al. Physician, Interrupted: Workflow Interruptions and Patient Care in the Emergency Department. J Emerg Med. 2017;53(6):798-804. https://doi.org/10.1016/j.jemermed.2017.08.067 https://doi.org/10.1016/j.jemermed.2017.... )	6	16,7
Conversa com paciente/familiar(²2 Alteren J, Hermstad M, White J, Jordan S. Conflicting priorities: observation of medicine administration. J Clin Nurs. 2018;27(19-20):3613-21. https://doi.org/10.1111/jocn.14518 https://doi.org/10.1111/jocn.14518... ,¹⁰10 Johnson M, Sanchez P, Langdon R, Manias E, Levett-Jones T, Weidemann G, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507. https://doi.org/10.1111/jonm.12486 https://doi.org/10.1111/jonm.12486... ,³³33 Hayes C, Jackson D, Davidson PM, Power T. Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration. J Clin Nurs. 2015;24(21-22):3063-76. https://doi.org/10.1111/jocn.12944 https://doi.org/10.1111/jocn.12944... -³⁴34 Mahmood A, Chaudhury H, Gaumont A, Rust T. Long-term care physical environments: effect on medication errors. Int J Health Care Qual Assur. 2012;25(5):431-41. https://doi.org/10.1108/09526861211235928 https://doi.org/10.1108/0952686121123592... )	4	11,1
Atender solicitações de profissionais médicos(⁵5 Monteiro C, Avelar AFM, Pedreira MLG. Interruptions of nurses' activities and patient safety: an integrative literature review. Rev Latino-Am Enfermagem. 2015;23(1):169-79. https://doi.org/10.1590/0104-1169.0251.2539 https://doi.org/10.1590/0104-1169.0251.2... ,¹⁰10 Johnson M, Sanchez P, Langdon R, Manias E, Levett-Jones T, Weidemann G, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507. https://doi.org/10.1111/jonm.12486 https://doi.org/10.1111/jonm.12486... ,³⁶36 Salmen S. Interruptions in interventional radiology: a review of the literature. J Radiol Nurs. 2016;35(4):305-8. https://doi.org/10.1016/j.jradnu.2016.10.002 https://doi.org/10.1016/j.jradnu.2016.10... )	3	8,3
Aguardar retorno (comunicação) de outro profissional(¹⁰10 Johnson M, Sanchez P, Langdon R, Manias E, Levett-Jones T, Weidemann G, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507. https://doi.org/10.1111/jonm.12486 https://doi.org/10.1111/jonm.12486... ,²²22 Reed CC, Minnick AF, Dietrich MS. Nurses’ responses to interruptions during medication tasks: a time and motion study. Int J Nurs Stud. 2018;82:113-20. https://doi.org/10.1016/j.ijnurstu.2018.03.017 https://doi.org/10.1016/j.ijnurstu.2018.... )	2	5,6
Recebimento/troca/controle de materiais(³¹31 Schutijser BCFM, Klopotowska JE, Jongerden IP, Spreeuwenberg PMM, De Bruijne MC, Wagner C. Interruptions during intravenous medication administration: a multicentre observational study. J Adv Nurs. 2019;75(3):555-62. https://doi.org/10.1111/jan.13880 https://doi.org/10.1111/jan.13880... -³²32 Duruk N, Zencir G, Eşer I. Interruption of the medication preparation process and an examination of factors causing interruptions. J Nurs Manag. 2016;24(3):376-83. https://doi.org/10.1111/jonm.12331 https://doi.org/10.1111/jonm.12331... )	2	5,6
Acionar serviço de manutenção(³²32 Duruk N, Zencir G, Eşer I. Interruption of the medication preparation process and an examination of factors causing interruptions. J Nurs Manag. 2016;24(3):376-83. https://doi.org/10.1111/jonm.12331 https://doi.org/10.1111/jonm.12331... ,³⁴34 Mahmood A, Chaudhury H, Gaumont A, Rust T. Long-term care physical environments: effect on medication errors. Int J Health Care Qual Assur. 2012;25(5):431-41. https://doi.org/10.1108/09526861211235928 https://doi.org/10.1108/0952686121123592... )	2	5,6
Falhas no planejamento de procedimento(²¹21 Göras C, Olin K, Unbeck M, Pukk-Härenstam K, Ehrenberg A, Tessma MK, et al. Tasks, multitasking and interruptions among the surgical team in an operating room: a prospective observational study. BMJ Open. 2019;9(5):e026410. https://doi.org/10.1136/bmjopen-2018-026410 https://doi.org/10.1136/bmjopen-2018-026... ,³¹31 Schutijser BCFM, Klopotowska JE, Jongerden IP, Spreeuwenberg PMM, De Bruijne MC, Wagner C. Interruptions during intravenous medication administration: a multicentre observational study. J Adv Nurs. 2019;75(3):555-62. https://doi.org/10.1111/jan.13880 https://doi.org/10.1111/jan.13880... )	2	5,6
Comunicação relacionada à unidade ou instituição(²²22 Reed CC, Minnick AF, Dietrich MS. Nurses’ responses to interruptions during medication tasks: a time and motion study. Int J Nurs Stud. 2018;82:113-20. https://doi.org/10.1016/j.ijnurstu.2018.03.017 https://doi.org/10.1016/j.ijnurstu.2018.... )	1	2,8
Ausência do profissional anestesiologista(⁸8 Ribeiro HCTC, Rodrigues TM, Teles SAF, Pereira RC, Silva LLT, Mata LRF. Distractions and interruptions in a surgical room: perception of nursing staff. Esc Anna Nery. 2018;22(4): e20180042. https://doi.org/10.1590/2177-9465-ean-2018-0042 https://doi.org/10.1590/2177-9465-ean-20... )	1	2,8
Aguardar resultado de exame(⁸8 Ribeiro HCTC, Rodrigues TM, Teles SAF, Pereira RC, Silva LLT, Mata LRF. Distractions and interruptions in a surgical room: perception of nursing staff. Esc Anna Nery. 2018;22(4): e20180042. https://doi.org/10.1590/2177-9465-ean-2018-0042 https://doi.org/10.1590/2177-9465-ean-20... )	1	2,8
Contribuição para educação (orientar estudante)(³²32 Duruk N, Zencir G, Eşer I. Interruption of the medication preparation process and an examination of factors causing interruptions. J Nurs Manag. 2016;24(3):376-83. https://doi.org/10.1111/jonm.12331 https://doi.org/10.1111/jonm.12331... )	1	2,8
Equipe de limpeza(³²32 Duruk N, Zencir G, Eşer I. Interruption of the medication preparation process and an examination of factors causing interruptions. J Nurs Manag. 2016;24(3):376-83. https://doi.org/10.1111/jonm.12331 https://doi.org/10.1111/jonm.12331... )	1	2,8
Admissão de novos pacientes(³²32 Duruk N, Zencir G, Eşer I. Interruption of the medication preparation process and an examination of factors causing interruptions. J Nurs Manag. 2016;24(3):376-83. https://doi.org/10.1111/jonm.12331 https://doi.org/10.1111/jonm.12331... )	1	2,8
Entrega de material para o laboratório(⁴¹41 D’Esmond LK. Distracted practice and patient safety: the healthcare team experience. Nurs Forum. 2017;52(3):149-64. https://doi.org/10.1111/nuf.12173 https://doi.org/10.1111/nuf.12173... )	1	2,8
Troca de turno/horário de almoço(²¹21 Göras C, Olin K, Unbeck M, Pukk-Härenstam K, Ehrenberg A, Tessma MK, et al. Tasks, multitasking and interruptions among the surgical team in an operating room: a prospective observational study. BMJ Open. 2019;9(5):e026410. https://doi.org/10.1136/bmjopen-2018-026410 https://doi.org/10.1136/bmjopen-2018-026... )	1	2,8
Consequentes
Erros de medicação(²2 Alteren J, Hermstad M, White J, Jordan S. Conflicting priorities: observation of medicine administration. J Clin Nurs. 2018;27(19-20):3613-21. https://doi.org/10.1111/jocn.14518 https://doi.org/10.1111/jocn.14518... ,⁵5 Monteiro C, Avelar AFM, Pedreira MLG. Interruptions of nurses' activities and patient safety: an integrative literature review. Rev Latino-Am Enfermagem. 2015;23(1):169-79. https://doi.org/10.1590/0104-1169.0251.2539 https://doi.org/10.1590/0104-1169.0251.2... -⁶6 Zhao J, Zhang X, Lan Q, Wang W, Cai Y, Xie X, et al. Interruptions experienced by nurses during pediatric medication administration in China: an observational study. J Spec Pediatr Nurs. 2019;24(4):e12265. https://doi.org/10.1111/jspn.12265 https://doi.org/10.1111/jspn.12265... ,¹⁰10 Johnson M, Sanchez P, Langdon R, Manias E, Levett-Jones T, Weidemann G, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507. https://doi.org/10.1111/jonm.12486 https://doi.org/10.1111/jonm.12486... ,¹²12 Bower R, Jackson C, Manning JC. Interruptions and medication administration in critical care. Nurs Crit Care. 2015;20(4):183-95. https://doi.org/10.1111/nicc.12185 https://doi.org/10.1111/nicc.12185... ,¹⁶16 Kreckler S, Catchpole K, Bottomley M, Handa A, McCulloch P. Interruptions during drug rounds: an observational study. Br J Nurs. 2008;17(21):1326-30. https://doi.org/10.12968/bjon.2008.17.21.31732 https://doi.org/10.12968/bjon.2008.17.21... ,²¹21 Göras C, Olin K, Unbeck M, Pukk-Härenstam K, Ehrenberg A, Tessma MK, et al. Tasks, multitasking and interruptions among the surgical team in an operating room: a prospective observational study. BMJ Open. 2019;9(5):e026410. https://doi.org/10.1136/bmjopen-2018-026410 https://doi.org/10.1136/bmjopen-2018-026... -²²22 Reed CC, Minnick AF, Dietrich MS. Nurses’ responses to interruptions during medication tasks: a time and motion study. Int J Nurs Stud. 2018;82:113-20. https://doi.org/10.1016/j.ijnurstu.2018.03.017 https://doi.org/10.1016/j.ijnurstu.2018.... ,²⁵25 Sørensen EE, Brahe L. Interruptions in clinical nursing practice. J Clin Nurs. 2014;23(9-10):1274-82. https://doi.org/10.1111/jocn.12329 https://doi.org/10.1111/jocn.12329... 26 Trbovich P, Prakash V, Stewart J, Trip K, Savage P. Interruptions during the delivery of high-risk medications. J Nurs Adm. 2010;40(5):211-8. https://doi.org/10.1097/NNA.0b013e3181da4047 https://doi.org/10.1097/NNA.0b013e3181da... 27 Hall LM, Pedersen C, Hubley P, Ptack E, Hemingway A, Watson C, et al. Interruptions and pediatric patient safety. J Pediatr Nurs. 2010;25(3):167-75. https://doi.org/10.1016/j.pedn.2008.09.005 https://doi.org/10.1016/j.pedn.2008.09.0... -²⁸28 Hall LM, Pedersen C, Fairley L. Losing the moment: Understanding interruptions to nurses’ work. J Nurs Adm. 2010;40(4):169-76. https://doi.org/10.1097/NNA.0b013e3181d41162 https://doi.org/10.1097/NNA.0b013e3181d4... ,³¹31 Schutijser BCFM, Klopotowska JE, Jongerden IP, Spreeuwenberg PMM, De Bruijne MC, Wagner C. Interruptions during intravenous medication administration: a multicentre observational study. J Adv Nurs. 2019;75(3):555-62. https://doi.org/10.1111/jan.13880 https://doi.org/10.1111/jan.13880... 32 Duruk N, Zencir G, Eşer I. Interruption of the medication preparation process and an examination of factors causing interruptions. J Nurs Manag. 2016;24(3):376-83. https://doi.org/10.1111/jonm.12331 https://doi.org/10.1111/jonm.12331... 33 Hayes C, Jackson D, Davidson PM, Power T. Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration. J Clin Nurs. 2015;24(21-22):3063-76. https://doi.org/10.1111/jocn.12944 https://doi.org/10.1111/jocn.12944... -³⁴34 Mahmood A, Chaudhury H, Gaumont A, Rust T. Long-term care physical environments: effect on medication errors. Int J Health Care Qual Assur. 2012;25(5):431-41. https://doi.org/10.1108/09526861211235928 https://doi.org/10.1108/0952686121123592... ,³⁶36 Salmen S. Interruptions in interventional radiology: a review of the literature. J Radiol Nurs. 2016;35(4):305-8. https://doi.org/10.1016/j.jradnu.2016.10.002 https://doi.org/10.1016/j.jradnu.2016.10... -³⁷37 Özkan S, Kocaman G, Öztürk C. Interruptions during pediatric medication preparation and administration. J Pediatr Res. 2016;3(2):104-8. https://doi.org/10.4274/JPR.98704 https://doi.org/10.4274/JPR.98704... )	18	50,0
Mudança de foco(¹1 Weigl M, Beck J, Wehler M, Schneider A. Workflow interruptions and stress at work: a mixed-methods study among physicians and nurses of a multidisciplinary emergency department. BMJ Open. 2017;7(12):e019074. https://doi.org/10.1136/bmjopen-2017-019074 https://doi.org/10.1136/bmjopen-2017-019... ,³3 Forsyth KL, Hawthorne HJ, El-Sherif N, Varghese RS, Ernste VK, Koenig J, et al. Interruptions experienced by emergency nurses: implications for subjective and objective measures of workload. J Emerg Nurs. 2018;44(6):614-23. https://doi.org/10.1016/j.jen.2018.02.001 https://doi.org/10.1016/j.jen.2018.02.00... ,⁵5 Monteiro C, Avelar AFM, Pedreira MLG. Interruptions of nurses' activities and patient safety: an integrative literature review. Rev Latino-Am Enfermagem. 2015;23(1):169-79. https://doi.org/10.1590/0104-1169.0251.2539 https://doi.org/10.1590/0104-1169.0251.2... -⁶6 Zhao J, Zhang X, Lan Q, Wang W, Cai Y, Xie X, et al. Interruptions experienced by nurses during pediatric medication administration in China: an observational study. J Spec Pediatr Nurs. 2019;24(4):e12265. https://doi.org/10.1111/jspn.12265 https://doi.org/10.1111/jspn.12265... ,¹¹11 Rhudy LM, Johnson MR, Krecke CA, Keigley DS, Schnell SJ, Maxson PM, et al. Change-of-shift nursing handoff interruptions: implications for evidence-based practice. Worldviews Evid Based Nurs. 2019;16(5):362-70. https://doi.org/10.1111/wvn.12390 https://doi.org/10.1111/wvn.12390... -¹²12 Bower R, Jackson C, Manning JC. Interruptions and medication administration in critical care. Nurs Crit Care. 2015;20(4):183-95. https://doi.org/10.1111/nicc.12185 https://doi.org/10.1111/nicc.12185... ,²¹21 Göras C, Olin K, Unbeck M, Pukk-Härenstam K, Ehrenberg A, Tessma MK, et al. Tasks, multitasking and interruptions among the surgical team in an operating room: a prospective observational study. BMJ Open. 2019;9(5):e026410. https://doi.org/10.1136/bmjopen-2018-026410 https://doi.org/10.1136/bmjopen-2018-026... ,²⁵25 Sørensen EE, Brahe L. Interruptions in clinical nursing practice. J Clin Nurs. 2014;23(9-10):1274-82. https://doi.org/10.1111/jocn.12329 https://doi.org/10.1111/jocn.12329... ,²⁹29 Hall LM, Ferguson-Paré M, Peter E, White D, Besner J, Chisholm A, et al. Going blank: factors contributing to interruptions to nurses’ work and related outcomes. J Nurs Manag. 2010;18(8):1040-7. https://doi.org/10.1111/j.1365-2834.2010.01166.x https://doi.org/10.1111/j.1365-2834.2010... -³⁰30 Spooner AJ, Corley A, Chaboyer W, Hammond NE, Fraser JF. Measurement of the frequency and source of interruptions occurring during bedside nursing handover in the intensive care unit: an observational study. Aust Crit Care. 2015;28(1):19-23. https://doi.org/10.1016/j.aucc.2014.04.002 https://doi.org/10.1016/j.aucc.2014.04.0... ,³²32 Duruk N, Zencir G, Eşer I. Interruption of the medication preparation process and an examination of factors causing interruptions. J Nurs Manag. 2016;24(3):376-83. https://doi.org/10.1111/jonm.12331 https://doi.org/10.1111/jonm.12331... -³³33 Hayes C, Jackson D, Davidson PM, Power T. Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration. J Clin Nurs. 2015;24(21-22):3063-76. https://doi.org/10.1111/jocn.12944 https://doi.org/10.1111/jocn.12944... )	13	36,1
Erros clínicos(⁵5 Monteiro C, Avelar AFM, Pedreira MLG. Interruptions of nurses' activities and patient safety: an integrative literature review. Rev Latino-Am Enfermagem. 2015;23(1):169-79. https://doi.org/10.1590/0104-1169.0251.2539 https://doi.org/10.1590/0104-1169.0251.2... -⁶6 Zhao J, Zhang X, Lan Q, Wang W, Cai Y, Xie X, et al. Interruptions experienced by nurses during pediatric medication administration in China: an observational study. J Spec Pediatr Nurs. 2019;24(4):e12265. https://doi.org/10.1111/jspn.12265 https://doi.org/10.1111/jspn.12265... ,¹⁰10 Johnson M, Sanchez P, Langdon R, Manias E, Levett-Jones T, Weidemann G, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507. https://doi.org/10.1111/jonm.12486 https://doi.org/10.1111/jonm.12486... -¹¹11 Rhudy LM, Johnson MR, Krecke CA, Keigley DS, Schnell SJ, Maxson PM, et al. Change-of-shift nursing handoff interruptions: implications for evidence-based practice. Worldviews Evid Based Nurs. 2019;16(5):362-70. https://doi.org/10.1111/wvn.12390 https://doi.org/10.1111/wvn.12390... ,³⁰30 Spooner AJ, Corley A, Chaboyer W, Hammond NE, Fraser JF. Measurement of the frequency and source of interruptions occurring during bedside nursing handover in the intensive care unit: an observational study. Aust Crit Care. 2015;28(1):19-23. https://doi.org/10.1016/j.aucc.2014.04.002 https://doi.org/10.1016/j.aucc.2014.04.0... ,³³33 Hayes C, Jackson D, Davidson PM, Power T. Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration. J Clin Nurs. 2015;24(21-22):3063-76. https://doi.org/10.1111/jocn.12944 https://doi.org/10.1111/jocn.12944... ,³⁶36 Salmen S. Interruptions in interventional radiology: a review of the literature. J Radiol Nurs. 2016;35(4):305-8. https://doi.org/10.1016/j.jradnu.2016.10.002 https://doi.org/10.1016/j.jradnu.2016.10... ,³⁹39 Brixey JJ, Robinson DJ, Tang Z, Johnson TR, Zhang J, Turley JP. Interruptions in workflow for RNs in a Level One Trauma Center. AMIA Annu Symp Proc [Internet]. 2005[cited 2020 Jan 29];2005:86-90. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1560877 https://www.ncbi.nlm.nih.gov/pmc/article... )	8	22,2
Atraso no atendimento/tratamento(⁵5 Monteiro C, Avelar AFM, Pedreira MLG. Interruptions of nurses' activities and patient safety: an integrative literature review. Rev Latino-Am Enfermagem. 2015;23(1):169-79. https://doi.org/10.1590/0104-1169.0251.2539 https://doi.org/10.1590/0104-1169.0251.2... ,¹⁰10 Johnson M, Sanchez P, Langdon R, Manias E, Levett-Jones T, Weidemann G, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507. https://doi.org/10.1111/jonm.12486 https://doi.org/10.1111/jonm.12486... 11 Rhudy LM, Johnson MR, Krecke CA, Keigley DS, Schnell SJ, Maxson PM, et al. Change-of-shift nursing handoff interruptions: implications for evidence-based practice. Worldviews Evid Based Nurs. 2019;16(5):362-70. https://doi.org/10.1111/wvn.12390 https://doi.org/10.1111/wvn.12390... -¹²12 Bower R, Jackson C, Manning JC. Interruptions and medication administration in critical care. Nurs Crit Care. 2015;20(4):183-95. https://doi.org/10.1111/nicc.12185 https://doi.org/10.1111/nicc.12185... ,²⁷27 Hall LM, Pedersen C, Hubley P, Ptack E, Hemingway A, Watson C, et al. Interruptions and pediatric patient safety. J Pediatr Nurs. 2010;25(3):167-75. https://doi.org/10.1016/j.pedn.2008.09.005 https://doi.org/10.1016/j.pedn.2008.09.0... 28 Hall LM, Pedersen C, Fairley L. Losing the moment: Understanding interruptions to nurses’ work. J Nurs Adm. 2010;40(4):169-76. https://doi.org/10.1097/NNA.0b013e3181d41162 https://doi.org/10.1097/NNA.0b013e3181d4... -²⁹29 Hall LM, Ferguson-Paré M, Peter E, White D, Besner J, Chisholm A, et al. Going blank: factors contributing to interruptions to nurses’ work and related outcomes. J Nurs Manag. 2010;18(8):1040-7. https://doi.org/10.1111/j.1365-2834.2010.01166.x https://doi.org/10.1111/j.1365-2834.2010... )	7	19,4
Aumento na frequência e gravidade dos erros de administração de medicamentos(⁶6 Zhao J, Zhang X, Lan Q, Wang W, Cai Y, Xie X, et al. Interruptions experienced by nurses during pediatric medication administration in China: an observational study. J Spec Pediatr Nurs. 2019;24(4):e12265. https://doi.org/10.1111/jspn.12265 https://doi.org/10.1111/jspn.12265... ,⁹9 Schroers G. Characteristics of interruptions during medication administration: an integrative review of direct observational studies. J Clin Nurs. 2018;27(19-20):3462-71. https://doi.org/10.1111/jocn.14587 https://doi.org/10.1111/jocn.14587... -¹⁰10 Johnson M, Sanchez P, Langdon R, Manias E, Levett-Jones T, Weidemann G, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507. https://doi.org/10.1111/jonm.12486 https://doi.org/10.1111/jonm.12486... ,²⁵25 Sørensen EE, Brahe L. Interruptions in clinical nursing practice. J Clin Nurs. 2014;23(9-10):1274-82. https://doi.org/10.1111/jocn.12329 https://doi.org/10.1111/jocn.12329... -²⁶26 Trbovich P, Prakash V, Stewart J, Trip K, Savage P. Interruptions during the delivery of high-risk medications. J Nurs Adm. 2010;40(5):211-8. https://doi.org/10.1097/NNA.0b013e3181da4047 https://doi.org/10.1097/NNA.0b013e3181da... ,³³33 Hayes C, Jackson D, Davidson PM, Power T. Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration. J Clin Nurs. 2015;24(21-22):3063-76. https://doi.org/10.1111/jocn.12944 https://doi.org/10.1111/jocn.12944... ,³⁶36 Salmen S. Interruptions in interventional radiology: a review of the literature. J Radiol Nurs. 2016;35(4):305-8. https://doi.org/10.1016/j.jradnu.2016.10.002 https://doi.org/10.1016/j.jradnu.2016.10... )	7	19,4
Tempo de conclusão de tarefas mais longos(¹1 Weigl M, Beck J, Wehler M, Schneider A. Workflow interruptions and stress at work: a mixed-methods study among physicians and nurses of a multidisciplinary emergency department. BMJ Open. 2017;7(12):e019074. https://doi.org/10.1136/bmjopen-2017-019074 https://doi.org/10.1136/bmjopen-2017-019... ,⁹9 Schroers G. Characteristics of interruptions during medication administration: an integrative review of direct observational studies. J Clin Nurs. 2018;27(19-20):3462-71. https://doi.org/10.1111/jocn.14587 https://doi.org/10.1111/jocn.14587... ,¹⁵15 Elganzouri ES, Standish CA, Androwich I. Medication administration time study (mats): nursing staff performance of medication administration. J Nurs Adm. 2009;39(5):204-10. https://doi.org/10.1097/NNA.0b013e3181a23d6d https://doi.org/10.1097/NNA.0b013e3181a2... ,²⁵25 Sørensen EE, Brahe L. Interruptions in clinical nursing practice. J Clin Nurs. 2014;23(9-10):1274-82. https://doi.org/10.1111/jocn.12329 https://doi.org/10.1111/jocn.12329... ,²⁷27 Hall LM, Pedersen C, Hubley P, Ptack E, Hemingway A, Watson C, et al. Interruptions and pediatric patient safety. J Pediatr Nurs. 2010;25(3):167-75. https://doi.org/10.1016/j.pedn.2008.09.005 https://doi.org/10.1016/j.pedn.2008.09.0... ,³²32 Duruk N, Zencir G, Eşer I. Interruption of the medication preparation process and an examination of factors causing interruptions. J Nurs Manag. 2016;24(3):376-83. https://doi.org/10.1111/jonm.12331 https://doi.org/10.1111/jonm.12331... )	6	16,7
Sobrecarga cognitiva(³3 Forsyth KL, Hawthorne HJ, El-Sherif N, Varghese RS, Ernste VK, Koenig J, et al. Interruptions experienced by emergency nurses: implications for subjective and objective measures of workload. J Emerg Nurs. 2018;44(6):614-23. https://doi.org/10.1016/j.jen.2018.02.001 https://doi.org/10.1016/j.jen.2018.02.00... ,⁵5 Monteiro C, Avelar AFM, Pedreira MLG. Interruptions of nurses' activities and patient safety: an integrative literature review. Rev Latino-Am Enfermagem. 2015;23(1):169-79. https://doi.org/10.1590/0104-1169.0251.2539 https://doi.org/10.1590/0104-1169.0251.2... ,²⁵25 Sørensen EE, Brahe L. Interruptions in clinical nursing practice. J Clin Nurs. 2014;23(9-10):1274-82. https://doi.org/10.1111/jocn.12329 https://doi.org/10.1111/jocn.12329... ,³³33 Hayes C, Jackson D, Davidson PM, Power T. Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration. J Clin Nurs. 2015;24(21-22):3063-76. https://doi.org/10.1111/jocn.12944 https://doi.org/10.1111/jocn.12944... ,³⁵35 Blocker RC, Heaton HA, Forsyth KL, Hawthorne HJ, El-Sherif N, Bellolio MF, et al. Physician, Interrupted: Workflow Interruptions and Patient Care in the Emergency Department. J Emerg Med. 2017;53(6):798-804. https://doi.org/10.1016/j.jemermed.2017.08.067 https://doi.org/10.1016/j.jemermed.2017.... -³⁶36 Salmen S. Interruptions in interventional radiology: a review of the literature. J Radiol Nurs. 2016;35(4):305-8. https://doi.org/10.1016/j.jradnu.2016.10.002 https://doi.org/10.1016/j.jradnu.2016.10... )	6	16,7
Abandono da tarefa principal(¹1 Weigl M, Beck J, Wehler M, Schneider A. Workflow interruptions and stress at work: a mixed-methods study among physicians and nurses of a multidisciplinary emergency department. BMJ Open. 2017;7(12):e019074. https://doi.org/10.1136/bmjopen-2017-019074 https://doi.org/10.1136/bmjopen-2017-019... ,⁴4 Drews FA, Markewitz BA, Stoddard GJ, Samore MH. Interruptions and delivery of care in the intensive care unit. Hum Factors. 2019;61(4):564-76. https://doi.org/10.1177/0018720819838090 https://doi.org/10.1177/0018720819838090... ,²¹21 Göras C, Olin K, Unbeck M, Pukk-Härenstam K, Ehrenberg A, Tessma MK, et al. Tasks, multitasking and interruptions among the surgical team in an operating room: a prospective observational study. BMJ Open. 2019;9(5):e026410. https://doi.org/10.1136/bmjopen-2018-026410 https://doi.org/10.1136/bmjopen-2018-026... ,²⁷27 Hall LM, Pedersen C, Hubley P, Ptack E, Hemingway A, Watson C, et al. Interruptions and pediatric patient safety. J Pediatr Nurs. 2010;25(3):167-75. https://doi.org/10.1016/j.pedn.2008.09.005 https://doi.org/10.1016/j.pedn.2008.09.0... ,³⁸38 Tomietto M, Sartor A, Mazzocoli E, Palese A. Paradoxical effects of a hospital-based, multi-intervention programme aimed at reducing medication round interruptions. J Nurs Manag. 2012;20(3):335-43. https://doi.org/10.1111/j.1365-2834.2012.01329.x https://doi.org/10.1111/j.1365-2834.2012... )	5	13,9
Falhas processuais(³3 Forsyth KL, Hawthorne HJ, El-Sherif N, Varghese RS, Ernste VK, Koenig J, et al. Interruptions experienced by emergency nurses: implications for subjective and objective measures of workload. J Emerg Nurs. 2018;44(6):614-23. https://doi.org/10.1016/j.jen.2018.02.001 https://doi.org/10.1016/j.jen.2018.02.00... ,¹⁰10 Johnson M, Sanchez P, Langdon R, Manias E, Levett-Jones T, Weidemann G, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507. https://doi.org/10.1111/jonm.12486 https://doi.org/10.1111/jonm.12486... ,³³33 Hayes C, Jackson D, Davidson PM, Power T. Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration. J Clin Nurs. 2015;24(21-22):3063-76. https://doi.org/10.1111/jocn.12944 https://doi.org/10.1111/jocn.12944... ,³⁶36 Salmen S. Interruptions in interventional radiology: a review of the literature. J Radiol Nurs. 2016;35(4):305-8. https://doi.org/10.1016/j.jradnu.2016.10.002 https://doi.org/10.1016/j.jradnu.2016.10... )	4	11,1
Evento adverso(¹⁰10 Johnson M, Sanchez P, Langdon R, Manias E, Levett-Jones T, Weidemann G, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507. https://doi.org/10.1111/jonm.12486 https://doi.org/10.1111/jonm.12486... ,¹²12 Bower R, Jackson C, Manning JC. Interruptions and medication administration in critical care. Nurs Crit Care. 2015;20(4):183-95. https://doi.org/10.1111/nicc.12185 https://doi.org/10.1111/nicc.12185... ,³⁶36 Salmen S. Interruptions in interventional radiology: a review of the literature. J Radiol Nurs. 2016;35(4):305-8. https://doi.org/10.1016/j.jradnu.2016.10.002 https://doi.org/10.1016/j.jradnu.2016.10... )	3	8,3
Erros no procedimento cirúrgico(⁸8 Ribeiro HCTC, Rodrigues TM, Teles SAF, Pereira RC, Silva LLT, Mata LRF. Distractions and interruptions in a surgical room: perception of nursing staff. Esc Anna Nery. 2018;22(4): e20180042. https://doi.org/10.1590/2177-9465-ean-2018-0042 https://doi.org/10.1590/2177-9465-ean-20... ,²⁴24 Antoniadis S, Passauer-Baierl S, Baschnegger H, Weigl M. Identification and interference of intraoperative distractions and interruptions in operating rooms. J Surg Res. 2014;188(1):21-9. https://doi.org/10.1016/j.jss.2013.12.002 https://doi.org/10.1016/j.jss.2013.12.00... )	2	5,6
Atendimento de má qualidade(⁴⁰40 Vasconcelos PF, Freitas CHA, Jorge MSB, Carvalho REF, Freire VECS, Araújo MFM, et al. Safety attributes in primary care: understanding the needs of patients, health professionals, and managers. Public Health. 2019;171:31-40. https://doi.org/10.1016/j.puhe.2019.03.021 https://doi.org/10.1016/j.puhe.2019.03.0... )	1	2,8
Atraso no reconhecimento e na comunicação de alterações do paciente(³⁰30 Spooner AJ, Corley A, Chaboyer W, Hammond NE, Fraser JF. Measurement of the frequency and source of interruptions occurring during bedside nursing handover in the intensive care unit: an observational study. Aust Crit Care. 2015;28(1):19-23. https://doi.org/10.1016/j.aucc.2014.04.002 https://doi.org/10.1016/j.aucc.2014.04.0... )	1	2,8
Aumento da carga de trabalho(⁶6 Zhao J, Zhang X, Lan Q, Wang W, Cai Y, Xie X, et al. Interruptions experienced by nurses during pediatric medication administration in China: an observational study. J Spec Pediatr Nurs. 2019;24(4):e12265. https://doi.org/10.1111/jspn.12265 https://doi.org/10.1111/jspn.12265... )	1	2,8
Aumento do estresse no trabalho(¹1 Weigl M, Beck J, Wehler M, Schneider A. Workflow interruptions and stress at work: a mixed-methods study among physicians and nurses of a multidisciplinary emergency department. BMJ Open. 2017;7(12):e019074. https://doi.org/10.1136/bmjopen-2017-019074 https://doi.org/10.1136/bmjopen-2017-019... )	1	2,8
Erros de dispensação(⁴4 Drews FA, Markewitz BA, Stoddard GJ, Samore MH. Interruptions and delivery of care in the intensive care unit. Hum Factors. 2019;61(4):564-76. https://doi.org/10.1177/0018720819838090 https://doi.org/10.1177/0018720819838090... )	1	2,8
Erro de prescrição/solicitação de exames(³²32 Duruk N, Zencir G, Eşer I. Interruption of the medication preparation process and an examination of factors causing interruptions. J Nurs Manag. 2016;24(3):376-83. https://doi.org/10.1111/jonm.12331 https://doi.org/10.1111/jonm.12331... )	1	2,8
Esmagamento de medicamento sem necessidade(³⁴34 Mahmood A, Chaudhury H, Gaumont A, Rust T. Long-term care physical environments: effect on medication errors. Int J Health Care Qual Assur. 2012;25(5):431-41. https://doi.org/10.1108/09526861211235928 https://doi.org/10.1108/0952686121123592... )	1	2,8
Falha em concluir ou iniciar tarefas(²¹21 Göras C, Olin K, Unbeck M, Pukk-Härenstam K, Ehrenberg A, Tessma MK, et al. Tasks, multitasking and interruptions among the surgical team in an operating room: a prospective observational study. BMJ Open. 2019;9(5):e026410. https://doi.org/10.1136/bmjopen-2018-026410 https://doi.org/10.1136/bmjopen-2018-026... )	1	2,8
Falha na documentação/registro de informações(¹⁰10 Johnson M, Sanchez P, Langdon R, Manias E, Levett-Jones T, Weidemann G, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507. https://doi.org/10.1111/jonm.12486 https://doi.org/10.1111/jonm.12486... )	1	2,8
Falha na verificação dos sinais vitais, do nível de glicose no sangue e da observação neurológica antes da administração de medicamentos ou quando apropriado(¹⁰10 Johnson M, Sanchez P, Langdon R, Manias E, Levett-Jones T, Weidemann G, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507. https://doi.org/10.1111/jonm.12486 https://doi.org/10.1111/jonm.12486... )	1	2,8
Fornecer informações críticas e sensíveis relacionadas ao paciente(³⁵35 Blocker RC, Heaton HA, Forsyth KL, Hawthorne HJ, El-Sherif N, Bellolio MF, et al. Physician, Interrupted: Workflow Interruptions and Patient Care in the Emergency Department. J Emerg Med. 2017;53(6):798-804. https://doi.org/10.1016/j.jemermed.2017.08.067 https://doi.org/10.1016/j.jemermed.2017.... )	1	2,8
Perdas de informações críticas(²¹21 Göras C, Olin K, Unbeck M, Pukk-Härenstam K, Ehrenberg A, Tessma MK, et al. Tasks, multitasking and interruptions among the surgical team in an operating room: a prospective observational study. BMJ Open. 2019;9(5):e026410. https://doi.org/10.1136/bmjopen-2018-026410 https://doi.org/10.1136/bmjopen-2018-026... )	1	2,8
Queda do paciente(⁸8 Ribeiro HCTC, Rodrigues TM, Teles SAF, Pereira RC, Silva LLT, Mata LRF. Distractions and interruptions in a surgical room: perception of nursing staff. Esc Anna Nery. 2018;22(4): e20180042. https://doi.org/10.1590/2177-9465-ean-2018-0042 https://doi.org/10.1590/2177-9465-ean-20... )	1	2,8
Verificações de segurança incompletas(²⁴24 Antoniadis S, Passauer-Baierl S, Baschnegger H, Weigl M. Identification and interference of intraoperative distractions and interruptions in operating rooms. J Surg Res. 2014;188(1):21-9. https://doi.org/10.1016/j.jss.2013.12.002 https://doi.org/10.1016/j.jss.2013.12.00... )	1	2,8

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[1] Autor Correspondente: Weslen Carlos Junior de Freitas E-mail: weslen@live.com