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Table 2 Strategies used to manage interruptions, as reported by the 26 participants

From: An experimental study on the impact of clinical interruptions on simulated trainee performances of central venous catheterization

Strategy

No. (%) reported using strategy

Example

Internal strategies

 Talk aloud

1 (4)

“Talking out loud: where am I, what is next?”

 Reorienting (not specified)

7 (27)

 

  Mental Checklist

4 (15)

“Think about the order of the procedure in my mind. Continue to go through it and go back to the list.”

  Recap last steps

4 (15)

“Retrace the last few steps, the last three things, this is where I need to go.”

  Mental bookmarking

2 (8)

“Bank your thoughts – try not to lose my spot in what I was doing.”

  Physical layout of equipment

1 (4)

“Lay things out so I know where I am.”

 Focus (not specified)

6 (23)

 

  Prioritizing tasks

19 (73)

“The most pressing issue is the one I will address.”

  Concentrating on one thing at a time

9 (35)

“Focus on one thing at a time. Not good at multi-tasking.”

  Delegating tasks

8 (31)

“Delegate to the clerk.”

  Stop and think

6 (23)

“Stop and decide if you should continue. Stop everything in a safe position and decide.”

  Ignoring interruption

2 (8)

“Tried to ignore it initially – questioned if I should continue with the procedure.”

  Stay calm

2 (8)

“Try to remain calm.”

  Maintaining accuracy of primary task

1 (4)

“Doing what needed to be done – do it right.”

  Mental chunks

1 (4)

“Manage in moments, split up your work into manageable chunks.”

 Multitask

2 (8)

“It was distracting – I didn’t have full attention on either task. Trying to do both…had 80% attention on the procedure.”

External Strategies

 Hurry primary task

3 (12)

“Made me do it faster.”

 Handing over pager

3 (12)

“Carry the pager for [those doing procedures]”

 Communication (not specified)

2 (8)