Impact of environmental factors on operative team performance: systematic review and guidance for optimising clinical practice
Noise consistently exceeds recommended thresholds, is linked to increased cognitive load, and has been associated with complications. In contrast, temperature is individual-specific and may require compromise between team members. There is very limited research on lighting and humidity, and more investigation is warranted before conclusions can be made on these factors. Surgeons should consider modifiable environmental factors as part of a systems approach to optimising operative performance, patient safety, and staff-wellbeing.
Authors
- A Sgrò (ORCID: https://orcid.org/0000-0001-5151-8342)
- Steven Yule (ORCID: https://orcid.org/0000-0001-9889-9090)
- Connor Boyle (ORCID: https://orcid.org/0000-0003-2124-607X)
- Sarah H. Michael (ORCID: https://orcid.org/0000-0003-0077-6282)
- Stephen J. Wigmore (ORCID: https://orcid.org/0000-0002-3614-8002)
- Richard J.E. Skipworth (ORCID: https://orcid.org/0000-0003-1349-9229)
- James Crichton (ORCID: https://orcid.org/0000-0002-7712-3581)
Institutions
- Edinburgh Royal Infirmary (GB)
- Institute of Occupational Medicine (GB)
- The Queen's Medical Research Institute (GB)
- University of Colorado Anschutz Medical Campus (US)
- University of Edinburgh (GB)
Publication Details
- Journal
- Surgical Endoscopy
- Published
- 2025-11-11
- DOI
- https://doi.org/10.1007/s00464-025-12362-4
- Primary Topic
- Intensive Care Unit Cognitive Disorders
- Type
- article
- Field-Weighted Citation Impact
- 0.00