title: The Surgical Teams' Perception of the Effects of a Routine Intraoperative Pause.
abstract: A pause routine may reduce stress and errors during surgery. The aim of this study was to explore how the team, divided into the different professional groups, perceived the implementation of a pause routine and its possible impact on safety.
  
  
  
  A pause routine was introduced at a University hospital operating theatre in Sweden in 2013. Questionnaires were distributed about 1 year later to all members of the operating theatre team. The questions included different perspectives of possible effects of the pause routine.
  
  
  
  A majority were positive to scheduled pauses. The surgeons often felt refreshed and at times changed their view on both anatomy and their surgical strategy. They were also perceived by other team members as improved regarding communication. All groups felt that patient safety was promoted. There were differences by profession in perception of team communication.
  
  
  
  The pause routine was well perceived by the surgical team. A majority believed that scheduled and regular pauses contribute to improved patient safety and better team communication. There were also findings of differences in communication and experience of team coherence between personnel categories that could benefit from further acknowledgement and exploration.
authors.affiliation: Department of Surgery, Institute of Clinical Sciences, SSORG - Scandinavian Surgical Outcomes Research Group, Sahlgrenska Academy at University of Gothenburg, Sahlgrenska University Hospital/Östra, Paviljong 11, Journalvägen 14a, 416 50, Gothenburg, Sweden. sofia.erestam@vgregion.se.
authors.forename: Sofia
authors.identifier: http://orcid.org/0000-0002-3142-1903
authors.initials: S
authors.lastname: Erestam
authors.affiliation: Department of Surgery, Institute of Clinical Sciences, SSORG - Scandinavian Surgical Outcomes Research Group, Sahlgrenska Academy at University of Gothenburg, Sahlgrenska University Hospital/Östra, Paviljong 11, Journalvägen 14a, 416 50, Gothenburg, Sweden.
authors.forename: Eva
authors.initials: E
authors.lastname: Angenete
authors.affiliation: Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy at University of Gothenburg, Sahlgrenska University Hospital/Östra, Diagnosvägen 11, 416 50, Gothenburg, Sweden.
authors.forename: Kristoffer
authors.initials: K
authors.lastname: Derwinger
mesh_terms: D003142:Communication; D006801:Humans; D009873:Operating Rooms; D010348:Patient Care Team; D061214:Patient Safety; D010465:Perception; D013514:Surgical Procedures, Operative