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Built Environmental Features and Healthcare Interruptions: A Scoping Review Across Clinical Settings
DescriptionInterruptions can lead to errors that result in adverse events, including severe injury or death. This review aims to identify empirical studies that examine the relationship between physical environment features and the occurrence of interruptions in healthcare settings. Following PRISMA guidelines, 31 articles were included. The findings indicate that physical environment features influencing interruptions include no-interruption zones (NIZ), signage, medication room configurations, physical barriers, workstation layouts, and traffic-related factors. However, inconsistencies in how interruption-related terms are defined across studies make comparisons challenging. The reviewed studies cover a variety of healthcare settings—including medical units, operating rooms, emergency departments, and intensive care units—and involve participants such as nurses, physicians, pharmacists, patients, and support staff. This review concludes that significant gaps remain in understanding how physical environment features impact interruptions. Future research should systematically examine physical environment features across healthcare settings to enhance safety, optimize workflow, and reduce errors.