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Opportunities to Foster Efficient Communication in Labor and Delivery Using Simulation
Kay Daniels1, Colleen Hamilton2, Susan Crowe1
1Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, California; Department of Pediatrics, Safety Learning Laboratory for Neonatal and Maternal Care, Stanford University, Stanford, California.
AJP Reports
|March 4, 2017
Summary
Ineffective verbal communication frequently occurs during obstetric emergencies, leading to repeated questions about patient history, status, and personnel. Improved training and visual displays can enhance teamwork and information transfer in labor and delivery units.
Area of Science:
- Obstetrics and Gynecology
- Healthcare Communication
- Patient Safety
Background:
- Communication errors are a significant factor in adverse outcomes within labor and delivery (L&D) units.
- Effective information transfer is critical during high-stakes obstetric events.
- This study aimed to identify communication breakdowns in simulated L&D scenarios.
Observation:
- Healthcare professionals in L&D participated in three simulated clinical scenarios.
- Scenarios were recorded and analyzed to identify repeated questions indicative of communication lapses.
- The frequency and nature of these repeated questions were documented.
Findings:
- Verbal communication inefficiencies were common, with a median of 27 repeated questions per scenario.
- Frequently repeated questions pertained to historical data (e.g., estimated gestational age), maternal clinical status (e.g., estimated blood loss), and personnel availability (e.g., anesthesiologist status).
- These repetitions highlight systemic issues in information exchange during obstetric emergencies.
Implications:
- Findings underscore the need for enhanced training in verbal communication for L&D teams.
- Developing dynamic and static visual information displays could improve information accessibility and reduce errors.
- Optimizing communication strategies can lead to better teamwork and improved patient safety in obstetric care.
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