An evidence-based intraoperative communication tool for emergency general surgery: a pilot study

Area of Science:

• Surgery
• Patient Safety
• Healthcare Communication

Background:

• Emergency general surgery (EGS) faces high morbidity and mortality rates.
• Existing communication tools like checklists have not been specifically evaluated in EGS.
• A hypothesis was formed that an evidence-based communication tool could enhance intraoperative communication in EGS.

Purpose of the Study:

• To design and implement an evidence-based communication tool for EGS operating rooms.
• To assess the perceived impact of this tool on team communication and awareness.
• To identify areas for improvement in the implementation and utilization of the tool.

Main Methods:

• A communication tool with discussion prompts was developed based on prior research.
• The tool was pilot-tested using human patient simulators.
• Implementation in EGS operating rooms was followed by mixed-methods pre- and post-surveys to evaluate perceived effects.

Main Results:

• Providers reported improved team communication in EGS after tool implementation.
• A trend towards enhanced shared awareness of intraoperative events was noted.
• Nurses reported cultural barriers to initiating discussions, and providers desired more reinforcement of the tool's use.

Conclusions:

• The communication tool is perceived to support team communication in EGS operating rooms.
• A trend towards improved shared understanding of intraoperative events was observed.
• Further reinforcement, team-based education, and research are needed to fully understand the tool's impact on EGS patient outcomes.