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Familiarity and Communication in the Operating Room
Lane L Frasier1, Sudha R Pavuluri Quamme1, Yue Ma2
1Wisconsin Surgical Outcomes Research (WiSOR) Program, University of Wisconsin-Madison, Madison, Wisconsin.
The Journal of Surgical Research
|January 30, 2019
Summary
Team familiarity does not improve operating room (OR) communication rates or effectiveness. Cross-disciplinary communication is less frequent and more prone to ineffectiveness, highlighting a need for targeted interventions to enhance OR team performance.
Area of Science:
- Healthcare Management
- Patient Safety
- Surgical Communication
Background:
- Poor communication in the operating room (OR) is linked to adverse events.
- Hospital scheduling often leads to unfamiliar operative teams.
- The impact of team familiarity on communication effectiveness in the OR is not well understood.
Purpose of the Study:
- To evaluate the relationship between provider familiarity and communication rates in the OR.
- To assess the association between familiarity and communication ineffectiveness.
- To identify factors influencing communication dynamics among OR teams.
Main Methods:
- Analysis of 48 hours of audio-video recordings from 10 open operations.
- Identification and quantification of communication events between six provider roles.
- Calculation of dyad-specific communication rates and assessment of familiarity levels.
Main Results:
- Operations averaged 58.0 communication events per hour.
- Provider familiarity did not correlate with communication rates or ineffectiveness.
- Cross-disciplinary dyads (e.g., anesthesiology-surgery) exhibited significantly lower communication rates and higher ineffectiveness compared to intradisciplinary dyads.
Conclusions:
- Increased team familiarity does not enhance verbal communication or protect against ineffectiveness in the OR.
- Cross-disciplinary communication is a vulnerable area in the operative setting.
- Further research is needed to develop interventions that improve OR team communication and performance.
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