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Qualitative Analysis of Effective Teamwork in the Operating Room (OR).

J T Paige1, D D Garbee2, L S Bonanno2

  • 1LSU Health New Orleans School of Medicine, New Orleans, Louisiana.

Journal of Surgical Education
|November 8, 2020
PubMed
Summary

Effective teamwork in the operating room (OR) involves smooth procedural flow, united effort, clear communication, and a positive attitude. These elements are key for refining teamwork assessment instruments in clinical settings.

Keywords:
interprofessionaloperating roomteam scienceteam-based competenciesteamwork

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Area of Science:

  • Healthcare Management
  • Surgical Team Dynamics
  • Qualitative Research Methods

Background:

  • Effective teamwork is crucial for patient safety and operational efficiency in operating rooms (ORs).
  • Existing teamwork assessment instruments may require refinement to accurately capture essential components of OR team collaboration.
  • Understanding OR personnel perspectives is vital for developing relevant and practical assessment tools.

Purpose of the Study:

  • To identify key components of effective teamwork within the operating room (OR) setting.
  • To inform the revision and enhancement of a teamwork assessment instrument based on OR personnel insights.
  • To improve the utility of teamwork assessment tools for formative feedback in clinical practice.

Main Methods:

  • A qualitative research design utilizing semi-structured focus group interviews with interprofessional OR personnel.
  • Digital recording and transcription of focus group discussions for detailed analysis.
  • Qualitative thematic analysis by two independent reviewers, with inter-coder agreement to ensure reliability.

Main Results:

  • Four major themes emerged from the analysis of OR personnel interviews: (1) Smooth flow, (2) United effort, (3) Communication, and (4) Positive attitude.
  • Participants consistently emphasized the importance of seamless procedural progression and coordinated actions.
  • Clear communication channels and a supportive, positive team attitude were identified as critical factors for effective OR teamwork.

Conclusions:

  • OR team members universally agree that effective teamwork is characterized by smooth procedural flow, unified effort, clear communication, and a positive attitude.
  • The identified themes provide a robust foundation for refining teamwork assessment instruments.
  • Enhanced instruments can better support formative assessment and improvement of teamwork in the OR environment.