How Integrated Anesthesia Communication Leads to Dependable IONM Data
Veronica O Busso1, John J McAuliffe1
1Department of Anesthesia, Cincinnati Children's Hospital, Cincinnati, Ohio.
The Neurodiagnostic Journal
|May 4, 2021
Summary
Implementing team-based care strategies in the operating room improves patient safety and communication. Fostering a positive operating room culture through mutual accountability and clear communication is key to sustained improvements in patient care practices.
Area of Science:
- Healthcare Management
- Patient Safety
- Surgical Operations
Background:
- Perioperative teams utilize various tools like algorithms and checklists to enhance shared understanding and teamwork.
- Despite efforts, achieving lasting improvements in operating room (OR) culture remains a challenge for many healthcare organizations.
- Empowering diverse voices within the perioperative team is essential for error prevention and enhancing patient safety.
Purpose of the Study:
- To review the critical role of organizational culture, mutual accountability, and communication in elevating patient care standards.
- To share practical processes implemented at a pediatric tertiary care center to drive positive changes in OR culture.
Main Methods:
- Review of existing literature on teamwork and safety protocols in perioperative settings.
- Analysis of implemented cultural change initiatives at a pediatric tertiary care center.
- Examination of the impact of these initiatives on safety metrics and communication.
Main Results:
- Implementation of targeted practices has demonstrably improved Occupational Safety and Health Administration (OSHA) recordables.
- Enhanced perioperative communication and patient care practices were observed following cultural interventions.
- Sustained improvements in OR culture, though challenging, are achievable through focused efforts.
Conclusions:
- A strong organizational culture, emphasizing mutual accountability and open communication, is fundamental to improving patient care.
- Specific, actionable processes can effectively drive positive change in OR culture.
- Continuous focus on these elements leads to measurable improvements in patient safety and operational efficiency.


