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Canadian Journal of Anesthesia/Journal canadien d'anesthésie

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28.05.2019 | Review Article/Brief Review

Interprofessional communication in the operating room: a narrative review to advance research and practice

verfasst von: Cole Etherington, PhD, Michael Wu, Olivia Cheng-Boivin, BSc, Sarah Larrigan, Sylvain Boet, MD, PhD

Erschienen in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie | Ausgabe 10/2019

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Abstract

Purpose

Communication failures are often at the root of adverse events for surgical patients; however, evidence to inform best communication practice in the operating room is relatively limited. This narrative review outlines the importance of interprofessional communication for surgical patient safety, maps its barriers and facilitators, and highlights key strategies for enhancing communication quality in the operating room. Based on this review, a research agenda to inform best practices in interprofessional operating room communication is suggested.

Source

The non-systematic literature search included searches of relevant databases (Medline (via OVID), PubMed, Scopus, and EMBASE, PsycINFO, CINAHL), relevant grey literature sources (e.g., patient safety institute websites), and reference lists of selected articles.

Principal findings

Effective interprofessional communication plays a critical role in the operating room, but faces many challenges at the individual, team, environmental, and organizational level. Factors that support effective communication are less documented than barriers, but include team integration, flattened hierarchies, and structure/standardization. Checklists, safety briefings, and teamwork/communication training are the most common techniques used to improve communication in the operating room. Of all communication techniques, closed-loop communication may be the most practical and inexpensive strategy.

Conclusion

The perioperative community should be encouraged to implement existing effective solutions to improve communication and investigate creative solutions to identified barriers. Improved methods of data collection are needed to enhance evidence quality, increase understanding of communication barriers and facilitators, and identify the best strategy to advance practice.

Wang Y, Eldridge N, Metersky ML, et al. National trends in patient safety for four common conditions, 2005-2011. N Engl J Med 2014; 370: 341-51.PubMedPubMedCentralCrossRef

Canadian Institute for Health Information and Canadian Patient Safety Institute. Measuring Patient Harm in Canadian Hospitals. Ottawa, ON; 2016. Available from URL: https://secure.cihi.ca/free_products/cihi_cpsi_hospital_harm_en.pdf (accessed April 2019).

Zegers M, de Bruijne MC, de Keizer B, et al. The incidence, root-causes, and outcomes of adverse events in surgical units: implication for potential prevention strategies. Patient Saf Surg 2011; 5: 13.PubMedPubMedCentralCrossRef

Canadian Patient Safety Institute. Surgical Safety in Canada: A 10-year review of CMPA and HIROC medico-legal data. Ottawa, ON; 2016. Available from URL: https://www.patientsafetyinstitute.ca/en/toolsResources/Surgical-Safety-in-Canada/Pages/default.aspx (accessed April 2019).

Healey MA, Shackford SR, Osler TM, Rogers FB, Burns E. Complications in surgical patients. Arch Surg 2002; 137: 617-8.CrossRef

Leonard M, Graham S, Bonacum D. The human factor: the critical importance of effective teamwork and communication in providing safe care. Qual Saf Health Care 2004; 13(Suppl 1): i85-90.PubMedPubMedCentralCrossRef

Hu YY, Arriaga AF, Peyre SE, et al. Deconstructing intraoperative communication failures. J Surg Res 2012; 177: 37-42.PubMedPubMedCentralCrossRef

Kripalani S, LeFevre F, Phillips CO, William MV, Basaviah P. Baker DW. Deficits in communication and information transfer between hospital-based and primary care physicians: implications for patient safety and continuity of care. JAMA 2007; 297: 831-41.

Beck RS, Daughtridge R, Sloane PD. Physician-patient communication in the primary care office: a systematic review. J Am Board Fam Pract 2002; 15: 25-38.PubMed

10.

Foronda C, Macwilliams B, Mcarthur E. Interprofessional communication in healthcare: an integrative review. Nurse Educ Pract 2016; 19: 36-40.PubMedCrossRef

11.

Nagpal K, Vats A, Lamb B, et al. Information transfer and communication in surgery: a systematic review. Ann Surg 2010; 252: 225-39.PubMedCrossRef

12.

Weldon SM, Korkiakangas T, Bezemer J, Kneebone R. Communication in the operating theatre. Br J Surg 2013; 100: 1677-88.PubMedCrossRef

13.

The Joint Commission. Sentinal Event Data - Root Causes by Event Type - 2004 to third quarter 2011. Available from URL: https://www.nerc.com/pa/rrm/hp/2012%20Human%20Performance%20Conference/Chuck%20Mowll%20Joint%20Commision%20Healthcare.pdf (accessed April 2019).

14.

Thiels CA, Lal TM, Nienow JM, et al. Surgical never events and contributing human factors. Surgery 2015; 158: 515-21.PubMedCrossRef

15.

Schuenemeyer J, Hong Y, Plankey M, et al. Foreign body entrapment during thoracic surgery—time for closed loop communication. Eur J Cardio-Thoracic Surg 2017; 51: 852-5.CrossRef

16.

Siu J, Maran N, Paterson-Brown S. Observation of behavioural markers of non-technical skills in the operating room and their relationship to intra-operative incidents. Surgeon 2016; 14: 119-28.PubMedCrossRef

17.

Merriam-Webster. Dictionary: Communication. Available from URL: https://www.merriam-webster.com/dictionary/communication (accessed April 2019).

18.

Cumin D, Skilton C, Weller J. Information transfer in multidisciplinary operating room teams: a simulation-based observational study. BMJ Qual Saf 2016; 26: 209-16.PubMedCrossRef

19.

Beck SJ, Keyton J. Team cognition, communication and message interdependence. In: Salas E, Fiore SM, Letsky MP, editors. Theories of Team Cognition: Cross-Disciplinary Perspectives. NY: Routledge; 2012. p. 471-94.

20.

Salas E, Sims DE, Burke CS. Is there a “big five” in teamwork? Small Gr Res 2005; DOI: https://doi.org/10.1177/1046496405277134.

21.

Salas E, Fiore SM, Letsky MP. Theories of Team Cognition: Cross-Disciplinary Perspctives. NY: Routledge; 2012 .

22.

Stout RJ, Cannon-Bowers JA, Salas E, Milanovich DN. Planning, shared mental models, and coordinated performance: an empirical link is established. Hum Factors 1999; 41: 61-71.CrossRef

23.

Gardner AK, Scott DJ, AbdelFattah KR. Do great teams think alike? An examination of team mental models and their impact on team performance. Surgery 2017; 161: 1203-8.PubMedCrossRef

24.

Green B, Oeppen RS, Smith DW, Brennan PA. Challenging hierarchy in healthcare teams - ways to flatten gradients to improve teamwork and patient care. Br J Oral Maxillofac Surg 2017; DOI: https://doi.org/10.1016/j.bjoms.2017.02.010.

25.

Parush A, Kramer C, Foster-Hunt T, Momtahan K, Hunter A, Sohmer B. Communication and team situation awareness in the OR: implications for augmentative information display. J Biomed Inform 2010; 44: 477-85.PubMedCrossRef

26.

Westli HK, Johnsen BH, Eid J, Rasten I, Brattebo G. Teamwork skills, shared mental models, and performance in simulated trauma teams: an independent group design. Scand J Trauma Resusc Emerg Med 2010; 18: 47.PubMedPubMedCentralCrossRef

27.

Mesmer-Magnus JR, DeChurch LA. Information sharing and team performance: a meta-analysis. J Appl Psychol 2009; 94: 535-46.PubMedCrossRef

28.

Lingard L. Communication failures in the operating room: an observational classification of recurrent types and effects. Qual Saf Heal Care 2004; 13: 330-4.CrossRef

29.

Poole MS. Team cognition, communication, and sharing. In: Salas E, Fiore SM, Letsky MP, editors. Theories of Team Cognition: Cross-Disciplinary Perspectives. NY: Routledge; 2012. p. 457-70.

30.

Sumwalt RL. The sterile cockpit. Aviation Safety Reporting System - 1993. Available from URL: https://asrs.arc.nasa.gov/publications/directline/dl4_sterile.htm (accessed April 2019).

31.

Gillespie BM, Chaboyer W, Longbottom P, Wallis M. The impact of organisational and individual factors on team communication in surgery: a qualitative study. Int J Nurs Stud 2010; 47: 732-41.PubMedCrossRef

32.

Lingard L, Reznick R, Espin S, Regehr G, DeVito I. Team communications in the operating room: talk patterns, sites of tension, and implications for novices. Acad Med 2002; 77: 232-7.PubMedCrossRef

33.

Epstein NE. Multidisciplinary in-hospital teams improve patient outcomes: a review. Surg Neurol Int 2014; 5(Suppl 7): S295-303.PubMedPubMedCentralCrossRef

34.

Sexton JB. The better the team the safer the world: golden rules of group interaction - evidence based sugestions for improving performance. Ladenburg, Germany: Gottlieb Daimler and Karl Benz Foundation; 2004. Available from URL: http://high-reliability.org/GIHRE_White_Book.pdf (accessed April 2019).

35.

Lingard L, Espin S, Whyte S, et al. Communication failures in the operating room: an observational classification of recurrent types and effects. Qual Saf Health Care 2004; 13: 330-4.PubMedPubMedCentralCrossRef

36.

Gillespie BM, Chaboyer W, Fairweather N. Interruptions and miscommunications in surgery: an observational study. AORN J 2012; 95: 576-90.PubMedCrossRef

37.

Tan TC, Zhou H, Kelly M. Nurse-physician communication - an integrated review. J Clin Nurs 2017; 26: 3974-89.PubMedCrossRef

38.

Sacks GD, Shannon EM, Dawes AJ, et al. Teamwork, communication and safety climate: a systematic review of interventions to improve surgical culture. BMJ Qual Saf 2015; 24: 458-67.PubMedCrossRef

39.

Pattni N, Bould MD, Hayter MA, et al. Gender, power and leadership: the effect of a superior’s gender on respiratory therapists’ ability to challenge leadership during a life-threatening emergency. Br J Anaesth 2017; 119: 697-702.PubMedCrossRef

40.

Sydor DT, Bould MD, Naik VN, et al. Challenging authority during a life-threatening crisis: the effect of operating theatre hierarchy. Br J Anaesth 2013; 110: 463-71.PubMedCrossRef

41.

Bould MD, Sutherland S, Sydor DT, Naik V, Friedman Z. Residents’ reluctance to challenge negative hierarchy in the operating room: a qualitative study. Can J Anesth 2015; 62: 576-86.PubMedCrossRef

42.

Makary MA, Sexton JB, Freischlag JA, et al. Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder. J Am Coll Surg 2006; 202: 746-52.PubMedCrossRef

43.

Canadian Medical Association. Number and percent distribution of physicians by specialty and sex, Canada 2016. Available from URL: https://www.cma.ca/sites/default/files/2019-03/2016-06-spec-sex.pdf (accessed April 2019).

44.

Canadian Institute for Health Information. Regulated Nurses: Canadian Trends, 2007 to 2011. Available from URL: https://secure.cihi.ca/free_products/Regulated_Nurses_EN.pdf (accessed April 2019).

45.

Coates J. Women, Men and Language: a Sociolinguistic Account of Gender Differences in Language. NY: Routledge; 2016 .

46.

Lyons S, Kuron L. Generational differences in the workplace: a review of the evidence and directions for future research. J Organ Behav 2014; 35: S139-57.CrossRef

47.

Bezemer J, Korkiakangas T, Weldon SM, Kress G, Kneebone R. Unsettled teamwork: communication and learning in the operating theatres of an urban hospital. J Adv Nurs 2016; 72: 361-72.PubMedCrossRef

48.

O’Daniel M, Rosenstein AH. Chapter 33. Professional communication and team collaboration. In: Hughes RG (Ed.). Patient Safety and Quality: an Evidence-Based Handbook for Nurses. Rockville, MD: Agency for Healthcare Research and Quality (US); 2008.

49.

Osborne-Smith L, Hodgen RK. Communication in the operating room setting. Annu Rev Nurs Res 2017; 35: 55-69.PubMedCrossRef

50.

Keller S, Tschan F, Beldi G, Kurmann A, Candinas D, Semmer NK. Noise peaks influence communication in the operating room. An observational study. Ergonomics 2016; 59: 1541-52.PubMed

51.

Healey AN, Sevdalis N, Vincent CA. Measuring intra-operative interference from distraction and interruption observedin the operating theatre. Ergonomics 2006; 49: 589-604.PubMedCrossRef

52.

Sevdalis N, Healey AN, Vincent CA. Distracting communications in the operating theatre. J Eval Clin Pract 2007; 13: 390-4.PubMedCrossRef

53.

Schiff L, Tsafrir Z, Aoun J, Taylor A, Theoharis L, Eisenstein D. Quality of communication in robotic surgery and surgical outcomes. JSLS 2016; DOI: https://doi.org/10.4293/jsls.2016.00026.

54.

Antoniadis S, Passauer-Baierl S, Baschnegger H, Weigl M. Identification and interference of intraoperative distractions and interruptions in operating rooms. J Surg Res 2014; 188: 21-9.PubMedCrossRef

55.

Khan I, Changez H, Owens D, McWilliams B. Can aviation style team training improve safety, quality and efficiency in the operating theatre? Clin Otolaryngol 2012; 37: 27 (abstract).

56.

Kapur N, Parand A, Soukup T, Reader A, Sevdalis N. Aviation and healthcare: a comparative review with implications for patient safety. JRSM open 2016; 7: 2054270415616548.PubMedCrossRef

57.

Rivers RM, Swain D, Nixon WR. Using aviation safety measures to enhance patient outcomes. AORN J 2003; 77: 158-62.PubMedCrossRef

58.

Lingard L, Regehr G, Cartmill C, et al. Evaluation of a preoperative team briefing: a new communication routine results in improved clinical practice. BMJ Qual Saf 2011; 20: 475-82.PubMedCrossRef

59.

Lingard L, Regehr G, Orser B, et al. Evaluation of a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures in communication. Arch Surg 2008; 143: 12-7.PubMedCrossRef

60.

Manser T. Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. Acta Anaesthesiol Scand 2009; 53: 143-51.PubMedCrossRef

61.

Urbach DR, Govindarajan A, Saskin R, Wilton AS, Baxter NN. Introduction of surgical safety checklists in Ontario. Canada. N Engl J Med 2014; 370: 1029-38.PubMedCrossRef

62.

Lingard L, Espin S, Rubin B, et al. Getting teams to talk: development and pilot implementation of a checklist to promote interprofessional communication in the OR. Qual Saf Health Care 2005; 14: 340-6.PubMedPubMedCentralCrossRef

63.

O’Leary JD, Wijeysundera DN, Crawford MW. Effect of surgical safety checklists on pediatric surgical complications in Ontario. CMAJ 2016; 188: E191-8.PubMedPubMedCentralCrossRef

64.

Ziman R, Espin S, Grant RE, Kitto S. Looking beyond the checklist: An ethnography of interprofessional operating room safety cultures. J Interprof Care 2018; 32: 573-83.CrossRef

65.

Wangoo L, Ray RA, Ho YH. Attitudes and compliance to the WHO Surgical Safety Checklist; a review. Eur Surg 2016; 48(Suppl 2): 155-62.CrossRef

66.

Mainthia R, Lockney T, Zotov A, et al. Novel use of electronic whiteboard in the operating room increases surgical team compliance with pre-incision safety practices. Surgery 2012; 151: 660-6.PubMedCrossRef

67.

Treadwell JR, Lucas S, Tsou AY. Surgical checklists: a systematic review of impacts and implementation. BMJ Qual Saf 2014; 23: 299-318.PubMedCrossRef

68.

Härgestam M, Lindkvist M, Brulin C, Jacobsson M, Hutlin M. Communication in interdisciplinary teams: exploring closed-loop communication during in situ trauma team training. BMJ Open 2013; 3: e003525.PubMedPubMedCentralCrossRef

69.

Friedman Z, Hayter M, Everett T, Matava C, Noble L, Bould MD. Power and conflict: Residents’ ability to challenge authority. Can J Anesth 2014; 61: S36-7 (abstract).

70.

Okuyama A, Wagner C, Bijnen B. How we can enhance nurses’ assertiveness: a literature review. J Nurs Care 2014; DOI: https://doi.org/10.4172/2167-1168.1000194.

71.

Agency for Healthcare Research and Quality. Pocket Guide:TeamSTEPPS 2.0. Team Strategies & Tools to Enhance Performance and Patient Safety - 2013. Available from URL: https://www.ahrq.gov/sites/default/files/publications/files/pocketguide.pdf (accessed April 2019).

72.

Pian-Smith MC, Simon R, Minehart RD, et al. Teaching residents the two-challenge rule: a simulation-based approach to improve education and patient safety. Simul Healthc 2009; 4: 84-91.PubMedCrossRef

73.

Friedman Z, Perelman V, McLuckie D, et al. Challenging authority during an emergency—the effect of a teaching intervention. Crit Care Med 2017; 45: e814-20.PubMedCrossRef

74.

Raemer DB, Kolbe M, Minehart RD, Rudolph JW, Pian-Smith MC. Improving Anesthesiologists’ ability to speak up in the operating room: a randomized controlled expirement of a simulation-based intervention and a qualitative analysis of hurdles and enablers. Acad Med 2016; 91: 530-9.PubMedCrossRef

75.

Beament T, Mercer SJ. Speak up! Barriers to challenging erroneous decisions of seniors in anaesthesia. Anaesthesia 2016; 71: 1332-40.PubMedCrossRef

76.

Sexton JB, Thomas EJ, Helmreich RL. Error, stress, and teamwork in medicine and aviation: cross sectional surveys. BMJ 2000; 320: 745-9.PubMedPubMedCentralCrossRef

77.

Awad SS, Fagan SP, Bellows C, et al. Bridging the communication gap in the operating room with medical team training. Am J Surg 2005; 190: 770-4.PubMedCrossRef

78.

Neily J, Mills PD, Young-Xu Y, et al. Association between implementation of a medical team training program and surgical mortality. JAMA 2010; 304: 1693-700.PubMedCrossRef

79.

Blum RH, Raemer DB, Carroll JS, Dufresne RL, Cooper JB. A method for measuring the effectiveness of simulation-based team training for improving communication skills. Anesth Analg 2005; 100: 1375-80.PubMedCrossRef

80.

Fung L, Boet S, Bould MD, et al. Impact of crisis resource management simulation-based training for interprofessional and interdisciplinary teams: a systematic review. J Interprof Care 2015; 29: 433-44.PubMedCrossRef

81.

Capella J, Smith S, Philp A, et al. Teamwork training improves the clinical care of trauma patients. J Surg Educ 2010; 67: 439-43.PubMedCrossRef

82.

Garbee DD, Paige J, Barrier K, et al. Interprofessional teamwork among students in simulated codes: a quasi-experimental study. Nurs Educ Perspect 2013; 34: 339-44.PubMed

83.

Boet S, Bould MD, Fung L, et al. Transfer of learning and patient outcome in simulated crisis resource management: a systematic review. Can J Anesth 2014; 61: 571-82.PubMedCrossRef

84.

Weaver SJ, Rosen MA, DiazGranados D, et al. Does teamwork improve performance in the operating room? A multilevel evaluation. Jt Comm J Qual Patient Saf 2010; 36: 133-42.PubMed

85.

Weller JM, Bloch M, Young S, et al. Evaluation of high fidelity patient simulator in assessment of performance of anaesthetists. Br J Anaesth 2003; 90: 43-7.PubMedCrossRef

86.

Nurok M, Sundt TM, Frankel A. Teamwork and communication in the operating room: relationship to discrete outcomes and research challenges. Anesthesiol Clin 2011; 29: 1-11.PubMedCrossRef

87.

Langerman A, Grantcharov TP. Are we ready for our close-up?: Why and how we must embrace video in the OR. Ann Surg 2017; 266: 934-6.PubMedCrossRef

88.

Goldenberg MG, Jung J, Grantcharov TP. Using data to enhance performance and improve quality and safety in surgery. JAMA Surg 2017; 369: 972-3.CrossRef

89.

Yanes AF, McElroy LM, Abecassis ZA, Holl J, Woods D, Ladner DP. Observation for assessment of clinician performance: a narrative review. BMJ Qual Saf 2016; 25: 46-55.PubMedCrossRef

90.

De Amici D, Klersy C, Ramajoli F, Brustia L, Politi P. Impact of the Hawthorne effect in a longitudinal clinical study: the case of anesthesia. Control Clin Trials 2000; 21: 103-14.PubMedCrossRef

91.

Braithwaite J, Wears RL, Hollnagel E. Resilient health care: turning patient safety on its head. Int J Qual Health Care 2015; 27: 418-20.PubMedCrossRef

Titel: Interprofessional communication in the operating room: a narrative review to advance research and practice
verfasst von: Cole Etherington, PhD
Michael Wu
Olivia Cheng-Boivin, BSc
Sarah Larrigan
Sylvain Boet, MD, PhD
Publikationsdatum: 28.05.2019
Verlag: Springer International Publishing
Erschienen in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie / Ausgabe 10/2019
Print ISSN: 0832-610X
Elektronische ISSN: 1496-8975
DOI: https://doi.org/10.1007/s12630-019-01413-9

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Interprofessional communication in the operating room: a narrative review to advance research and practice

Abstract

Purpose

Source

Principal findings

Conclusion

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Springer Medizin

Abstract

Purpose

Source

Principal findings

Conclusion

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