Anesthesiology and Critical Care Medicine, Johns Hopkins Hospital, Baltimore, Maryland, USA.
Anesthesiology and Critical Care Medicine, Johns Hopkins Hospital, Baltimore, Maryland, USA
Postgrad Med J. 2020 Nov;96(1141):703-705. doi: 10.1136/postgradmedj-2020-137492. Epub 2020 May 5.
Communication failure is a common cause of medical errors and adverse events. Within the operating room (OR), there are many barriers to good communication, which can adversely affect patient outcome.
Implementing a simple, cost-neutral tool aimed at improving intraoperative communication and engagement.
Three anaesthesiology residents collected data using a data sheet and tailored surveys distributed to OR staff. Data were collected over a 2-week period in 2019, with 1 week each of preintervention and postintervention data collection. The intervention consisted of wearing OR caps displaying the first name and role of the anaesthesia resident clearly on the front.
A total of 20 data sheets and 48 preintervention and postintervention surveys were collected for a response rate of 57%. There was a statistically significant increase in OR staff knowledge of the anaesthesia resident's name (66% vs 100%, p=<0.001), an increase in the mean number of times the surgical providers addressed the anaesthesia residents (3.6 vs 7.8, p=0.0074) and an increase in the mean number of times the surgical providers addressed them by their first name (0.7 vs 4, p=0.0067). Comments received during the intervention were positive with overwhelming support.
This study demonstrated that a simple, cost-effective intervention can result in dramatic improvement in intraoperative communication and engagement between teams.
沟通失败是医疗差错和不良事件的常见原因。在手术室（OR）中，存在许多沟通障碍，这会对患者的预后产生不利影响。
实施一种简单、不增加成本的工具，旨在改善术中沟通和参与度。
三位麻醉住院医师使用数据表和针对手术室工作人员的定制调查收集数据。数据是在 2019 年的两周内收集的，干预前和干预后各收集一周。干预措施包括佩戴 OR 帽，正面清楚地显示麻醉住院医师的名字和角色。
共收集了 20 份数据表和 48 份干预前和干预后调查，回复率为 57%。手术室工作人员对麻醉住院医师名字的了解程度有显著统计学意义的提高（66% 对 100%，p<0.001），手术提供者与麻醉住院医师交流的平均次数增加（3.6 次对 7.8 次，p=0.0074），手术提供者称呼他们名字的平均次数也增加（0.7 次对 4 次，p=0.0067）。干预期间收到的反馈意见是积极的，得到了压倒性的支持。
这项研究表明，一种简单、经济有效的干预措施可以显著改善团队之间的术中沟通和参与度。
