Department of Surgery, University of California San Diego, La Jolla, California, USA
School of Medicine, University of California San Diego, La Jolla, California, USA.
BMJ Open Qual. 2024 Apr 8;13(2):e002453. doi: 10.1136/bmjoq-2023-002453.
Effective communication in the operating room (OR) is crucial. Addressing a colleague by their name is respectful, humanising, entrusting and associated with improved clinical outcomes. We aimed to enhance team communication in the perioperative environment by offering personalised surgical caps labelled with name and provider role to all OR team members at a large academic medical centre.
This was a quasi-experimental, uncontrolled, before-and-after quality improvement study. A survey regarding perceptions of team communication, knowledge of names and roles, communication barriers, and culture was administered before and after cap delivery. Survey results were measured on a 5-point Likert Scale; descriptive statistics and mean scores were compared. All cause National Surgical Quality Improvement Project (NSQIP) morbidity and mortality outcomes for surgical specialties were examined.
1420 caps were delivered across the institution. Mean survey scores increased for knowing the names and roles of providers around the OR, feeling that people know my name and feeling comfortable communicating without barriers across disciplines. The mean score for team communication around the OR is excellent was unchanged. The highest score both before and after was knowing the name of an interdisciplinary team member is important for patient care. A total of 383 and 212 providers participated in the study before and after cap delivery, respectively. Participants agreed or strongly agreed that labelled surgical caps made it easier to talk to colleagues (64.9%) while improving communication (66.0%), team culture (60.5%) and patient care (56.8%). No significant differences were noted in NSQIP outcomes.
Personalised labelled surgical caps are a simple, inexpensive tool that demonstrates promise in improving perioperative team communication. Creating highly reliable surgical teams with optimal communication channels requires a multifaceted approach with engaged leadership, empowered front-line providers and an institutional commitment to continuous process improvement.
手术室（OR）中的有效沟通至关重要。称呼同事的名字是尊重、人性化、信任的表现，与改善临床结果相关。我们的目标是通过向大型学术医疗中心的所有手术室团队成员提供个性化的标有姓名和职务的手术帽，来增强围手术期环境中的团队沟通。
这是一项准实验、非对照、前后质量改进研究。在手术帽发放前后，我们对团队沟通、姓名和职务认知、沟通障碍和文化等方面的看法进行了调查。调查结果采用 5 分制李克特量表进行衡量；对描述性统计和平均值进行比较。对所有外科专业的国家手术质量改进计划（NSQIP）发病率和死亡率结果进行了检查。
机构共发放了 1420 顶手术帽。对了解手术室周围人员的姓名和职务、感觉他人知道自己的姓名以及在跨学科交流中无障碍沟通的认知度得分有所提高。手术室周围团队沟通的平均得分为“优秀”，保持不变。无论是之前还是之后，得分最高的都是“了解跨学科团队成员的姓名对患者护理很重要”。在发放手术帽前后，分别有 383 名和 212 名医务人员参与了这项研究。参与者一致或强烈同意标有姓名的手术帽使与同事交流变得更加容易（64.9%），同时也改善了沟通（66.0%）、团队文化（60.5%）和患者护理（56.8%）。NSQIP 结果无显著差异。
个性化标有姓名的手术帽是一种简单、廉价的工具，它在改善围手术期团队沟通方面显示出了一定的前景。创建具有高度可靠性的手术团队，需要建立最佳的沟通渠道，这需要采取多方面的方法，包括有领导力的参与、授权的一线员工以及对持续流程改进的机构承诺。
