Giordano Vincenza, Bosco Vincenzo, Nocerino Rita, De Domenico Dalila, Rago Cristiana, Virgolesi Michele, Rea Teresa, Guillari Assunta
Department of General Surgery and Women's Health AORN Antonio Cardarelli Naples Italy.
Department of Medical and Surgical Sciences University Hospital Mater Domini, Magna Graecia University Catanzaro Italy.
Health Sci Rep. 2025 Aug 4;8(8):e71035. doi: 10.1002/hsr2.71035. eCollection 2025 Aug.
Communication failures in operating rooms contribute to 30% surgical errors. This systematic review evaluates whether personalized surgical caps improve teamwork and communication, addressing both clinical outcomes and professional inclusivity.
We followed PRISMA guidelines, searching PubMed, CINAHL, and Google Scholar (February 2024-April 2024). Five studies met inclusion criteria (three randomized controlled trials and two observational studies). Methodological quality was assessed using the ROB-2 tool for randomized trials and JBI checklists for observational studies. A narrative synthesis was conducted due to heterogeneity in outcome measures.
The review found consistent evidence that personalized surgical caps enhance communication and teamwork in the operating room. Studies reported improved name and role recognition among team members, with labeled caps reducing misidentification errors by 65%-78%. Notably, female and underrepresented minority staff experienced disproportionately greater benefits, including higher rates of role recognition and reduced microaggressions. Teamwork perceptions improved significantly in three studies, with one pilot study documenting a median score increase of 1-2 points. However, the magnitude of effects varied across professional roles, suggesting contextual influences.
Personalized surgical caps demonstrate promise for improving communication dynamics and fostering inclusivity in the operating room, particularly for marginalized groups. While the evidence base is limited by study heterogeneity, all included studies reported positive outcomes. Future implementation should account for institutional policies and staff preferences to maximize effectiveness. Further research with standardized outcome measures is needed to strengthen these findings.
手术室中的沟通失误导致30%的手术错误。本系统评价评估个性化手术帽是否能改善团队协作与沟通，同时兼顾临床结果和职业包容性。
我们遵循PRISMA指南，检索了PubMed、CINAHL和谷歌学术（2024年2月至2024年4月）。五项研究符合纳入标准（三项随机对照试验和两项观察性研究）。使用ROB-2工具评估随机试验的方法学质量，使用JBI清单评估观察性研究的方法学质量。由于结局指标存在异质性，因此进行了叙述性综合分析。
该评价发现了一致的证据，表明个性化手术帽可增强手术室中的沟通与团队协作。研究报告称，团队成员之间的姓名和角色识别得到改善，带有标签的手术帽将错误识别率降低了65%-78%。值得注意的是，女性和代表性不足的少数族裔工作人员从中受益的比例尤其高，包括更高的角色识别率和减少的微侵犯行为。三项研究中的团队协作认知显著改善，一项试点研究记录的中位数得分提高了1-2分。然而，不同专业角色的效果大小有所不同，表明存在背景影响。
个性化手术帽在改善手术室沟通动态和促进包容性方面显示出前景，特别是对边缘化群体。虽然证据基础受到研究异质性的限制，但所有纳入研究均报告了积极结果。未来的实施应考虑机构政策和工作人员偏好，以最大限度地提高有效性。需要进一步开展采用标准化结局指标的研究来强化这些发现。
