An analysis of trauma team communication using the verbal response mode taxonomy
| Autor: | Peter Berggren, Liselott Fornander, Ida Molin |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Service (systems architecture)
Interprofessional Relations Resuscitation media_common.quotation_subject Applied psychology Video Recording MEDLINE 030230 surgery 03 medical and health sciences Professional Role 0302 clinical medicine Mode (computer interface) Taxonomy (general) Health care Humans Medicine media_common Patient Care Team Teamwork Medical Errors Verbal Behavior business.industry Leadership 030220 oncology & carcinogenesis Wounds and Injuries Domain knowledge Surgery Clinical Competence business Meaning (linguistics) |
| Zdroj: | Surgery. 170:1849-1854 |
| ISSN: | 0039-6060 |
| DOI: | 10.1016/j.surg.2021.05.043 |
| Popis: | Background Although 40 years has passed since the Institute of Medicine released its report “To Err Is Human,” error counts are still high in healthcare. The understanding and training of nontechnical skills and teamwork thus remains a pertinent area for improvement. Most evaluation of nontechnical skills of trauma teams takes place in simulation rooms. The aim of this study was to determine if real trauma resuscitation communication could be analyzed using the speech classification system of verbal response modes, otherwise known as the verbal response mode taxonomy and, if so, if there is a predominant approach of verbally delivering messages. Methods Video and audio recordings of 5 trauma team resuscitations were transcribed. Communication was coded using the verbal response mode taxonomy for both form and intent. The rate of mixed-mode communication (unmatched form and intent) and pure-mode communication were calculated and compared between the participants roles. Comparisons were made with simulated material published in other research. Results The most frequent mixed-mode communication was acknowledgment in service of confirmation. Question in service of a question was the most used pure-mode communication. Six predominant roles were seen, which matched well with the roles in the simulations. Conclusion The verbal response mode taxonomy can be used to study communication during real trauma resuscitation, and it was found that pure-mode communication was predominant, meaning that the grammatical form matches the intent. Verbal response mode methodology is time consuming and requires analysts with domain knowledge. Comparisons show some differences between simulations and our material indicating that verbal response modes can be used to evaluate differences in communication. |
| Databáze: | OpenAIRE |
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