Operative team communication during simulated emergencies: Too busy to respond?
| Autor: | Douglas S. Smink, Dara O’Keeffe, W. Austin Davis, Seth Jones, Kelly M. Boyle, Adrianna M. Crowell-Kuhnberg, Suzanne B. Klainer, Steven Yule |
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| Rok vydání: | 2016 |
| Předmět: |
Time Factors
Specialty MEDLINE Workload 030230 surgery 03 medical and health sciences 0302 clinical medicine Postoperative Complications Multidisciplinary approach Team communication medicine Humans 030212 general & internal medicine Closed-Loop Communication Retrospective Studies Patient Care Team Descriptive statistics business.industry Communication Retrospective cohort study medicine.disease Patient Simulation Surgery Interdisciplinary Communication Medical emergency Emergencies business |
| Zdroj: | Surgery. 161(5) |
| ISSN: | 1532-7361 |
| Popis: | Background Ineffective communication among members of a multidisciplinary team is associated with operative error and failure to rescue. We sought to measure operative team communication in a simulated emergency using an established communication framework called “closed loop communication.” We hypothesized that communication directed at a specific recipient would be more likely to elicit a check back or closed loop response and that this relationship would vary with changes in patients’ clinical status. Methods We used the closed loop communication framework to code retrospectively the communication behavior of 7 operative teams (each comprising 2 surgeons, anesthesiologists, and nurses) during response to a simulated, postanesthesia care unit “code blue.” We identified call outs, check backs, and closed loop episodes and applied descriptive statistics and a mixed-effects negative binomial regression to describe characteristics of communication in individuals and in different specialties. Results We coded a total of 662 call outs. The frequency and type of initiation and receipt of communication events varied between clinical specialties (P |
| Databáze: | OpenAIRE |
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