'Disruptive behavior' in the operating room: A prospective observational study of triggers and effects of tense communication episodes in surgical teams

Autor: Keller, Sandra, Tschan, Franziska, Semmer, Norbert K., Timm-Holzer, Eliane, Zimmermann, Jasmin, Candinas, Daniel, Demartines, Nicolas, Hübner, Martin, Beldi, Guido
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Science and Technology Workforce
Operating Rooms
Medical Doctors
Science Policy
Science
Health Care Providers
Interprofessional Relations
300 Social sciences
sociology & anthropology
Emotions
Social Sciences
610 Medicine & health
Surgical and Invasive Medical Procedures
Anxiety
Careers in Research
Digestive System Procedures
Clinical Competence
Communication
Humans
Operating Rooms/organization & administration
Operating Rooms/standards
Patient Care Team/standards
Problem Behavior
Prospective Studies
Surgeons/psychology
Surgical Procedures
Operative/standards
Physicians
Medicine and Health Sciences
Psychology
Medical Personnel
Surgeons
Patient Care Team
Biology and Life Sciences
Technicians
Health Care
Professions
Surgical Procedures
Operative
People and Places
Medicine
Population Groupings
150 Psychology
Research Article
Personality
Zdroj: PLoS ONE
PloS one, vol. 14, no. 12, pp. e0226437
Keller, Sandra; Tschan, Franziska; Semmer, Norbert K.; Timm-Holzer, Eliane; Zimmermann, Jasmin; Candinas, Daniel; Demartines, Nicolas; Hübner, Martin; Beldi, Guido (2019). "Disruptive behavior" in the operating room: A prospective observational study of triggers and effects of tense communication episodes in surgical teams. PLoS ONE, 14(12), e0226437. Public Library of Science 10.1371/journal.pone.0226437
PLoS ONE, Vol 14, Iss 12, p e0226437 (2019)
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0226437
Popis: BACKGROUND Tense communication and disruptive behaviors during surgery have often been attributed to surgeons' personality or hierarchies, while situational triggers for tense communication were neglected. Goals of this study were to assess situational triggers of tense communication in the operating room and to assess its impact on collaboration quality within the surgical team. METHODS AND FINDINGS The prospective observational study was performed in two university hospitals in Europe. Trained external observers assessed communication in 137 elective abdominal operations led by 30 different main surgeons. Objective observations were related to perceived collaboration quality by all members of the surgical team. A total of 340 tense communication episodes were observed (= 0.57 per hour); mean tensions in surgeries with tensions was 1.21 per hour. Individual surgeons accounted for 24% of the variation in tensions, while situational aspects accounted for 76% of variation. A total of 72% of tensions were triggered by coordination problems; 21.2% by task-related problems and 9.1% by other issues. More tensions were related to lower perceived teamwork quality for all team members except main surgeons. Coordination-triggered tensions significantly lowered teamwork quality for second surgeons, scrub technicians and circulators. CONCLUSIONS Although individual surgeons differ in their tense communication, situational aspects during the operation had a much more important influence on the occurrence of tensions, mostly triggered by coordination problems. Because tensions negatively impact team collaboration, surgical teams may profit from improving collaboration, for instance through training, or through reflexivity.
Databáze: OpenAIRE
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