Journal of Patient Safety & Quality Improvement

Journal of Patient Safety & Quality Improvement

Effect of Communication Skills on Patient Safety among Surgical Team Members in Operating Room: A Qualitative Study

Document Type : Original Article

Authors
Behzad Imani 1
Shima Bahrami jalal 2
1 Assistant Professor, Department of Operating Room, School of Paramedicine Sciences, Hamadan University of Medical Sciences, Hamadan, Iran.
2 MS Student, Department of Operating Room, Student Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran.
10.22038/psj.2022.62442.1347
Abstract
Introduction:
Improvement of communication skills and all activities among the surgical team members during the operations can accelerate the patient safety (PS) and reduce the rate of surgical errors (SEs). Besides, the real impact of communicational skills on PS needs more attention. Thus, in the present qualitative investigation, the authors aimed to assess the probable significant relevancy among the impacts of precise communication of surgical team members and PS in operating room (OR).
 Materials and Methods:
The grounded theory approach was hired for investigation and the samples were selected purposefully. Then, interviews were applied among the surgical team members (n=8), including anesthesiologists, surgical technologists (STs), and the surgeons. Finally, Strauss and Corbin’s assays were used for data analysis.
 Results:
The findings revealed that the interfering agents influencing PS can be categorized into two time-periods of prior to the surgery (with 5 sub-categories) and during the surgery (with 3 sub-groups).
 Conclusion:
The communication and cooperation are two crucial essentials requiring for OR teamwork activities. Thus, the PS is directly affected by comprehensive communication among the surgical team members.
Keywords
Operating Room
Patient Safety
Communication
Qualitative
Subjects
  1. Nabilou B, Rasouli J, Khalilzadeh H. Patient Safety Status in Medical Education: Students Perception, Knowledge and Attitude. Research in Medical Education. 2013; 5 (2): 23-31.
  2. Memarbashi E, Zadi O, Imani F, Nasiri E. Evaluation of the Patient Safety Culture Status and its related Factors from the Perspective of Operating Room Personnel. Journal of Client-Centered Nursing Care. 2020; 6 (1): 23-30.
  3. Kwon E, Kim YW, Kim SW, Jeon S, Lee E, Kang H-Y, et al. A comparative study on patient safety attitude between nurses and doctors in operating rooms. Journal of International Medical Research. 2019: 0300060519884501.
  4. Haugen AS, Sevdalis N, Søfteland E. Impact of the world health organization surgical safety checklist on patient safety. Anesthesiology: The Journal of the American Society of Anesthesiologists. 2019; 131 (2): 420-5.
  5. Sheikhtaheri A, Sadoughi F, Ahmadi M, Moghaddasi H. Developing Iranian patient safety indicators: an essential approach for improving healthcare health safety. Asian Biomedicine. 2013; 7 (3): 365-73.
  6. Gutierres LdS, Santos JLGd, Peiter CC, Menegon FHA, Sebold LF, Erdmann AL. Good practices for patient safety in the operating room: nurses' recommendations. Brazilian magazine of nurses. 2018; 71: 2775-82.-7.
  7. Lee DJ, Ding J, Guzzo TJ. Improving operating room efficiency. Current urology reports. 2019; 20 (6): 28.
  8. Cha JS, Monfared S, Stefanidis D, and Nussbaum MA, Yu D. Supporting surgical teams: Identifying needs and barriers for exoskeleton implementation in the operating room. Human Factors. 2020; 62 (3): 377-90.
  9. Zhu S, Fan W, Yang S, Pei J, Pardalos PM. Operating room planning and surgical case scheduling: a review of literature. Journal of Combinatorial Optimization. 2019; 37 (3): 757-805.
  10. Makary MA, Sexton JB, Freischlag JA, Holzmueller CG, Millman EA, Rowen L, et al. Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder. Journal of the American College of Surgeons. 2006; 202 (5): 746-52.
  11. Poore SO, Sillah NM, Mahajan AY, Gutowski KA. Patient safety in the operating room: I. Preoperative. Plastic and reconstructive surgery. 2012; 130 (5): 1038-47.
  12. Lingard L, Espin S, Whyte S, Regehr G, Baker G, Reznick R, et al. Communication failures in the operating room: an observational classification of recurrent types and effects. BMJ Quality & Safety. 2004; 13 (5): 330-4.
  13. Etherington N, Wu M, Cheng-Boivin O, Larrigan S, Boet S. Interprofessional communication in the operating room: a narrative review to advance research and practice. Canadian Journal of Anesthesia / Canadian Journal of Anesthesia. 2019; 66 (10): 1251-60.-9.
  14. Frasier LL, Quamme SRP, Ma Y, Wiegmann D, Leverson G, DuGoff EH, et al. Familiarity and communication in the operating room. Journal of Surgical Research. 2019; 235: 395-403.
  15. Kane P, Marley R, Daney B, Gabra JN, Thompson TR. Safety and Communication in the Operating Room: A Safety Questionnaire after the Implementation of a Blood-Borne Pathogen Exposure Checkpoint in the Surgical Safety Checklist Preprocedure Time-Out. The Joint Commission Journal on Quality and Patient Safety. 2019; 45 (10): 662-8.
  16. lernler E, Yildiz T, Bahar S. Evaluation of the communication skills of operating room personnel . Journal of Interprofessional Education & Practice. 2018; 10: 44-6.
  17. Pakgohar M, Rahimikian F, Mehran A, Mohammadi T. Quality assessment of family planning counseling in health and treatment centers, affiliated to Tehran University of Medical Sciences. Journal of life. 2015; 8 (2): 62-71.
  18. Mousavi E, Kavi E, Larti N, Dorcheh SJ, Gharahzadeh A. The relationship between attitude towards the effectiveness of teamwork and observing safety standards in Isfahan educational hospitals. Latin American Journal of Hypertension. 2018; 13 (3): 271.
  19. Lindberg JB, Hunter ML, Kruszewski AZ. Introduction to nursing: concepts, issues, and opportunities. 3rd ed. Philadelphia, PA: Lippincott; 1998.
  20. Nobahar M. Professional errors and patient safety in intensive cardiac care unit. Journal of Holistic Nursing and Midwifery. 2015; 25 (3): 63-73.
  21. Burgener AM. Enhancing communication to improve patient safety and to increase patient satisfaction. The health care manager. 2020; 39 (3): 128-32.
  22. Garosi E, Kalantari R, Zanjirani Farahani A, Zuaktafi M, Hosseinzadeh Roknabadi E, Bakhshi E. Concerns about verbal communication in the operating room: a field study. Human factors. 2020; 62 (6): 940-53.
  23. Safazadeh SH, Zarei A, Frequency of hospital errors identify the cause and severity of their damage caused by in teaching hospital Al-Zahra Isfahan, First National Congress of Clinical Governance and Improve the Quality of Student Tabriz university of medical sciences 2012; 3074 [Persian].
  24. Profit J, Etchegaray J, Petersen LA, et al. The safety attitudes questionnaire as a tool for benchmarking safety culture in the NICU. Arch Dis Child Fetal Neonatal Ed. 2012; 97 (2): F127 – F32. doi: 10.1136 / archdischild-2011-300612
  25. Hanssen I, Smith Jacobsen IL, Skråmm SH. Non-technical skills in operating room nursing: Ethical aspects. Nursing Ethics. 2020: 0969733020914376.
  26. Gilmartin J, Wright K. Day surgery: patients' felt abandoned during the preoperative wait. J ClinNurs 2008; 17 (18): 2418-25.
  27. Mohebati F, Keshtkaran V, Hedayati SP, Hatam N, Shahmoradi M, Respecting the Safety standards of operating rooms in Shiraz University of Medical Sciences Hospitals in 2008, NezameSalamat 2010; 1 (1): 11 [Persian].
  28. Gillespie BM, Chaboyer W, Longbottom P, Wallis M. The impact of organizational and individual factors on team communication in surgery: a qualitative study. International journal of nursing studies. 2010; 47 (6): 732-41.
  29. Golmohamadi R, ShafieeMotlagh M, Jamshidi Rastani M, Salimi N, Valizadeh Z. Assessment of Interior and Area Artificial Lighting in Hospitals of Hamadan City. Journal of Occupational Hygiene Engineering. 2014; 1 (1): 47-56.



 

Journal of Patient Safety & Quality Improvement
Volume 10, Issue 2
Spring 2022
Pages 55-61