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(10) A Systematic Review of Communication and Teamwork Training Interventions In the Operating Room

Eileen Broich


Purposes of the project: Conduct a comprehensive literature review in order to: 1. Determine what types of interventions are effective in improving patient safety through enhanced operating room communication and improved teamwork and 2. Improve surgical outcomes by providing a comprehensive analysis of the literature relating to communication and teamwork improvement in the operating room. Background/Context for the project: The operating room (OR) is a dynamic environment that places individuals in complex situations requiring cooperation, teamwork, and enhanced communication skills. Failures in communication and teamwork play a significant role in most sentinel events within the operating room. Poor communication is known to affect collaboration and leads to higher error rates which negatively impacts patient care. Research activities conducted for the project: A review of the literature was done to establish the scope of the problem. Study inclusion criteria were developed and a thorough search of relevant data bases was conducted to obtain studies that meet the inclusion criteria. Ten studies were identified. An extraction tool was developed to assist in analyzing the studies. The analysis included a critique of the studies, sampling, design, ethical consideration, data analysis, methods and teaching modalities. Results of the project: Ten studies were evaluated that included various training methods. Those most successful utilized mixed methods of training and combined mixed operating room staff at training sessions. The results of this review suggested that patient safety can be improved by providing teamwork and communication training to OR staff. Recommendations for future research were made

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