Communication skills of anesthesiologists: An Indian perspective (original) (raw)
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Concerns About Verbal Communication in the Operating Room: A Field Study
Human Factors: The Journal of the Human Factors and Ergonomics Society, 2019
Objective To assess verbal communication patterns which could contribute to poor performance among surgical team members in an operating room. Background There exist certain challenges in communication in health care settings. Poor communication can have negative effects on the performance of a surgical team and patient safety. A communication pattern may be associated with poor performance when the process of sending and receiving information is interrupted or the content of conversation is not useful. Method This cross-sectional field study was conducted with 54 surgical teams working in two Iranian hospitals during 2015. Two observers recorded all verbal communications in an operating room. An in-depth assessment of various annotated transcripts by an expert panel was used to assess verbal communication patterns in the operating room. Results Verbal communication patterns which could contribute to poor performance were observed in 63% of the surgeries, categorized as communicatio...
Improving anaesthetists' communication skills
Anaesthesia, 2004
The attitude, behaviour and communication skills of specialised doctors are increasingly recognised as important and they have been identified as training requirements. We designed a programme to teach communication skills to doctors in a University Department of Anaesthesia and evaluated its effect on patient outcomes such as satisfaction and anxiety. The 20 h programme was based on videotaped reviews of actual pre-operative visits and role-playing. Effects on patient satisfaction and pre-operative anxiety were assessed using a patient questionnaire. In addition, all participating anaesthetists assessed the training. We provide evidence that the training increased patient satisfaction with the pre-operative anaesthetic visit. Training also decreased anxiety associated with specific aspects of anaesthesia and surgery, but the effect was rather small given the intense programme. The anaesthetists agreed that their interpersonal skills increased and they felt better prepared to understand patients' anxieties. Communication skills training can increase patient satisfaction and decrease specific anxieties. The authors conclude that in order to better demonstrate the efficacy of such a training programme, the particular communication skills of anaesthetists rather than indirect patient outcome parameters should be measured.
Communication skills for the anaesthetist
Anaesthesia, 2009
Anaesthetists have traditionally focused on technological and pharmacological advances when considering the provision of anaesthetic care. Anaesthetists are expected to be able to communicate effectively with peers, patients, their families and others in the medical community; however, few details are provided regarding how this might be achieved. Recent evidence suggests that communication practices should include a consideration of conscious and subconscious processes and responses. This model has potential relevance when learning and teaching how to communicate effectively in the stressful environment of anaesthetic clinical practice, and includes: reflective listening; observing; acceptance; utilisation; and suggestion. Understanding these processes could allow the development of a learnable framework for effective communication when the usual strategies are not working. This concept could also be used to facilitate communicating with surgeons and other colleagues, with potential benefits to patients.
Patient Safety in Surgery
Background Effective communication is a fundamental step in providing best medical care and recognized as vital component of clinical anesthesia practice. Poor communication adversely affects patients’ safety and outcome. The objective of this study was to investigate the quality of anesthetist communication from patients’ perspectives at University of Gondar Comprehensive Specialized Hospital (UoGCSH), Northwest Ethiopia. Methodology A descriptive cross-sectional study was conducted on 423 surgical patients from April 1, – May 30, 2021. Perioperative patient-anesthetist communication (PPAC) was measured by using 15-items Communication Assessment Tool graded by 5-points Likert scale. Data collection was executed during postoperative time as the patients were optimally recovered from anesthesia. The collected data were cleaned and descriptive analysis was performed. Results A total of 400 (94.6% response rate) patients included and 226 (56.7%) were female. The median (IQR) age was 30...
Communication in the Operating Theatre
Background: Communication is extremely important to ensure safe and effective clinical practice. A systematic literature review of observational studies addressing communication in the operating theatre was conducted. The focus was on observational studies alone in order to gain an understanding of actual communication practices, rather than what was reported through recollections and interviews. Methods: A systematic review of the literature for accessible published and grey literature was performed in July 2012. The following information was extracted: year, country, objectives, methods, study design, sample size, healthcare professional focus and main findings. Quality appraisal was conducted using the Critical Appraisal Skills Programme. A meta-ethnographic approach was used to categorize further the main findings under key concepts. Results: Some 1174 citations were retrieved through an electronic database search, reference lists and known literature. Of these, 26 were included for review after application of full-text inclusion and exclusion criteria. The overall quality of the studies was rated as average to good, with 77 per cent of the methodological quality assessment criteria being met. Six key concepts were identified: signs of effective communication, signs of communication problems, effects on teamwork, conditions for communication, effects on patient safety and understanding collaborative work. Conclusion: Communication was shown to affect operating theatre practices in all of the studies reviewed. Further detailed observational research is needed to gain a better understanding of how to improve the working environment and patient safety in theatre.
Communication failure in the operating room
Surgery, 2011
Background. Communication errors contribute to the occurrence of adverse events in various domains of health care. Recent studies surveying perceptions of communication in the operating room have found disparities in the perceived quality of communication among members of the operating room team. Our aim was to characterize the nature of communication failures observed in the operating room and to assess whether a Team Training curriculum had any impact on observed communication errors. Methods. Intraoperative observation was performed and communication errors were identified according to predetermined criteria. Observed errors were classified according to the type of error, subject matter, and observed effect. Results. Seventy-six communication failures were observed over 150 hours of observation. Overall, communication errors relating to equipment and keeping team members informed of the progress of an operation comprised 36% and 24% of all observed communication errors, respectively. Prior to the introduction of a Team Training curriculum, 56 errors were observed over 76 hours (rate,737 errors per hour; standard error, 0.098). After Team Training, 20 errors over 74 hours were observed (rate .270 errors per hour; standard error, 0.060; P < .001).
Silence, power and communication in the operating room
Journal of Advanced Nursing, 2009
Title. Silence, power and communication in the operating room. Aim. This paper is a report of a study conducted to explore whether a 1‐ to 3‐minute preoperative interprofessional team briefing with a structured checklist was an effective way to support communication in the operating room.Background. Previous research suggests that nurses often feel constrained in their ability to communicate with physicians. Previous research on silence and power suggests that silence is not only a reflection of powerlessness or passivity, and that silence and speech are not opposites, but closely interrelated.Methods. We conducted a retrospective study of silences observed in communication between nurses and surgeons in a multi‐site observational study of interprofessional communication in the operating room. Over 700 surgical procedures were observed from 2005–2007. Instances of communication characterized by unresolved or unarticulated issues were identified in field notes and analysed from a...
information an communication in surgical
We conducted a systematic review of published literature to gain a better understanding of interprofessional information transfer and communication (ITC) in hospital setting in the field of surgical and anesthetic care. Background: Communication breakdowns are a common cause of surgical errors and adverse events. Data Sources: Medline, Embase, PsycINFO, Cochrane Database of Systematic Reviews, and hand search of articles bibliography. Study Selection: Of the 4027 citations identified through the initial electronic search and screened for possible inclusion, 110 articles were retained following title and abstract reviews. Of these, 38 were accepted for this review. Data Extraction: Data were extracted from the studies about objectives, clinical domain, methodology including study design, sample population, tools for assessing communication, results, and limitations. Results: Information transfer failures are common in surgical care and are distributed across the continuum of care. They not only lead to errors in care provision but also lead to patient harm. Most of the articles have focused on ITC process in different phases especially in operating room. None of the studies have looked at whole of the surgical care process. No standard tool has been developed to capture the ITC process in different teams and to evaluate the effect of various communication interventions. Uses of standardized communication through checklist, proformas, and technology innovations have improved the ITC process, with an effect on clinical and patient outcomes. Conclusions: ITC deficits adversely affect patient care. There is a need for standard measures to evaluate this process. Effective and standardized communication among healthcare professionals during the perioperative process facilitates surgical safety. (Ann Surg 2010;252: 225-239)
Bayero Journal of Nursing and Health Care, 2020
Communication brings about transformation and it serves the mainstream of patient care. Collaborative teamwork has dominated the field of healthcare and a single healthcare provider cannot achieve the continuous and overwhelming surgical care process unaided. Lack of effective communication and teamwork among perioperative team members over the past has culminated into surgical errors. A cross-sectional descriptive design was used to determine the factors affecting communication and teamwork in the operating theatre in Ahmadu Bello University Teaching Hospital, Shika Zaria. A total of 159 (124 doctors and 35 nurses) respondents were proportionately selected from each cluster for this study using a simple random sampling method. Out of 159 questionnaires administered, 116 were completely filled and analyzed, given a response rate of 73%. The main findings of this study established that the lack of joint training among team members (64%) was identified as the perceived problem associated with teamwork and communication. The other factors affecting communication include: lack of information and structural barriers (70%), disruptive behaviours (66%), fragmented communication (65%), misinformation and lack of clarification (63%) and teamwork hospital policies (84%), variance in communication style (79%), multiple responsibilities (78%), failures in monitoring all the team members (77%), different levels of discipline (74%), and work environment (74%). A good number of the respondents rated the overall communication and teamwork experience among the surgical team members as been fair. Years of experience as a surgical team member (p = 0.010) and the participants profession (p = 0.020) had a significant association with communication and teamwork. In conclusion, the study identified several factors affecting communication and teamwork in the operating theatre. This study reiterated the significance of communication, and teamwork in the operating room as it demonstrates a positive relationship with the use of WHO safety checklists as an instrument towards improving the quality of surgical patients care.