PATIENT SAFETY

Interprofessional communication in the operating room

A narrative review to advance research and practice

A narrative review to advance research and practice

A narrative review to advance research and practice

Published on

May 29, 2019

Canadian Journal of Anesthesia

Cole Etherington, Michael Wu, Olivia Cheng-Boivin, Sarah Larrigan, Sylvain Boet
Cole Etherington, Michael Wu, Olivia Cheng-Boivin, Sarah Larrigan, Sylvain Boet
Cole Etherington, Michael Wu, Olivia Cheng-Boivin, Sarah Larrigan, Sylvain Boet

Overview

This narrative review emphasizes the critical role of interprofessional communication in ensuring surgical patient safety, highlighting the communication failures that often lead to adverse events in the operating room. It identifies various barriers and facilitators to effective communication, noting that while many challenges exist at individual, team, environmental, and organizational levels, factors supporting good communication—such as team integration and flattened hierarchies—are less documented. The review suggests practical strategies for enhancing communication quality, including the use of checklists, safety briefings, and closed-loop communication, which may be the most cost-effective approach.

To improve patient safety, the review advocates for the implementation of existing communication solutions while also encouraging the exploration of innovative strategies to address identified barriers. It calls for improved data collection methods to strengthen the evidence base, better understand communication dynamics, and ultimately advance best practices in interprofessional communication within the perioperative community.

Results

Effective interprofessional communication plays a critical role in the operating room, but faces many challenges at the individual, team, environmental, and organizational level. Factors that support effective communication are less documented than barriers, but include team integration, flattened hierarchies, and structure/standardization. Checklists, safety briefings, and teamwork/communication training are the most common techniques used to improve communication in the operating room. Of all communication techniques, closed-loop communication may be the most practical and inexpensive strategy.