1238: Communication and Teamwork Assessment During Interdisciplinary Surgical Intensive Care Units Rounds

Abahuje, Egide; Díaz, Carmen Vega; Ko, Bona; Bushara, Omar; Tesorero, Kaithlyn; Lin, Katherine; Johnson, Julie; Stey, Anne M.

doi:10.1097/01.ccm.0000811276.83624.20

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“…However, a concordant observational study of five units in the same hospital validated and reinforced the critical impact of leadership on team psychological safety during formal communication processes. 27 Third, these data were collected during the COVID-19 pandemic when there were objectively greater stress and burden placed on interdisciplinary clinicians. The backdrop of pandemic stress may have impacted the nature and intensity of participant responses.…”

Section: Discussionmentioning

confidence: 99%

Defining conditions for effective interdisciplinary care team communication in an open surgical intensive care unit: a qualitative study

Diaz,

Egide,

Berry

et al. 2023

BMJ Open

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ObjectivePoor interdisciplinary care team communication has been associated with increased mortality. The study aimed to define conditions for effective interdisciplinary care team communication.DesignAn observational cross-sectional qualitative study.SettingA surgical intensive care unit in a large, urban, academic referral medical centre.ParticipantsA total 6 interviews and 10 focus groups from February to June 2021 (N=33) were performed. Interdisciplinary clinicians who cared for critically ill patients were interviewed. Participants included intensivist, transplant, colorectal, vascular, surgical oncology, trauma faculty surgeons (n=10); emergency medicine, surgery, gynaecology, radiology physicians-in-training (n=6), advanced practice providers (n=5), nurses (n=7), fellows (n=1) and subspecialist clinicians such as respiratory therapists, pharmacists and dieticians (n=4). Audiorecorded content of interviews and focus groups were deidentified and transcribed verbatim. The study team iteratively generated the codebook. All transcripts were independently coded by two team members.Primary outcomeConditions for effective interdisciplinary care team communication.ResultsWe identified five themes relating to conditions for effective interdisciplinary care team communication in our surgical intensive care unit setting: role definition, formal processes, informal communication pathways, hierarchical influences and psychological safety. Participants reported that clear role definition and standardised formal communication processes empowered clinicians to engage in discussions that mitigated hierarchy and facilitated psychological safety.ConclusionsStandardising communication and creating defined roles in formal processes can promote effective interdisciplinary care team communication by fostering psychological safety.

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Section: Discussionmentioning

confidence: 99%