W.S.B.—A fluoroscopy C-arm communication strategy

Williams, Timothy H.; Syrett, Amanda G.; Brammar, T. J.

doi:10.1016/j.injury.2008.10.011

Cited by 13 publications

(24 citation statements)

References 7 publications

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“…Use of a common language has been demonstrated to improve efficiency in obtaining images with the fluoroscope. 7 Our investigation illustrates the inconsistency in terminology currently used for direction of the fluoroscope. Coupled with casual use of the fluoroscope by radiation technologists, frustrating miscommunication is inevitable.…”

Section: Discussionmentioning

confidence: 86%

“…A recent study demonstrated that a prearranged communication strategy between the surgeon and radiation technologist reduced the time required to perform a number of manoeuvres with the C-arm fluoroscope in an in vitro experimental scenario. 7 A consistent, widely used set of terms understood by both the surgeon and technologist might facilitate faster acquisition of quality images, thereby decreasing frustration and exposure of the patient and surgical team to ionizing radiation.…”

Section: Recherchementioning

confidence: 99%

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Survey of terminology used for the intraoperative direction of C-arm fluoroscopy

Pally

2013

cjs

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Background: Orthopedic surgeons depend on the intraoperative use of fluoroscopy to facilitate procedures across all subspecialties. The versatility of the C-arm fluoroscope allows acquisition of nearly any radiographic view. This versatility, however, creates the opportunity for difficulty in communication between surgeon and radiation technologist. Poor communication leads to delays, frustration and increased exposure to ionizing radiation. There is currently no standard terminology employed by surgeons and technologists with regards to direction of the fluoroscope. Methods:The investigation consisted of a web-based survey in 2 parts. Part 1 was administered to the membership of the Canadian Orthopedic Association, part 2 to the membership of the Canadian Association of Medical Radiation Technologists. The survey consisted of open-ended or multiple-choice questions examining experience with the C-arm fluoroscope and the terminology preferred by both orthopedic surgeons and radiation technologists. Results:The survey revealed tremendous inconsistency in language used by orthopedic surgeons and radiation technologists. It also revealed that many radiation technologists were inexperienced in operating the fluoroscope. Conclusion:Adoption of a common language has been demonstrated to increase efficiency in performing defined tasks with the fluoroscope. We offer a potential system to facilitate communication based on current terminology used among Canadian orthopedic surgeons and radiation technologists.

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Section: Discussionmentioning

confidence: 86%

Section: Recherchementioning

confidence: 99%

Survey of terminology used for the intraoperative direction of C-arm fluoroscopy

Pally

2013

cjs

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“…Williams et al has previously demonstrated that with a single experienced surgeon matched with a single radiographer using a pre-prepared communication strategy could significantly improve efficiency and safety of fluoroscopic C-arm use. 6 However, this study involved just a single pair of surgeons and radiographer with repetitive manoeuvre. Our study demonstrates that use of a common vernacular can result in similar improvements in efficiency with staff of varied seniority and experience.…”

Section: Discussionmentioning

confidence: 99%

Improving operating theatre communication between the orthopaedics surgeon and radiographer

Yeo

Gordon

Nusem

2013

ANZ Journal of Surgery

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“…The WHO-SSC, 11 designed originally to reduce surgical errors also plays a part in establishing interpersonal relationships within transient teams. It was only mentioned by one Orthopaedic participant suggesting that transient team membership demands a social effort to obtain familiarity.…”

Section: Referent Powermentioning

confidence: 99%

“…In one paper, there was tangential reference to professional relationships, suggesting that communication barriers are a source of intra-operative conflict, especially when unfamiliar surgeons and radiographers come to work together. 11 Interpersonal relationships within transient surgical teams are nurtured and facilitated by introductions, briefings and room preparation prior to list commencement. The WHO Surgical Safety Checklist (WHO-SSC) was devised to implement a structure around which this could be done and outlines a formal procedure where team members become accountable to each other by formal introductions and role definitions at the start of a surgical or interventional radiology case.…”

Section: Introductionmentioning

confidence: 99%

The Radiographer's multidisciplinary team role in theatre scenarios

Williams¹,

Widdowfield²,

Cosson³

2015

Radiography

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a b s t r a c tBackground: Radiographers work in multidisciplinary teams (MDTs) to image intra-operatively using ionising radiation. The radiographer is responsible according to IR(ME)ER (2000) and IRR(99) regulations for advocating patient and theatre personnel safety. A comprehensive literature search revealed limited studies analysing the radiographer's experiences of utilising power to influence MDTs. Therefore the aim of the study was to explore the power relationships within different MDT scenarios. Method: A qualitative approach was adopted consisting of interviews exploring radiographers' experiences as 1) established Cardiology team members and 2) transient members of Orthopaedic teams. French and Raven's power bases were used as an a priori framework. Ethical approval was obtained prior to commencement. Sampling was purposive, following gatekeeper permission, and subsequent participation was voluntary. Thematic content analysis was undertaken following data collection. Findings and discussion: Perpetration of Legitimate Power was more frequently attempted in transient teams. However, there were more successful descriptions in established teams. Expert Power was reciprocated successfully in established teams but was context dependent in transient teams. Referent power was well used by participants, although the transient nature of teams did affect this. Job satisfaction was expressed by both groups, although evidence presented was more comprehensive in established teams. Conclusion: The social bases of power at play within two MDTs have been examined. It is unclear to what extent the team specialism has a role in the differences identified. Radiographers working in established teams may have greater job satisfaction and perpetrate power bases more effectively than radiographers serving in transient teams.

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W.S.B.—A fluoroscopy C-arm communication strategy

Cited by 13 publications

References 7 publications

Survey of terminology used for the intraoperative direction of C-arm fluoroscopy

Survey of terminology used for the intraoperative direction of C-arm fluoroscopy

Improving operating theatre communication between the orthopaedics surgeon and radiographer

The Radiographer's multidisciplinary team role in theatre scenarios

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