Abstract
Introduction Communication failure among healthcare professionals causes preventable surgical morbidity and mortality. Asia- Pacific region has its own cultural norms and customs sometimes causing perplexities and acting as a barrier in communication in a surgical setup. This systematic review summarizes the communication failures in surgery in countries belonging to the Asia-Pacific Region. Methods Data were obtained by a stepwise process using electronic databases such as MEDLINE, EMBASE and Google Scholar. MeSH subheading 'Surgery' and MeSH terms such as anaesthesia, operating rooms and communication were used. Results The literature search yielded 447 articles. Additional five articles were selected from the references. Twelve eligible articles were selected for the final analysis. The causes of communication failure were identified in four domains. Those were failures in communication in teamwork, individual factors, work environment related factors and technical factors. Conclusions Professional power, hierarchical approach, gender-based discriminations and not being open for constructive criticism leading to communication failures were seen in Asia-Pacific region. Debriefing on areas in communication errors and implementations such as creating awareness through nontechnical skills education, protocols, checklists, and introducing other methods to minimize the failure rates perhaps need to be done in this region.
Highlights
Communication failure among healthcare professionals causes preventable surgical morbidity and mortality
Professional power, hierarchical approach, gender-based discriminations and not being open for constructive criticism leading to communication failures were seen in Asia-Pacific region
Debriefing on areas in communication errors and implementations such as creating awareness through nontechnical skills education, protocols, checklists, and introducing other methods to minimize the failure rates perhaps need to be done in this region
Summary
Communication failure among healthcare professionals causes preventable surgical morbidity and mortality. Alfred Cuschieri wrote, ''the attitude to adverse events has changed from the defensive 'blame and shame culture' to an open and transparent healthcare delivery system, it is timely to examine the nature of human errors and their impact on the quality of surgical health care'' [1]. There is growing evidence to suggest that non-technical skills are required to overcome these human errors in a surgical team [6,7,8,9,10]. Out of the interpersonal skills, communication plays a key role in bridging the gap in human error and continuum of patient care during surgical interventions [5, 7, 11, 12]
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