Surgical caps displaying team members' names and roles improve effective communication in the operating room: a pilot study

Ned Douglas,Candida Marane,David Heelan,Sophie Demeduik,John Ozcan,Gareth Symons,Kate Conlan,Priscilla Salmon,Taylor Sullivan,Brian Chee

doi:10.1186/s13037-021-00301-w

Ned Douglas, Candida Marane + Show 8 more

Open Access

https://doi.org/10.1186/s13037-021-00301-w

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Abstract

BackgroundTeamwork in the operating theatre is a complex emergent phenomenon and is driven by cooperative relationships between staff. A foundational requirement for teamwork is the ability to communicate effectively, and in particular, knowing each other’s name. Many operating theatre staff do not know each other’s name, even after formal team introductions. The use of theatre caps to display a staff member’s name and role has been suggested to improve communication and teamwork.MethodsWe hypothesized that the implementation of scrub hats with individual team members' names and roles would improve the perceived quality and effectiveness of communication in the operating theatre. A pilot project was designed as a pre-/post-implementation questionnaire sent to 236 operating room staff members at a general hospital in suburban Melbourne, Victoria, Australia, between November 6 to December 18, 2018. Participants included medical practitioners (anaesthetists, surgeons, obstetricians and gynaecologists), nurses (anaesthetic, scrub/scout and paediatric nurses), midwives and theatre technicians. The primary outcome was a change in perceived teamwork score, measured using a five position Likert scale.ResultsOf 236 enrolled participants, 107 (45%) completed both the pre and post intervention surveys. The median perceived teamwork response of four did not change after the intervention, though the number of low scores was reduced (p = 0.015). In a pre-planned subgroup analysis, the median perceived teamwork score rose for midwives from three to four (p < 0.001), while for other craft groups remained similar. The median number of staff members in theatre that a participant did not know the name of reduced from three to two (p < 0.001). Participants reported knowing the names of all staff members present in the theatre more frequently after the intervention (31% vs 15%, p < 0.001). The reported rate of formal team introductions was not significantly different after the intervention (34.7% vs 47.7% p = 0.058).ConclusionsIn this study, we found that wearing caps displaying name and role appeared to improve perceived teamwork and improve communication between staff members working in the operating theatre.

Highlights

Team members knowing and using each other’s names leads to better communication and is a recognised component of good team function, in the event of clinical crisis [1]
Good team communication during surgery has been linked to improved team function [4]
The study was conducted at a metropolitan general hospital of 600 beds, located in outer metropolitan Melbourne, Victoria, Australia

Summary

Introduction

Team members knowing and using each other’s names leads to better communication and is a recognised component of good team function, in the event of clinical crisis [1]. Good team communication during surgery has been linked to improved team function [4]. Directing communication to a specific staff member appears to improve team function [5, 6]. A foundational requirement for teamwork is the ability to communicate effectively, and in particular, knowing each other’s name. Many operating theatre staff do not know each other’s name, even after formal team introductions. The use of theatre caps to display a staff member’s name and role has been suggested to improve communication and teamwork

Methods

Results

Conclusion