Speaking across the drapes: communication strategies of anesthesiologists and obstetricians during a simulated maternal crisis

Simulation in Healthcare : Journal of the Society for Simulation in Healthcare
Rebecca D MinehartDaniel B Raemer

Abstract

Organizational behavior and management fields have long realized the importance of teamwork and team-building skills, but only recently has health care training focused on these critical elements. Communication styles and strategies are a common focus of team training but have not yet been consistently applied to medicine. We sought to determine whether such communication strategies, specifically "advocacy" and "inquiry," were used de novo by medical professionals in a simulation-based teamwork and crisis resource management course. Explicit expression of a jointly managed clinical plan between providers, a strategy shown to improve patient safety, was also evaluated. Forty-four of 54 videotaped performances of an ongoing team-building skills course were viewed and analyzed for presence of advocacy and/or inquiry that related to information or a plan; inclusion criteria were participation of a nonconfederate obstetrician and an anesthesiologist. Verbal statement of a jointly managed clinical plan was also recorded. Anesthesiologists advocated information in 100% of cases and advocated their plans in 93% of cases but inquired information in 30% of cases and inquired about the obstetricians' plans in 11% of cases. Obstetricians a...Continue Reading

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Citations

Jun 3, 2014·Health Communication·Kristin A KirschbaumMatthew Brennan
Nov 9, 2017·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Carl Eugene Alexander von Wendt, Leila Niemi-Murola
Aug 1, 2015·Journal of Healthcare Risk Management : the Journal of the American Society for Healthcare Risk Management·Gary L SculliJames P Bagian
May 23, 2019·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Diana B ZetnerEbbe Thinggaard
Oct 31, 2012·Current Opinion in Obstetrics & Gynecology·Pamela Andreatta, David Marzano
Sep 24, 2015·International Anesthesiology Clinics·Andres NavedoJeffrey B Cooper
Mar 30, 2018·Dimensions of Critical Care Nursing : DCCN·Renee Samples TwibellHeather Beane
Jul 16, 2019·The Journal of Continuing Education in the Health Professions·Sigall K BellElaine C Meyer
Feb 13, 2021·Obstetrics and Gynecology Clinics of North America·Rebecca D MinehartJaime L Daly
Apr 28, 2020·Anesthesiology Clinics·Rebecca D MinehartJaime Daly

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