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  • Team communications in surgery - creating a culture of safety

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    88989_1.pdf (398.0Kb)
    Author(s)
    Gillespie, Brigid M
    Gwinner, Karleen
    Chaboyer, Wendy
    Fairweather, Nicole
    Griffith University Author(s)
    Chaboyer, Wendy
    Gillespie, Brigid M.
    Gwinner, Karleen
    Year published
    2013
    Metadata
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    Abstract
    Abstract As a key department within a healthcare organisation, the operating room is a hazardous environment, where the consequences of errors are high, despite the relatively low rates of occurrence. Team performance in surgery is increasingly being considered crucial for a culture of safety. The aim of this study was to describe team communication and the ways it fostered or threatened safety culture in surgery. Ethnography was used, and involved a 6-month fieldwork period of observation and 19 interviews with 24 informants from nursing, anaesthesia and surgery. Data were collected during 2009 in the operating rooms of a ...
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    Abstract As a key department within a healthcare organisation, the operating room is a hazardous environment, where the consequences of errors are high, despite the relatively low rates of occurrence. Team performance in surgery is increasingly being considered crucial for a culture of safety. The aim of this study was to describe team communication and the ways it fostered or threatened safety culture in surgery. Ethnography was used, and involved a 6-month fieldwork period of observation and 19 interviews with 24 informants from nursing, anaesthesia and surgery. Data were collected during 2009 in the operating rooms of a tertiary care facility in Queensland, Australia. Through analysis of the textual data, three themes that exemplified teamwork culture in surgery were generated: "building shared understandings through open communication"; "managing contextual stressors in a hierarchical environment" and "intermittent membership influences team performance". In creating a safety culture in a healthcare organisation, a team's optimal performance relies on the open discussion of teamwork and team expectation, and significantly depends on how the organisational culture promotes such discussions.
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    Journal Title
    Journal of Interprofessional Care
    Volume
    27
    Issue
    5
    DOI
    https://doi.org/10.3109/13561820.2013.784243
    Copyright Statement
    © 2013 Informa Healthcare. This is an electronic version of an article published in Journal of Interprofessional Care, Vol.27 (5), 2013, pp.387-393 Journal of Interprofessional Care is available online at: http://informahealthcare.com with the open URL of your article.
    Subject
    Clinical Nursing: Secondary (Acute Care)
    Public Health and Health Services
    Publication URI
    http://hdl.handle.net/10072/56020
    Collection
    • Journal articles

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