Communication Failures in the Operating Room¶
Lingard, L. (2004). Communication Failures in the Operating Room: An Observational Classification of Recurrent Types and Effects. Quality and Safety in Health Care, 13(5), 330-334.
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Primes¶
- Turn Taking
- The contenders are the lead surgeon, assistant, and scrub nurse; the allocation rule is surgeon-directed with explicit verbal and gestural transition signals ("suction," an open palm for an instrument hand-off), and the Enforcement governs what happens when two reach in at once (the surgeon's call wins) and when the field is idle (the nurse anticipates the next instrument).
This sourceObserves communication-failure types in OR teams, motivating a team checklist that structures instrument hand-off and speaking turns.
- The contenders are the lead surgeon, assistant, and scrub nurse; the allocation rule is surgeon-directed with explicit verbal and gestural transition signals ("suction," an open palm for an instrument hand-off), and the Enforcement governs what happens when two reach in at once (the surgeon's call wins) and when the field is idle (the nurse anticipates the next instrument).
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