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BACKGROUND: Poor communication is implicated in many adverse events in the operating room (OR); however, many hospitals' scheduling practices permit unfamiliar operative teams. Gillespie BM, Withers TK, Lavin J, Gardiner T, Marshall AP. Wahr JA, Prager RL, Abernathy JH, et al. The operating room (OR) can often be a complex, high-stakes environment for even the most skilled surgeons. 3. In: Proceedings of the annual human factors and ergonomics society conference, October 2009. p. 728–32. Another systemic cause which is often ignored by research concerns resources. 2013;128(10):1139-1169. erative communication failures, we chose to use a survey that was designed to specifically measure components of medical culture that influence communication practices. Goals of this study were to assess situational triggers of tense communication in the operating room and to assess its impact on collaboration quality within the surgical team. A communication analysis methodology for developing cardiac operating room team-oriented displays. An often-neglected skillset in educational curriculums is challenging authority. The relationship between unfamiliarity, team communication and effectiveness of communication is poorly understood. Communication and teamwork contribute to adverse events. TEAMWORK AND COMMUNICATION IN THE OPERATING ROOM Print Section Listen There is something captivating about witnessing an operating room (OR) team perform as a “team” to accomplish what is, to many people, the extraordinary: invasive procedures to the human body that cure disease (Figure 5.1). Editor’s note: This article is based on the panel discussion The Pitfalls of Leadership in the Operating Room (OR), which took place during the 2011 Clinical Congress in San Francisco, CA. Circulation. Studies have found that communication failures are the cause of up to 80 percent of operating room adverse events. The operating room (OR) offers a unique opportunity to explore concepts of teams and teamwork. It is the first of a two-part series of articles based on that program. This evidence-based project seeks to determine whether such education promotes patient safety in the operating room at an urban teaching hospital. Accurate communication between surgeon and scheduler is imperative. policies about communication are also important;2 a policy which disallows distraction in the operating room appears beneficial, probably because of the inevitable effects of distraction on communication. Surgical schedulers, whether in the office or operating room, are part of the perioperative team. In contrast, there is an amazing sense of exasperation witnessing… In the operating room (OR), effective communication between teams is essential, especially during crisis situations where patient safety can be in acute danger. the operating room staff in communication and teamwork. 2. Background Tense communication and disruptive behaviors during surgery have often been attributed to surgeons’ personality or hierarchies, while situational triggers for tense communication were neglected. In addition, this project looks at whether the use of an operating-room-specific Patient safety in the cardiac operating room: Human factors and teamwork: A scientific statement from the American Heart Association. Complex operations involving equipment not routinely found in the hospital or surgery center require accurate communication between the supplier and the surgical team. With the wide range of patient needs and circumstances, OR teams are often shuffled and reassembled quickly based on whoever is available. The Practices in the Operating Room (PRIOR)13,15-17 was developed and previously used to measure attitudes and communication behavior in groups of anesthesiologists and surgeons. 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