To the top

Page Manager: Webmaster
Last update: 9/11/2012 3:13 PM

Tell a friend about this page
Print version

Role of requests and comm… - University of Gothenburg, Sweden Till startsida
To content Read more about how we use cookies on

Role of requests and communication breakdowns in the coordination of teamwork: a video-based observational study of hybrid operating rooms.

Journal article
Authors Jonas Ivarsson
Mikaela Åberg
Published in BMJ Open
Volume 10
Issue 5
ISSN 2044-6055
Publication year 2020
Published at Department of Education, Communication and Learning
Department of Applied Information Technology (GU)
Language en
Keywords communication; patient safety; quality improvement; safety culture; teamwork
Subject categories Social Sciences Interdisciplinary, Communication Studies, Anaesthetics, Vascular surgery


This study investigated the functional role of 'requests' in the coordination of surgical activities in the operating room (OR). A secondary aim was to describe, closely, instances of potential miscommunication to scrutinise how so-called conversational repairs were used to address and prevent mistakes.Non-participant video-based observations.Team coordination around image acquisitions (digital subtraction angiography) done during endovascular aortic repair (EVAR) procedures in a hybrid OR.The study followed and documented a total of 72 EVAR procedures, out of which 12 were video-recorded (58 hours). The results were based on 12 teams operating during these recorded surgeries and specifically targeted all sequences involving controlled apnoea. In total, 115 sequences were analysed within the theoretical framework of conversation analysis.The results indicated a simple structure of communication that can enable the successful coordination of work between different team members. Central to this analysis was the distinction between immediate requests and pre-requests. The results also showed how conversational repairs became key in establishing joint understanding and, therefore, how they can function as crucial resources in safety management operations.The results suggest the possibility of devising an interactional framework to minimise problems with communication, thereby enabling the advancement of patient safety. By making the distinction between different types of requests explicit, certain ambiguities can be mitigated and some misunderstandings avoided. One way to accomplish this practically would be to tie various actions to clearer and more distinct forms of expression.

Page Manager: Webmaster|Last update: 9/11/2012

The University of Gothenburg uses cookies to provide you with the best possible user experience. By continuing on this website, you approve of our use of cookies.  What are cookies?