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TECHNOLOGY


Conclusion


There is mounting evidence for the value of single channel, lightweight headsets in providing high quality, effective communication where PPE is worn and / or every team member is part of a complex process, with ready acknowledgement and confirmation of information and instruction. As Sweetnam confirms: “It is essential that all staff are aware of the decisions being made – and that interruptions are kept to a minimum. Everyone working on a complex procedure gets into a rhythm; if we have to stop for any reason – perhaps to repeat what has been said, turn around to speak with people or we’re delayed because a revised instruction to the runner wasn’t heard – it is incredibly frustrating. Headsets improve the process: there is no need to repeat instructions or clarify requests. Everyone can hear exactly what has been said the first time.” With the higher volume of information exchanged within the OR team during robotic surgery5


and the shift towards verbal cues,6


as a result of his study Ziv Tsafrir concludes: “With the assistance of the wireless headsets, we amplified the verbal cues. This intervention showed marked improvement in all four of the domains that were evaluated: quality of communication, performance, teamwork, and mental load. Moreover, all team members, regardless of their role, shared the


same positive perception of the added value of using the headsets in cases.”


CSJ


References 1 KurmannA, Peter M, TschanF, Muhlemann K, Candinas D, Beldi G. Adverse effect of noise in the operating theatre on surgical-site infection. Br J Surg. 2011; 98:1021–5. https://doi.org/10.1002/bjs.7496 PMID: 21618484


2 Gawande AA, Zinner MJ, Studdert DM, Brennan TA. Analysis of errors reported by surgeons at three teaching hospitals. Surgery. 2003; 133:614–21. https://doi. org/10.1067/msy.2003.169 PMID: 12796727


3 Lingard L, Espin S, Whyte S, Regehr G, Baker G, Reznick R, et al. Communication failures in the operating room: an observational classification of recurrent types and effects. Qual Saf Health Care. 2004; 13:330–4. https:// doi.org/10.1136/qshc.2003.008425 PMID: 15465935


4 Wiegmann DA, ElBardissi AW, Dearani JA, Daly RC, Sundt TM 3rd. Disruptions in surgical flow and their relationship to surgical errors: an exploratory investigation. Surgery. 2007; 142:658–65. https:// doi.org/10.1016/j.surg.2007.07.034 PMID: 17981185


5 Cao CGL, Taylor H. Effects of new technology on the operating room team. In: Khalid HM, Helander MG, Yeo AW, eds. Work with Computing Systems. Kuala Lumpur: Damai Sciences; 2004:309–12.


6 Nyssen A-S, Balvier A. Verbal communication as a sign of adaptation in socio-technical systems: the case of robotic surgery. Proceedings of the NDM9, 9th International Conference on Naturalistic Decision Making. London: British Computer Society; 2009:267–72.


About the author


Tom Downes is the Founder and CEO of Quail Digital, a manufacturer of digital headsets for use in healthcare, retail and drive through restaurants around the world. Tom has a wealth of business knowledge having founded and run his own businesses for more than 30 years. Since 2009 Tom has been focusing his efforts on Quail Digital and supplies to in excess of 250 hospitals in the US, Europe and the Middle East.


For Non-Invasive Ventilation, think Dräger TO FIND OUT MORE VISIT WWW.DRAEGER.COM


DraegerGlobal Draeger @DraegerNews Draeger


SEPTEMBER 2020


WWW.CLINICALSERVICESJOURNAL.COM l


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