Use and effectiveness of directed, closed-loop communication in the operating theatre: mixed methods analysis of simulated clinical emergencies
Authors' conclusion
Directed, closed-loop communication in simulated operating theatre emergencies was associated with increased task completion but was infrequently used.
Study context
- Population
- Operating theatre teams in 8 emergency simulationsrequests for action
- Participants
- 150 participants
- Comparison
- Closed-loop and directed vs Neither or one strategy
- Outcome
- Proportion of requested actions completed
Methodological detailssimulation
- Simulation
Main finding
As reported in the abstract
Action completion rate
P = 0.030
Further findings
| Outcome | Values | P value |
|---|---|---|
| Action completion rate, closed-loop (with or without directed) vs not19% of requests used closed-loop | Closed-loop 97% · No closed-loop 80% | P = 0.023 |
| Action completion rate, directed (with or without closed-loop) vs not45% of requests used directed; not significant | Directed 86% · Not directed 81% | P = 0.256 |
Response inefficiencies
- Inefficiencies incl. in time-critical tasks: no verbal response, repetition of request, or initial response but no action
Original publication
Use and effectiveness of directed, closed-loop communication in the operating theatre: mixed methods analysis of simulated clinical emergencies. Br J Anaesth. Published 18 June 2025. doi:10. 1016/ j. bja. 2025. 05. 015
Composed by AI from the published abstract and checked against it. How Briefs are made →