Safety, quality & education

Use and effectiveness of directed, closed-loop communication in the operating theatre: mixed methods analysis of simulated clinical emergencies

Br J AnaesthPublished Mixed methods conversational analysis of simulated operating theatre 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

OutcomeValuesP value
Action completion rate, closed-loop (with or without directed) vs not19% of requests used closed-loopClosed-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 significantDirected 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 →

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