Communication between surgeons and anaesthetists in the perioperative period: an exploratory study

A research report submitted to the Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, in partial fulfilment of the requirements for the degree of Master of Medicine in the branch of Anaesthesiology, 2018Background: Communication between surgeons and anaesthetists in the perioperative period is critical to patient safety. Members of the perioperative team must harness a diversity of non-technical skills that complement their technical abilities. Teamwork and communication are essential to provide an effective teamwork environment and safe patient care. Currently, there is a perception that communication between surgeons and anaesthetists at the University of the Witwatersrand (Wits) is strained. Method: This study explored communication between surgeons and anaesthetists in the perioperative period as well as barriers. Four focus group discussions were held amongst registrars and consultants (two amongst surgeons and two amongst anaesthetists). Results: The results confirmed that communication between the two departments is suboptimal. Participants say they work as parallel units instead of a cohesive perioperative team. Surgeons and anaesthetists have different values and responsibilities leading to the erosion of mutual respect. Other factors that contribute to a decrease level of communication include a lack of insight and knowledge amongst the junior staff, the high workload experienced at public hospitals, limited resources and staff turnover. Both surgical and anaesthetic participants were critical of the other’s level of professionalism. Conclusion: Training in communication needs to be included into the teaching programme for registrars as this could potentially improve theatre efficiency and patient safety.XL201