Evidence map›Paper›PMID 34475150›Full record

Observational studyBMJ open2021

Barriers and facilitators to interdisciplinary communication during consultations: a qualitative study.

Pingyang Liu, Audrey Lyndon, Jane L Holl, Julie Johnson, Karl Y Bilimoria, Anne M Stey

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
4.9field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 30 citations in OpenAlex.

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  9. Description and outcomes of an interprofessional communication training program for adult oncology clinicians.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 4 countries.

Pingyang LiuDepartment of Surgery, University of California San Francisco, San Francisco, California, USA.
Audrey LyndonRory Meyers College of Nursing, New York University, New York City, New York, USA.ORCID 0000-0003-2215-4273
Jane L HollDepartment of Neurology, University of Chicago, Chicago, Illinois, USA.
Julie JohnsonCenter of Health Services and Outcomes Research, Institute for Public Health and Medicine, Chicago, Illinois, USA.
Karl Y BilimoriaCenter of Health Services and Outcomes Research, Institute for Public Health and Medicine, Chicago, Illinois, USA.
Anne M SteyCenter of Health Services and Outcomes Research, Institute for Public Health and Medicine, Chicago, Illinois, USA as013j@gmail.com.ORCID 0000-0002-8334-0304
Northwestern University · USKES College · CYUniversity of California, San Francisco · USUniversity of Chicago · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveCommunication failures between clinicians lead to poor patient outcomes. Critically injured patients have multiple injured organ systems and require complex multidisciplinary care from a wide range of healthcare professionals and communication failures are abundantly common. This study sought to determine barriers and facilitators to interdisciplinary communication between the consulting trauma, intensive care unit (ICU) team and specialty consultants for critically injured patients at an urban, safety-net, level 1 trauma centre.

designAn observational qualitative study of barriers and facilitators to interdisciplinary communication.

settingWe conducted observations of daily rounds in two trauma surgical ICUs and recorded the most frequently consulted teams.

participantsKey informant interviews after presenting clinical vignettes as discussion prompts were conducted with a broad range of clinicians from the ICUs and physicians and nurse practitioners from the consultant teams who were identified during the observations. Interviews were recorded and transcribed verbatim. Data of these 10 interviews were combined with primary transcript data from prior study (25 interviews) and analysed together because of the same setting with same themes. Independent coding of the transcripts, with iterative reconciliation, was performed by two coders. OUTCOMES MEASURES: Facilitators and barriers of interdisciplinary communication were identified.

resultsA total of 35 interview transcripts were analysed. Cardiology and interventional radiology were the most frequently consulted teams. Consulting and consultant clinicians reported that perceived accessibility from the team seeking a consultation and the consultant team impacted interdisciplinary communication. Accessibility had a physical dimension as well as a psychological dimension. Accessibility was demonstrated by responsiveness between clinicians of different disciplines and in turn facilitated interdisciplinary communication. Social norms, cognitive biases, hierarchy and relationships were reported as both facilitators and barriers to accessibility, and therefore, interdisciplinary communication.

conclusionAccessibility impacted interdisciplinary communication between the consulting and the consultant team. ARTICLE SUMMARY: Elucidates barriers and facilitators to interdisciplinary communication between consulting and consultant teams.

Indexed as

Interdisciplinary CommunicationReferral and ConsultationCommunicationCommunication BarriersHealth PersonnelHumansIntensive Care UnitsQualitative Researchadult intensive & critical careorganisational developmentqualitative researchtrauma management

Identifiers

PMID34475150
PMCPMC8413943
OpenAlexW3198642277

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.