ArticleCJEM2022
Closed loop communication in the trauma bay: identifying opportunities for team performance improvement through a video review analysis.
Article in CJEM, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.
- Exploring tools used in the assessment of Trauma Team Leadership using video review: a systematic review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Pooled it
- Evaluation of video review tools for assessing non-technical skills in emergency department resuscitation teams: a systematic review.BMC emergency medicine · 2023Pooled it
- Effects of a pilot simulation training on interdisciplinary closed-loop communication and time to critical actions at an emergency centre in Burundi.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2025Article
- High-impact technical and patient management tips from the 2024 AAST Continuous Certification Course: preperitoneal pelvic packing, trauma video review, video-assisted thoracic surgery for retained hemothorax, and laparoscopic common bile duct exploration.Trauma surgery & acute care open · 2025Review
- Changes in multidisciplinary perceptions of trauma video review following implementation of a novel program: let us go to the tape.Trauma surgery & acute care open · 2025Article
- Trauma video review: how long do we curb our enthusiasm?Trauma surgery & acute care open · 2025Article
- Remodeling the trauma bay to improve communication and patient care: a novel approach to trauma resuscitations.Trauma surgery & acute care open · 2025Article
- Impact of Artificial Intelligence-Assisted Closed-Loop Mobile Nursing Information Management on Nursing Quality Indicators and Work Efficiency.Risk management and healthcare policy · 2025Article
- The use of specific coordination behaviours to manage information processing and task distribution in real and simulated trauma teamwork: an observational study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2024Observational
- Patient-resident physician communication - a qualitative study to assess the current state, challenges and possible solutions.BMC health services research · 2024Article
- Reliability of the safety threats and adverse events in trauma (STAT) taxonomy using trauma video review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Getting out of the bay faster: Assessing trauma team performance using trauma video review.The journal of trauma and acute care surgery · 2024Observational
Corrections and comments
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesCommunication among trauma team members in the trauma bay is vulnerable to errors, which may impact patient outcomes. We used the previously validated trauma-non-technical skills (T-NOTECHS) tool to identify communication gaps during patient management in the trauma bay and to inform development strategies to improve team performance.
methodsTwo reviewers independently assessed non-technical skills of team members through video footage at Sunnybrook Health Sciences Centre. Team performance was measured using T-NOTECHS across five domains using a five-point Likert scale (lower score indicating worse performance): (1) leadership; (2) cooperation and resource management; (3) communication and interaction; (4) assessment and decision making; (5) situation awareness/coping with stress. Secondary outcomes assessed the number of callouts, closed loop communications and parallel conversations.
resultsThe study included 55 trauma activations. Injury severity score (ISS) was used as a measure of trauma severity. A case with an ISS score ≥ 16 was considered severe. ISS was ≥ 16 in 37% of cases. Communication and interaction scored significantly lower compared to all other domains (p < 0.0001). There were significantly more callouts and completed closed loop communications in more severe cases compared to less severe cases (p = 0.017 for both). Incomplete closed loop communications and parallel conversations were identified, irrespective of case severity.
conclusionA lower communication score was identified using T-NOTECHS, attributed to incomplete closed loop communications and parallel conversations. Through video review of trauma team activations, opportunities for improvement in communication can be identified by the T-NOTECHS tool, as well as specifically identifying callouts and closed loop communication. This process may be useful for trauma programs as part of a quality improvement program on communication skills and team performance.
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Registered trials
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.