Evidence map›Paper›PMID 41580806›Full record

ReviewPatient safety in surgery2026

Labeled surgical caps improve perioperative patient safety and interprofessional communication in the operating room: a scoping review.

Loraine P Kouba, Adriano Fabi, Sebastian Bayer, Christian Abshagen, Melanie A Kalweit-Dietsche, Sarah Tschudin-Sutter, Kathrin Bourdeu, Thierry Girard, Elisabeth A Kappos

Abstract readReview
In one paragraph

Review in Patient safety in surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Loraine P Kouba *Faculty of Medicine, University of Basel, Basel, Switzerland.
Adriano Fabi *Faculty of Medicine, University of Basel, Basel, Switzerland.
Sebastian BayerFaculty of Medicine, University of Basel, Basel, Switzerland.
Christian AbshagenFaculty of Medicine, University of Basel, Basel, Switzerland.
Melanie A Kalweit-DietscheFaculty of Medicine, University of Basel, Basel, Switzerland.
Sarah Tschudin-SutterFaculty of Medicine, University of Basel, Basel, Switzerland.
Kathrin BourdeuFaculty of Medicine, University of Basel, Basel, Switzerland.
Thierry GirardFaculty of Medicine, University of Basel, Basel, Switzerland.
Elisabeth A KapposFaculty of Medicine, University of Basel, Basel, Switzerland. elisabeth.kappos@usb.ch.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEffective communication is critical for patient safety and surgical outcomes inside the operating room (OR). Labeled surgical caps have been proposed as a strategy to improve intraoperative communication and teamwork by facilitating name and role recognition among surgical staff. However, concerns regarding potential surgical site infections (SSIs) have limited their widespread adoption and to this day hindered their use across Europe.

methodsThe MEDLINE/PubMed database was searched for peer-reviewed articles reporting on the use of labeled surgical caps and at least one outcome of interest (communication, teamwork, surgical site infections, costs, or environmental impact) from database inception to April 2025. Findings were synthesized qualitatively.

resultsReusable labeled surgical caps improve interdisciplinary communication and name recognition in the operating room, thereby promoting effective teamwork. This effect is particularly relevant in robotic surgery, where the primary surgeon operates from a remote console. Current evidence does not indicate an increased risk of SSIs, with multiple studies reporting no significant difference in infection rates between reusable and disposable surgical headwear.

conclusionsReusable, labeled surgical caps should be implemented across the globe to improve communication and ultimately patient safety. They align with green hospital goals by reducing waste and long-term costs. Additionally, they also provide opportunity for stronger identification with the institution. Current regulations restricting their use are not supported by existing evidence and should be re-evaluated. Prospective studies also from European clinical settings may help to establish future policy updates and to further evaluate the microbiological safety of reusable surgical caps.

Indexed as

Effective team communicationLabeled surgical capsOperating room safetyTeam member introductionWHO surgical safety checklist

Identifiers

PMID41580806
PMCPMC13047754

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.