Criterion 23: #176606


After a near-miss event, an educational activity was planned by and for the interprofessional surgical team to improve communication in the operating room (OR). The planning group included representatives from each of the professions with roles in patients’ surgical care, from pre-admission to procedure, including: administrative staff, nursing, surgical technicians, equipment monitoring personnel, certified registered nurse anesthetists, anesthesiologists, surgeons, and pathologists. Prior to the educational activity, key stakeholders from each profession were selected to attend an intensive train-the-trainer session. The training focused on the development of core competencies and the effective use of team-based communication tools and strategies, including SBAR (Situation, Background, Assessment, and Recommendation), call outs, and huddles. The trainers, in-turn, educated the rest of the OR staff through the following weeks via mandatory continuing education sessions.