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Why saying what you mean matters: An analysis of trauma team communication
Authors:Hee Soo Jung  Charles Warner-Hillard  Ryan Thompson  Krista Haines  Brooke Moungey  Anne LeGare  David Williamson Shaffer  Carla Pugh  Suresh Agarwal  Sarah Sullivan
Affiliation:1. Department of Surgery, University of Wisconsin-Madison, School of Medicine and Public Health, Madison, WI, USA;2. Department of Emergency Medicine, University of Wisconsin-Madison, School of Medicine and Public Health, Madison, WI, USA;3. University of Wisconsin Hospital and Clinics, Madison, WI, USA;4. Department of Educational Psychology, University of Wisconsin-Madison, School of Education, Madison, WI, USA
Abstract:

Background

We hypothesized that team communication with unmatched grammatical form and communicative intent (mixed mode communication) would correlate with worse trauma teamwork.

Methods

Interdisciplinary trauma simulations were conducted. Team performance was rated using the TEAM tool. Team communication was coded for grammatical form and communicative intent. The rate of mixed mode communication (MMC) was calculated. MMC rates were compared to overall TEAM scores. Statements with advisement intent (attempts to guide behavior) and edification intent (objective information) were specifically examined. The rates of MMC with advisement intent (aMMC) and edification intent (eMMC) were also compared to TEAM scores.

Results

TEAM scores did not correlate with MMC or eMMC. However, aMMC rates negatively correlated with total TEAM scores (r = ?0.556, p = 0.025) and with the TEAM task management component scores (r = ?0.513, p = 0.042).

Conclusions

Trauma teams with lower rates of mixed mode communication with advisement intent had better non-technical skills as measured by TEAM.
Keywords:Trauma  Simulation  Verbal response modes  Speech acts  Communication  Non-technical skills
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