Communication skills of anesthesiologists: An Indian perspective

Abstract

Background:Communication failure is a risk factor for mishaps and complaints, which can be reduced by effective communication between operating room team members and patients.Aim:To conduct a survey among anesthesiologists regarding communications skills and related issues like stress in case of communication failure, need for training, music in operation theater, and language barrier at their work place.Materials and Methods:We conducted a survey among anesthesiologists coming for a neuroanesthesia conference in India (n = 110) in February 2011 by questionnaire sent by e-mail to them.Results:The response rate was 61.8% (68/110). Majority (95.5%) of the respondents agreed that good verbal communication leads to better patient outcome, better handling of crisis and is important between surgeons and anesthesiologists (98.5%). A total of 86% of the anesthesiologists felt that failure of communication caused stress to them. The idea of communication by e-mail or phone text messages instead of verbal communications was discouraged by 65.2%. A total of 82% of respondents felt that training of communication skills should be mandatory for all medical personnel and 77.6% were interested in participating in such course. Language barrier at work place was seen as hurdle by 62.7% of the respondents. A total of 80% of respondents felt that playing music in operating theater is appropriate.Conclusion:Results of the survey highlight the need for effective communication in the operating room between team members and need for formal training to improve it.

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“…One of the contributing factors in our case is a lack of effective communication between the surgeon and the anesthetist. In 2013, a study conducted in India revealed that 52,2% of the surveyed anesthesiologists felt that poor communication between the surgeon and anesthesiologist affected the outcome [ 32 ]. Additionally, anesthesiologists emphasize the impact of surgeons being uneducated about anesthesia-related issues [ 33 ].…”

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“…As reported, strong teamwork, especially good communication between the medical care providers, is vital to the improvement of patient outcome, the prevention of potentially avoidable complications, and thus the reduction of morbidity and mortality [ 7 ]. Therefore, as for the enhanced intraoperative management in our case, we thought that frequent communication between the anesthesiologist and the surgeon throughout the case was extremely important, as insertion of rigid tracheobronchoscopy, spraying topical 1% lidocaine, clamping of the TFB, and other stimulation required to maintain sufficient anesthetic depth.…”

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“…[ 9 ] The majority of anesthesiologists in India are inclined to communication skill courses in medical education as suggested by Kumar et al . [ 10 ]…”

“…in their questionnaire based study state that 95.5% anesthesiologists felt that good communication practices between surgeon and anesthesiologist can improve perioperative care. [ 10 ]…”