Fundamentals of Acceptable Behavior in the Operating Room (Etiquette)
This chapter aims to be an introduction into the fundamentals of behavior and communication in the OR, often referred to as “OR etiquette.” We review the evidence behind the increased understanding of the importance of behavior and communication in the OR, including a discussion on the importance of the “safety culture.” Next, we describe the key team members that are encountered in the OR to provide a basic framework for new medical students and residents. Also included is a discussion on communication, skills of leadership and followership, methods of giving and receiving feedback, and available programs for improving team communication and culture. Finally, we provide a few pointers for how OR etiquette can enhance the experience for all. While nothing can substitute the value of spending time in the OR learning these skills firsthand, understanding these basic tenets is an important first step for medical students and residents beginning their surgical training.
KeywordsTeamwork Communication Patient safety
- Gawande A. The checklist manifesto: how to get things right. New York: Metropolitan Books; 2010.Google Scholar
- Institute of Medicine (IOM). To err is human: building a safer health system. Washington, DC: The National Academies Press; 2000.Google Scholar
- “TeamSTEPPS.” Available at https://www.ahrq.gov/teamstepps.
- 1.Institute of Medicine (IOM). To err is human: building a safer health system. Washington, DC: The National Academies Press; 2000.Google Scholar
- 5.WHO surgical safety checklist and implementation manual. Available from, http://www.who.int/patientsafety/safesurgery/ss_checklist/en/.
- 13.Gibbons A, Bryant D. Followership: the forgotten part of doctors’ leadership. BMJ Careers. 2012;19:2012.Google Scholar
- 17.Team STEPPS. Available from, https://www.ahrq.gov/teamstepps/index.html.