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DOI: 10.1055/a-1555-3244
Improved team communication in endoscopic procedures by digital enhanced telecommunication during the COVID-19 pandemic
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Abstract
Background and study aims Unbiased communication is crucial for excellent teamwork in high-quality endoscopy. Personal protective equipment (PPE) (FFP-masks and face-shields) worn by endoscopists that are ubiquitous in the current COVID-19 pandemic strikingly impair communication. Digital enhancement approaches to maintain team communication, especially during complex endoscopic procedures, are urgently warranted.
Materials and methods A prospective, two-armed interventional study was performed at an endoscopy unit at a tertiary center in Germany. Two hundred and three endoscopic procedures with PPE se according to pandemic risk level were randomly assigned (1:1) to a group performed by an endoscopy team equipped with digital enhanced cordless telecommunication (DECT) or one without digital-enhanced communication. The primary outcome was the team-reported number of communication-associated events (CAEs) defined as misunderstandings that impaired workflow during endoscopic examination. Secondary outcomes included perceived voice and headphone quality and overall comfort with DECT during endoscopic work.
Results The use of DECT was associated with a significant reduction in communication-associated events in endoscopic procedures and overall, was perceived positively.
Conclusions Digital enhancement of communication is a promising and easy-to- establish tool for improving team communication quality in endoscopy.
Publikationsverlauf
Eingereicht: 11. Mai 2021
Angenommen: 13. Juli 2021
Artikel online veröffentlicht:
14. Januar 2022
© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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References
- 1 Zou L, Ruan F, Huang M. et al. SARS-CoV-2 viral load in upper respiratory specimens of infected patients. N Engl J Med 2020; 382: 1177-1179
- 2 Wu Y, Guo C, Tang L. et al. Prolonged presence of SARS-CoV-2 viral RNA in faecal samples. Lancet Gastroenterol Hepatol 2020; 5: 434-435
- 3 Gralnek IM, Hassan C, Beilenhoff U. et al. ESGE and ESGENA Position Statement on gastrointestinal endoscopy and the COVID-19 pandemic. Endoscopy 2020; 52: 483-490
- 4 Chiu PWY, Ng SC, Inoue H. et al. Practice of endoscopy during COVID-19 pandemic: Position statements of the Asian Pacific Society for Digestive Endoscopy (APSDE-COVID statements). Gut 2020; 69: 991-996
- 5 Bhandari P, Subramaniam S, Bourke MJ. et al. Recovery of endoscopy services in the era of COVID-19: Recommendations from an international Delphi consensus. Gut 2020; 69: 1915-1924
- 6 Ellis R, Hay-David AGC, Brennan PA. Operating during the COVID-19 pandemic: How to reduce medical error. Br J Oral Maxillofac Surg 2020; 58: 577-580
- 7 Bandaru SV, Augustine AM, Lepcha A. et al. The effects of N95 mask and face shield on speech perception among healthcare workers in the coronavirus disease 2019 pandemic scenario. J Laryngol Otol 2020; 134: 895-898
- 8 Mheidly N, Fares MY, Zalzale H. et al. Effect of face masks on interpersonal communication during the COVID-19 pandemic. Front Public Heal 2020; 8: 898
- 9 Ravindran S, Matharoo M, Coleman M. et al. Teamworking in endoscopy: A human factors toolkit for the COVID-19 era. Endoscopy 2020; 52: 879-883
- 10 Tiferes J, Bisantz AM. The impact of team characteristics and context on team communication: An integrative literature review. Appl Ergon 2018; 68: 146-159
- 11 Valori RM, Johnston DJ. Leadership and team building in gastrointestinal endoscopy. Best Pract Res Clin Gastroenterol 2016; 30: 497-509
- 12 Tsafrir Z, Janosek-Albright K, Aoun J. et al. The impact of a wireless audio system on communication in robotic-assisted laparoscopic surgery: A prospective controlled trial. PLoS One 2020; 1: 15
- 13 Lucks Mendel L, Gardino JA, Atcherson SR. Speech understanding using surgical masks: a problem in health care?. J Am Acad Audiol 2008; 19: 686-695
- 14 Yeung BPM, Chiu PWY. Application of robotics in gastrointestinal endoscopy: A review. World J Gastroenterol 2016; 22: 1811-1825
- 15 Riphaus A, Wehrmann T, Hausmann JJ. et al. Update S3-guideline: Sedation for gastrointestinal endoscopy 2014 (AWMF-register-no021/014). Z Gastroenterol 2016; 54: 58-95