“Nobody told me”: Communication Issues Affecting Australian Cardiothoracic Surgery Patients

• Published in: The Annals of thoracic surgery Vol. 108; no. 6; pp. 1801 - 1806
• Main Authors: Chan, Justin C.Y., Gupta, Aashray K., Stewart, Sasha, Babidge, Wendy, McCulloch, Glenn, Worthington, Michael G., Maddern, Guy J.
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Inc 01.12.2019
• Subjects: Australia - epidemiology; Cardiac Surgical Procedures - mortality; Communication; Humans; Incidence; Interprofessional Relations; Medical Audit - methods; New Zealand - epidemiology; Patient Safety; Postoperative Complications - epidemiology; Quality of Health Care; Retrospective Studies; Surgeons; Survival Rate - trends; New Zealand; Australia
• ISSN: 0003-4975; 1552-6259
• DOI: 10.1016/j.athoracsur.2019.04.116

Failure of communication can have potentially severe results in cardiothoracic surgery. Previous literature regarding patient safety highlighted communication as a common area for improvement. This study utilized a qualitative approach to analyze a national mortality audit data set to identify and describe communication issues that could potentially contribute to patient mortality following cardiothoracic surgery. We utilized a peer-reviewed audit of surgical deaths after cardiothoracic surgery in Australian hospitals from 2009 to 2015 via the Australian and New Zealand Audit of Surgical Mortality. Cases were identified with clinical management issues then individual analysis of cases highlighting communication issues was undertaken. A total of 91 reports from surgeons and assessors were analysed using a thematic analytic approach. A total of 908 cases of potentially avoidable mortality were identified as being associated with clinical management issues, and communication issues were identified in 91 (10%) of these cases, which served as the basis for this analysis. The study found that failure to achieve shared decision making was the most common theme (n = 38, 41.8%), followed by failure to notify patient deterioration (n = 22, 24.1%), misreporting of patient condition (n = 10, 11.0%) and issues related to informed consent (n = 9, 10.0%). The most frequent communication issues occurred between surgeons and the intensive care unit. Poor communication was identified in patients who died after cardiothoracic surgery. Communication is an important modifiable factor in patient mortality. Efforts to address teamwork and communication have the potential to improve safety and quality of care for patients undergoing cardiothoracic surgery.