The influence of team communication on patient safety
What role does team communication play?
Team communication plays a crucial role in improving patient safety. Here's how it contributes:
: Reducing Medical Errors
Effective communication among members of the healthcare team significantly reduces medical errors and preventable adverse events.
This is due to:
- Standardization of Information Transmission
- The use of structured tools such as the SAED (Situation, History, Assessment, Request)
- The implementation of closed-loop communication techniques
: Improved Continuity of Care
Effective communication ensures the reliable transmission of important patient information, such as:
- Medical History
- Current Prescriptions
- Clinical and laboratory test results
This exchange of information is crucial during changes in the care team, changes in the care setting, or when seeking specialist opinions.
Stress and Emergency Management
In life-threatening emergencies, effective communication helps to:
- Reduce stress within the team
- Ensure better coordination of actions
- Maintain a shared understanding of the situation
Regular updates on the patient's condition ensure that all team members have a shared understanding of the patient's condition and the goals to be achieved.

Optimization of Healthcare Processes: Care
Effective communication, particularly through the use of closed-loop systems, can improve the speed and efficiency of care. It reduces the time required for:
- Medication administration
- Instructions for IVs
- Receiving laboratory results
, Training and Simulation
Team communication training, particularly through simulation, significantly improves collective performance in critical situations. It enables healthcare professionals to:
- Better recognize and manage their own emotions and those of their colleagues
- Practice using effective communication tools
- Reduce errors, particularly medication errors
In conclusion, effective team communication is a key factor in improving patient safety. It helps reduce errors, optimize care coordination, effectively manage emergency situations, and improve the overall quality of patient care.
Sources
Jacobsson M, Hargestam M, Hultin M, et al. Flexible knowledge repertoires: communication by leaders in trauma teams. Scand J Trauma Resusc Emerg Med 2012;20:44
Buchanan TW, Tranel D. Stress and emotional memory retrieval: effects of sex and cortisol response. Neurobiol Learn Mem 2008;89(2):134-41
Cannon WB. Bodily Changes in Pain, Hunger, Fear and Rage. New York, NY: D. Appleton & Company, 1915
Selye H. A syndrome produced by various harmful agents. Nature 1936;138:32–
Arora S, Sevdalis N, Nestel D, et al. The impact of stress on surgical performance: a systematic review of the literature. Surgery 2010;147(3):318-30
Harvey A, Bandiera G, Nathens AB, et al. Impact of stress on resident performance in simulated trauma scenarios. J Trauma Acute Care Surg 2012;72(2):497-503
Fraser K, McLaughlin K. Temporal pattern of emotions and cognitive load during simulation training and debriefing. Med Teach 2019;41(2):184-189
Ignacio J, Dolmans D, Scherpbier A, et al. Stress and anxiety management strategies in health professions' simulation training: a review of the literature. BMJ Simul Technol Enhanc Learn 2016;2(2):42-46
Cros J. "Reliable Communication," in Fuzier R, Jaulin F, *Human Factors in Health*, Arcueil: John Libbey Eurotext, 2023, 119–124
Cros, J. *Better Communication Among Caregivers*, Arcueil, Arnette, John Libbey Eurotext, 2018
Härgestam M, Lindkvist M, Brulin C, et al. Communication in interdisciplinary teams: exploring closed-loop communication during in situ trauma team training. BMJ Open 2013;21;3(10):e003525
Burke CS, Salas E, Wilson-Donnelly K, et al. How to turn a team of experts into an expert medical team: guidance from the aviation and military communities. Qual Saf Health Care 2004;13(Suppl 1):i96-104
Tirtiaux, G. Achieving Greater Success Together, Seraing: Edipro, 2019
https://sfar.org/facteurs-humains-en-situations-critiques/ (last accessed April 2, 2024)
Cornic H, Brunel E. Intra- and interprofessional transmission, in Fuzier R, Jaulin F, Human Factors in Health, Arcueil: John Libbey Eurotext, 2023, 119–124
https://www.has-sante.fr/jcms/c_1776178/fr/saed-un-guide-pour-faciliter-la-communication-entre-professionnels-de-sante (last accessed January 4, 2024)
Starmer AJ, Sectish TC, Simon DW, et al. Rates of medical errors and preventable adverse events among hospitalized children following implementation of a resident
handoff bundle. JAMA 2013;310(21):2262-70
Starmer AJ, Spector ND, Srivastava R, et al. Changes in medical errors after implementation of a handoff program. N Engl J Med. 2014;371(19):1803-12
El-Shafy IA, Delgado J, Akerman M, et al. Closed-Loop Communication Improves Task Completion in Pediatric Trauma Resuscitation. J Surg Educ. 2018;75(1):58-64
Bourgeon L, Bensalah M, Vacher A, et al. Role of emotional competence in residents' simulated emergency care performance: a mixed-methods study. BMJ Qual
Saf 2016;25(5):364-71.
Allan CK, Thiagarajan RR, Beke D, et al. Simulation-based training delivered directly in the pediatric cardiac intensive care unit fosters preparedness, confidence, and reduced anxiety among multidisciplinary resuscitation teams. J Thorac Cardiovasc Surg 2010;140(3):646-52
Diaz MCG, Dawson K. Impact of Simulation-Based Closed-Loop Communication Training on Medical Errors in a Pediatric Emergency Department. Am J Med Qual 2020;35(6):474-478




