The Lack of Common Goals and Communication Within a Level I Trauma System: Assessing the Silo Effect Among Trauma Center Employees.
We assessed our level I trauma center's employees' perception of inter- and intradepartmental relationships to determine whether employees who work less often with patients feel less involved-the silo effect. We prospectively evaluated employees who provide direct patient care using the Trauma System Survey tool. Of 1155 employees, 699 responded. Combined interdepartmental relationships showed that 93% believed their unit communicated well with other units, and 86% thought other units communicated well with their unit. However, 69% experienced miscommunication between units. To reduce silos, communication is key. Training and multiunit events may help reduce these silos further.
St Elizabeth Youngstown Hospital, Youngstown, Ohio (Mss Mace-Vadjunec, Hileman, Hanes, and Chance and Mr Melnykovich); and Youngstown State University, One University Plaza, Youngstown, Ohio (Mr Emerick).
Daneen
D
Mace-Vadjunec
Barbara M
BM
Hileman
M Ben
MB
Melnykovich
Marina C
MC
Hanes
Elisha A
EA
Chance
Eric S
ES
Emerick
D000328:Adult; D001291:Attitude of Health Personnel; D005260:Female; D006040:Goals; D006801:Humans; D033183:Interdisciplinary Communication; D007400:Interprofessional Relations; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D010348:Patient Care Team / Q000458:organization & administration*; D010465:Perception; D011446:Prospective Studies; D011787:Quality of Health Care; D011795:Surveys and Questionnaires; D014193:Trauma Centers / Q000458:organization & administration*; D014481:United States