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Ernest J. Ring, MD; Jane E. Hirsch, RN, MS; October 2009
Cardiology consultation on an elderly man admitted to the orthopedic service following a hip fracture reveals aortic stenosis. The cardiologist recommends against surgery, due to the risk of anesthesia. When the nurse reads these recommendations to the orthopedic resident, he calls her "stupid" and contacts the OR to schedule the surgery anyway. The Chief Medical Officer is called to intervene.
Journal Article > Study
Belyansky I, Martin TR, Prabhu AS, et al. J Surg Res. 2011;171:386-394.
While surgical attending physicians reported encouraging residents to question their intraoperative decisions, only slightly more than half of the residents in this survey agreed. The authority gradient has been implicated in prior studies that also documented suboptimal communication in the operating room.