Anesthesiology residents in uncivil environments performed worse across all metrics, though they were unaware their performance was suffering, according to a study published May 31 in BMJ Quality & Safety.
Researchers conducted a randomized controlled trial in three academic medical centers: the Icahn School of Medicine at Mount Sinai in New York City, the University of North Carolina at Chapel Hill, and Ohio State University in Columbus.
Anesthesiology residents were assigned to either a normal or rude operating room environment and asked to respond to a simulated operating room crisis. Blinded raters then scored how the residents responded to the crisis. Residents were scored on vigilance, diagnosis, communication and patient management. Sixty-seven encounters were used in the final analysis.
Researchers found the residents exposed to the rude operating team scored lower in every category. Overall performance for residents in the rude ORs was 63.6 percent, compared to 91.2 percent for those in the control group.
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