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J Trauma Nurs. 2015 Sep-Oct;22(5):274-81; quiz E3-4. doi: 10.1097/JTN.0000000000000153.

The Lack of Common Goals and Communication Within a Level I Trauma System: Assessing the Silo Effect Among Trauma Center Employees.

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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).


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.

[Indexed for MEDLINE]

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