Particularities of inter-team communication in the emergency medicine department

Abstract

In emergency medicine departments, effective communication is essential, as rapid decisions can mean the difference between life and death. However, intense stress, conflicts between colleagues, and communication errors can lead to medical mistakes and a decline in the quality of patient care. Analyzing the impact of poor communication, affected by stress and emotional factors, on decisions and care quality in IMSP IMU Chișinău emergency medicine, and proposing solutions. questionnaire was applied to 132 respondents from IMSP IMU in Chișinău: 43.9% were doctors, 44.7% nurses, and 11.4% orderlies. The study analyzed the effectiveness of communication in critical situations, the effects of conflicts, differences in communication styles, the occurrence of errors, and the impact of stress on team interactions. Although 25.8% of respondents communicate effectively sometimes, 44.7% frequently, and 24.2% always in critical situations, major problems remain: conflicts affect communication (40.2% sometimes, 22.7% frequently, 10.6% always), causing tension; differences in styles under stress create barriers (22.7% sometimes, 40.9% frequently, 29.5% always); communication errors impact patient care (33.3% sometimes, 36.4% frequently, 10.6% always), risking safety. Stress negatively affects communication (22.0% sometimes, 31.8% frequently, 40.9% always), increasing error risks. These data reveal gaps caused by stress and emotions. The study shows that emotions and stress disrupt communication, affecting decisions and patient safety. Implementing strategies for conflict management, aligning communication styles, and reducing stress is essential to improve teamwork and the overall quality of care.