Anne van Dalen

180 I Chapter 6 In addition to that, team members may not always be able to make eye contact whilst concentrating behind the surgical drape or looking at the laparoscopic monitor. All these factors may complicate interaction and communication. The team has to respond to stressful situations, such as performing surgery during the COVID-19 pandemic, by promoting trust and coherency among colleagues. In these situations, it is particularly important to use the directed call out and CLC techniques. Other studies have shown that the name of the primary surgeon is often the easiest to remember (Birnbach et al 2017, Burton et al 2018). Moreover, surgeons may be more often annoyed by the official introduction by names and nurses are usually more grateful (Haynes et al 2009). This may explain why nurses wear the name stickers more often. Studies have demonstrated that good leaders are often characterised by remembering and using the names of the people they work with (Lussier and Achua 2015). Although some may not see or understand the power of something as simple as knowing and using one another’s name, it is generally known that people feel more appreciated and are happier to help if you call them by their name, enhancing coherency of the team. Limitations of this study are the small sample size and the single-centre study design. It was not possible to correlate the use of the name stickers to the number of communication events during the surgical procedures. We did not take into account the number of times a new OT member (name) was introduced per team and per case, which may have caused a bias. Future studies are needed to evaluate the actual impact of putting your name on your surgical cap on the use of the CLC technique, name recall, and subsequently the incidence of ineffective communication in the OT. This is the aim of the follow-up project of this pilot study, by using the improved version of the MDR (Saver 2019, Surgical Safety Technologies). Regardless, it may be considered important that every professional working in the OT realises the importance of the CLC technique, for which all team members need to be able to know and use each other’s name. There are many reasons why people find it difficult to remember the names of their teammembers during surgery. Regardless, it remains difficult to remember and use names, even when the names are introduced prior to start of the procedure, are written