Silenced in the OR: A Just Culture Perspective

Document Type

Conference Proceeding

Publication Date

10-17-2026

Abstract

A medical student assisting with patient positioning and perioperative preparation in the operating room encountered dismissive communication followed by a public reprimand. Subsequently, the student became withdrawn, hesitant to speak up, and cognitively distracted. This case illustrates how negative interactions toward trainees can erode psychological safety and introduce latent threats to both individual performance and team function, potentially increasing the risk of error. We discuss how principles of Just Culture and Human Factors Engineering emphasize respectful communication, accountability, and psychological safety as essential components of effective teamwork and safe perioperative care delivery.

Comments

American Society of Anesthesiologists, The Anesthesiology Meeting, October 16-20, 2026, San Diego, CA

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