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1 Introduction Communication failures in surgery remain a major patient-safety problem, and the operating room is a setting in which such failures can have immediate consequences. Observational and review research has shown that OR communication breakdowns are common, recurrent, and often linked to tension, delay, and procedural inefficiency (Etherington et al. 2019; Lingard et al. 2004; Sutcliffe et al. 2004).
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