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

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


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.

Publication types

  • Evaluation Study

MeSH terms

  • Adult
  • Attitude of Health Personnel*
  • Female
  • Goals*
  • Humans
  • Interdisciplinary Communication*
  • Interprofessional Relations
  • Male
  • Middle Aged
  • Needs Assessment
  • Patient Care Team / organization & administration*
  • Perception
  • Prospective Studies
  • Quality of Health Care
  • Surveys and Questionnaires
  • Trauma Centers / organization & administration*
  • United States