Impact Of Interdisciplinary Collaboration Between Anesthesia, Nursing, Operating Room Technicians, Emergency Medical Services, And Laboratory Departments On Patient Safety In Diabetic Patients At University Hospitals: A Systematic Review

Abstract

Diabetic patients admitted to university hospitals represent a clinically vulnerable population exposed to elevated risks of preventable adverse events, metabolic instability, medication-related complications, procedural variability, diagnostic dependency, and transition-of-care failures. The complexity inherent in diabetes management across acute care, perioperative care, and emergency care environments necessitates coordinated contributions from multiple interdependent clinical and operational departments.                                                                                                                                              

This systematic review synthesizes contemporary empirical evidence examining the impact of interdisciplinary collaboration involving the Anesthesia Department, Nursing Department, Operating Room Technical Services Department, Emergency Medical Services Department, and Laboratory and Diagnostic Services Department on patient safety outcomes in diabetic patients treated within university hospital environments.                                                                                                                                 

A structured literature search was conducted across PubMed, Scopus, and Google Scholar for studies published between January 2019 and December 2025. Following PRISMA 2020 conceptual guidance, 428 records were identified. After duplicate removal and eligibility screening, 22 studies were included in the qualitative synthesis.                                                                                                                         

The synthesized findings demonstrated consistent associations between structured interdisciplinary collaboration and improvements across multiple patient safety domains. Reported benefits included reductions in insulin-related medication errors, improved glycemic stability, enhanced perioperative safety, strengthened procedural reliability, improved emergency stabilization outcomes, reduced diagnostic delays, and enhanced communication reliability.                                                                       

Interdisciplinary collaboration functions as a system-level patient safety stabilizer by reducing variability, enhancing situational awareness, improving monitoring consistency, accelerating diagnostic processes, and mitigating latent system failures. These mechanisms appear particularly critical for diabetic populations due to their sensitivity to metabolic fluctuations and care discontinuities.              

Interdisciplinary collaboration across anesthesia, nursing, operating room technical services, emergency medical services, and laboratory departments represents a critical determinant of patient safety in diabetic patients within complex university hospital environments.