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探索日常工作作为一个动态的非事件,以及在手术内麻醉护理中管理安全的适应:一个采访研究
Karolina Olin1,2, Charlotte Klinga3,4, Mirjam Ekstedt3,5
1Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden. karolina.olin@ki.se.
管理复杂的手术内麻醉护理需要组织支持准备,正念实践和团队合作. 充足的资源,稳定的团队和强大的非技术技能对于手术室的患者安全至关重要.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 麻醉学 麻醉学
背景情况:
- 安全是专业工作中不可或缺的一个动态过程.
- 麻醉是患者安全的领导者,采用了高可靠性行业的原则.
- 手术室是复杂的,适应性的系统,需要强大的安全管理.
研究的目的:
- 探索支持麻醉护士和麻醉师的因素.
- 了解在手术治疗期间处理复杂的日常情况.
主要方法:
- 个人采访使用认知任务分析 (CTA).
- 来自前性,结构化的观察的案例情景.
- 使用框架方法进行分析.
主要成果:
- 复杂情况的管理依赖于准备,正念实践和监控.
- 组织的先决条件包括足够的资源,训练有素的人员和时间.
- 高质量的团队合作和非技术技能 (NTS) 提高了复杂情况的管理.
结论:
- 足够的资源,团队稳定性和安全实践界限是必不可少的.
- 有效使用NTS取决于组织支持和临床专业知识.
- CTA可以揭示默认的能力,指导培训,并告知安全的外科手术前实践.
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