围绕手术的团队性发病率和死亡率会议:对文献的系统审查
Aubrey Samost-Williams1, Roni Rosen2, Alexander Hannenberg3
1From the Department of Anesthesia, Critical Care, and Pain Medicine, University of Texas Health Science Center at Houston, Houston, TX.
概括
本综述确定了术后团队性发病率和死亡率会议 (TBMMs) 的关键要素及其对患者安全和教育的影响. 结构化的TBMM显示出对单一学科会议的潜在好处,以提高质量.
科学领域:
- 医学教育 医学教育
- 患者安全 患者安全
- 提高质量 提高质量
背景情况:
- 术后患者的安全性取决于系统,团队和个人因素.
- 传统的单一学科发病率和死亡率会议很常见,但可能无法完全解决复杂的患者安全问题.
研究的目的:
- 确定外科手术期间基于团队的发病率和死亡率会议 (TBMMs) 的基本组成部分.
- 评估TBMM对患者安全,医疗教育和质量改善的影响.
主要方法:
- 在2022年7月,在多个数据库中进行了系统的文献搜索.
- 包括的研究被选,并抽象了相关数据.
主要成果:
- 确定了七项研究,详细介绍了TBMM的关键要素:会议前的案例选择/调查,会议期间的标准化格式/主持人以及会议后的后续行动/QI项目.
- 虽然结果异质,但在进行比较时,TBMM在教育,安全和质量改善方面取得了改进.
结论:
- 成功进行外科手术期间的TBMM的关键要素包括细致的准备,标准化的演示和有效的促进.
- 结构化的TBMM比单一学科会议提供了潜在的优势,包括加强实习生教育,提高患者安全,以及全系统的质量改进.
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