单独在一起:手术室团队成员是否同时经历压力? :一个基于事件的研究
Sandra Keller1,2, Steven Yule3,4,5,6, Douglas S Smink3,5
1From the Fralin Biomedical Research Institute at Virginia Tech Carilion, Roanoke, VA.
概括
操作室 (OR) 团队成员通常会单独经历压力. 然而,急性患者问题和观察其他处于困境的患者经常导致共同的压力,可能会影响团队的理解.
科学领域:
- 医学研究 医学研究
- 人为因素在手术中的作用
- 团队动态 团队动态
背景情况:
- 操作室 (OR) 团队面临着许多压力因素.
- 以前的研究往往检查了一般的菌株,而不是特定事件的发生.
- 这限制了团队成员对并发菌株经验的理解.
研究的目的:
- 在OR团队成员中识别并发性菌株事件.
- 为了确定在手术内阶段的压力触发因素.
主要方法:
- 进行了一项基于事件的观察性研究.
- 包括5个外科部门的113次手术.
- 一种指导回忆方法评估了手术后立即发生的应变事件.
主要成果:
- 从731个指导召回中报告了461个应变事件.
- 75%的应变事件只有一名团队成员经历.
- 多个团队成员经常遇到急性患者问题 (58.5%) 和观察他人的压力 (83.3%).
结论:
- 操作室团队成员通常在隔离状态下经历压力.
- 当涉及患者安全时,共享菌株更常见.
- 这可能会阻碍OR团队内共同理解的发展.
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