麻醉科医生手术前夜工作:对关键问题和建议的定性研究
Mariachiara Ippolito1, Alberto Noto, Ines Lakbar
1From the Department of Surgical, Oncological and Oral Science (Di.Chir.On.S.), University of Palermo (MI, AG, AC), Department of Anaesthesia, Intensive Care and Emergency, Policlinico Paolo Giaccone, Palermo (MI, AG, AC), Division of Anaesthesia and Intensive Care, Department of Human Pathology of the Adult and Evolutive Age 'Gaetano Barresi', University of Messina, Policlinico 'G. Martino', Messina, Italy (AN), Anesthesiology and Intensive Care, Anesthesia and Critical Care Department B, Saint Eloi Teaching Hospital, PhyMedExp, University of Montpellier, INSERM U1046, 1, Montpellier Cedex 5, Montpellier, France (IL), Institute for Translational Medicine and Therapeutics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA (AC), Outcomes Research Consortium, Cleveland, OH, USA (AC), Department of Paediatric and Obstetric Anaesthesia, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark (AA), Institute of Clinical Medicine, University of Copenhagen (AA), Department of Anaesthesiology, Intensive Care, Emergency and Pain Medicine, University Hospital Würzburg, Würzburg, Germany (PK), Consorcio Hospital General Universitario de Valencia, Valencia. Methodology research Department, Universidad Europea de Valencia, Spain (CSRG), Department of Anaesthesiology, Critical Care and Pain, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, India (SNM), Department of Intensive Care, Amsterdam University Medical Centers, Location 'AMC', Amsterdam, The Netherlands (MJS), Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand (MJS), Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, Oxford University, Oxford, UK (MJS), Department of Anaesthesiology, Critical Care and Pain Medicine, Policlinico Umberto I Teaching Hospital, Sapienza University of Rome, Rome (FB), Division of Anaesthesia, Analgesia, and Intensive Care, Department of Medicine and surgery. University of Perugia, Italy (EDR) and General Intensive Care Unit of the Shaare Zedek Medical Centre and the Hebrew University Faculty of Medicine, Jerusalem, Israel (SE).
麻醉师报告说,夜间工作条件,包括疲劳和工作人员不足,会对患者的安全产生负面影响. 解决方案包括减少工作时间和增加员工,以减轻与术后护理相关的风险.
科学领域:
- 麻醉学 麻醉学
- 患者安全 患者安全
- 医疗保健管理的管理
背景情况:
- 有限的定性数据存在于麻醉师对夜间工作和患者安全的看法.
- 术前夜班对患者护理构成独特的挑战.
研究的目的:
- 了解麻醉师对夜间工作条件对患者安全的影响的看法.
- 确定潜在的策略,以减轻夜班期间外科护理的风险.
主要方法:
- 来自国际麻醉科医生队伍的反应的定性分析.
- 在线问卷,包含关于夜间工作和患者安全的开放式问题.
- 欧洲麻醉学和重症监护学会 (ESAIC) 推动了这项调查.
主要成果:
- 27%的受访者报告说,由于疲劳而导致职业表现的感知下降.
- 35%的参与者认为夜间工作条件不佳.
- 提出的关键解决方案包括减少工作时间 (21%),增加人员数量 (14%),并将夜间手术限制在紧急情况下 (14%).
结论:
- 麻醉科医生认为,工作量与人员不平衡以及长时间工作增加了外科手术期间的风险,通常是由于疲劳相关的错误.
- 在夜间进行非紧急手术和设施不足被确定为需要改进的领域.
- 需要制定法规,以提高夜间麻醉实践的安全性和质量.
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