在标记外科手术帽后,人们对名称的使用,角色的认知和团队合作的看法
Becky J Wong1, Aussama K Nassar2, Michelle Earley3
1Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, California.
JAMA network open
|November 17, 2023
概括
有标签的外科帽子通过增加名字识别和培养包容感和患者安全,改善了外科临床医生之间的团队合作和联系.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 手术团队沟通 手术团队沟通
- 患者安全 患者安全
背景情况:
- 在外科手术期间经常出现沟通失败,导致患者和临床医生的不良结果.
- 难以记住或识别队友的名字和角色的困难有助于不理想的沟通.
- 标签外科帽子对术前环境中的团队合作和联系的影响仍未得到充分研究.
研究的目的:
- 评估标签外科帽子在提高名称使用和角色识别方面的有效性.
- 评估标签上限对感知团队合作和跨专业外科外科手术团队之间的联系的影响.
- 探索名称使用与改善团队合作和联系之间的关联.
主要方法:
- 一项质量改进研究,涉及向967名跨专业的外科临床医生分发带有名称和角色的外科帽子.
- 实施前和实施后6个月的调查进行,以评估自我报告的名称使用,角色识别,团队合作和联系的变化.
- 数据分析包括定量调查响应和定性自由响应评论.
主要成果:
- 使用标记的外科帽子显著增加了参与者被叫他们的名字的可能性 (调整后的几率比率[AOR],13.37).
- 实施后的调查表明,参与者在团队工作 (80%) 和联系 (79%) 中得到了实质性的改进.
- 更频繁地被人称呼与报告改善团队合作 (AOR,3.46) 和联系 (AOR,3.21) 的更高几率有关.
结论:
- 组织赞助的标签外科帽子与外科周围区域的改善团队合作有关.
- 标记帽子所促进的名称使用和角色识别的增加,有助于创造更积极的团队气候.
- 这些发现表明,标记的外科帽子可以促进健康,包容性,并提高患者的安全性.
相关概念视频
01:20Labeling Emotion
144
Emotional labeling is a cognitive process that involves identifying and naming one's emotions, such as anger, fear, happiness, or sadness. It allows individuals to recognize and express their internal emotional states, a critical aspect of emotional regulation and communication. Labeling emotions requires more than mere recognition; it also involves drawing upon memory and contextual cues to understand the current situation and apply a corresponding emotional label. For instance, feeling...
144
03:20The Stanford Prison Experiment
23.2K
The famous and controversial Stanford Prison Experiment, conducted by social psychologist Philip Zimbardo and his colleagues at Stanford University, demonstrated the power of social roles, social norms, and scripts.
23.2K
01:22PPE Use in Healthcare Settings I: Donning
974
Donning PPE must be completed before contact with the patient. This process protects from infectious agents. The sequence and action included in each donning are critical, and the steps must be systematic to avoid exposure to pathogens. The institutional policy also needs to be followed while donning PPE. The pre-donning preparations are gathering equipment, inspecting the PPE equipment for tears, holes, or damage, removing jewelry, removing any garments below the elbows, and tying the hair...
974
01:08Obedience
32.9K
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
32.9K
01:25Tracheostomy Care II: Procedure
201
Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
201
01:10PPE Use in Healthcare Settings II: Doffing
917
The sequence of removing or doffing PPE starts with the gloves, as they are the most contaminated. Next is removal of the face shield or goggles, as they would interfere with removing other PPE. Then remove the gown, followed by the mask or respirator. Perform hand hygiene between steps if hands become contaminated and immediately after removing all PPE. Generally, the outside front and sleeves of the isolation gown, the goggles or the mask, the respirator, and the face shield are contaminated.
917