在手术室的语音通信干扰
Austin Bachar1, Margaret Brommelsiek2, Richard John Simonson3
1Urogynecology and Reconstructive Pelvic Surgery, University of Missouri Kansas City School of Medicine, Kansas City, Missouri.
The Journal of surgical research
|December 24, 2023
概括
在手术中,语音通信干扰 (SCI) 是常见的,通常是由分心和多任务导致的. 解决这些障碍可以提高患者的安全性和外科手术的效率.
科学领域:
- 医学沟通 医学沟通
- 患者安全 患者安全
- 手术工作流程手术工作流程
背景情况:
- 手术室的通信经常被打断,造成安全风险.
- 语音通信干扰 (SCI) 事件使用语音干扰仪器进行测量.
研究的目的:
- 在手术环境中测量语音通信干扰 (SCI) 事件的频率,影响和原因.
- 通过手术后访谈,确定导致SCI事件的背景因素.
主要方法:
- 对40项手术的前性观察,主要是一般手术.
- 定义SCI作为被破坏的群体话语.
- 从补充观察中对笔记和采访进行主题分析.
主要成果:
- 观察到103个SCI事件 (每次手术平均2.58),经常涉及主治外科医生,护士,住院医生和擦拭技术人员.
- 大多数SCI事件 (82.1%) 发生在与患者相关的任务中;17.5%在关键时刻.
- 97.0%的SCI事件导致延迟;常见原因包括噪音,对话和多任务处理.
结论:
- 由于任务冲突,噪音和对话,OR中的通信干扰会对患者的安全产生影响.
- 重组工作流程,任务和沟通行为可以减少错误沟通.
- 沟通的改善可以提高外科手术的安全性和效率.
相关概念视频
Barriers to Effective Communication II
3.7K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.7K
Barriers to Effective Communication I
8.9K
A communication barrier is any distortion or interruption during a conversation, resulting in miscommunication of the message. A good communicator should know these barriers and continuously check for the listener's understanding by obtaining feedback.
Communication barriers include the following:
Physiological barriers: They are limitations caused by a person's health condition or disability, such as hearing loss, poor eyesight, illness, or unconsciousness. An example to overcome this...
Communication barriers include the following:
Physiological barriers: They are limitations caused by a person's health condition or disability, such as hearing loss, poor eyesight, illness, or unconsciousness. An example to overcome this...
8.9K
SBAR I: Understanding the Concept
4.5K
Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...
Standardized methods of communication have been developed to ensure that information is...
4.5K
Role of Communication in the Nursing Process II: Planning and Implementation
1.8K
Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
1.8K
Respiratory System Abnormal Finding II: Palpation and Auscultation
475
In assessing respiratory abnormalities, palpation and auscultation are critical tools for detecting and interpreting various pathophysiological changes. These techniques provide insight into underlying disorders by evaluating tactile sensations and sounds produced by the respiratory system.
Palpation Findings
During a respiratory assessment, palpation can reveal several vital abnormalities:
Palpation Findings
During a respiratory assessment, palpation can reveal several vital abnormalities:
475
SBAR II: Application of SBAR
4.4K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
4.4K


