手术团队的简报:对经验和态度的试点研究
M Davidson1, E Brennan2, M Garg3
1BALPA, 1 Heathrow Boulevard, 278 Bath Road, West Drayton UB7 0DQ, UK.
The British journal of oral & maxillofacial surgery
|February 6, 2024
概括
在外科手术中,团队简报可以提高患者安全和团队士气,但参与度各不相同. 进一步教育和积极参与至关重要,以最大限度地发挥它们的好处,并促进安全的环境.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全实践 患者安全实践
- 外科手术团队的动力学
背景情况:
- 医疗保健可以适应高可靠性组织 (HRO) 的做法,以提高患者安全和团队士气.
- 众所周知,团队简报可以提高患者安全和团队工作,但一些医疗保健专业人员认为它们无关紧要.
- 尽管有潜在的好处,但对团队简报的态度和参与度仍然存在变化.
研究的目的:
- 探索医疗保健专业人员对团队简报的经验和态度.
- 确定在手术环境中有效实施团队简报的障碍和促进者.
- 通过每日运营简报来评估感知价值和参与水平.
主要方法:
- 通过使用10个问题调查进行了一项试点研究.
- 该调查在人为因素会议期间在训练外科医生协会 (ASiT) 会议和国家卫生服务 (NHS) 信托中进行了分发.
- 收集的数据包括简报频率,感知互动性,领导力,持续时间和整体效益.
主要成果:
- 85%的受访者报告每天至少进行一次简报;65%的人认为它们是互动性的.
- 67%的简报由高级外科人员领导,58%的简报持续四分钟或更长时间.
- 18%的人认为简报提供了很少的好处,56%的人不经常进行简报.
结论:
- 在医疗保健中,人们对团队简报的态度仍然不尽相同,有些人将其视为简单的"勾选框"练习.
- 积极参与和教育对于改善有效团队简报的交付和感知价值至关重要.
- 团队简报为建立"安全空间"和加强对不适当行为的零容忍提供了关键机会.
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