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红线红线:优化紧急医疗医生和外科医生的合作角色创伤团队上的合作角色

Melissa Givens¹, John B Holcomb

¹From the Department of Military and Emergency Medicine (M.G.), Uniformed Services University of the Health Sciences, Bethesda, Maryland; and Department of Surgery (J.H.), University of Alabama, Birmingham Alabama.

The journal of trauma and acute care surgery

|May 30, 2024

概括

应急医疗 (EM) 和外科手术团队必须合作,以获得最佳的创伤患者结果. 消除分裂的看法和促进团队合作对于各个阶段的有效患者护理至关重要.

科学领域:

创伤护理创伤护理
医疗团队合作医疗团队合作
紧急医疗紧急医疗

背景情况:

从历史上看,手术和急诊医疗 (EM) 团队在关键创伤患者中共存.
分歧感知和系统约束可以阻碍最佳协作.
以患者为中心的方法是必不可少的,包括通过康复进行预防.

研究的目的:

解决影响紧急医疗医生和外科医生之间的协作团队合作的神话.
促进优化创伤团队成员参与的战略.
倡导拆除"红线心态",促进合作关系.

主要方法:

对创伤护理中跨学科团队动态的定性分析.
审查有关医疗协作和冲突解决问题的现有文献.
讨论在研究生医学教育 (GME) 设置中促进团队合作的领导角色.

主要成果:

外科和EM团队的协作存在改善了严重受伤的创伤患者的结果.
神话和敌对关系会对团队协同作用产生负面影响.
领导层的承诺对于培养合作环境至关重要.

结论:

为了有效的创伤护理,必须拆除分裂的看法和"红线心态".
促进EM和外科手术团队之间的合作关系可以改善患者的治疗结果.
在创伤管理中,统一的,以患者为中心的方法至关重要.

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