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在手术室优化团队协作:对可行的团队协作策略进行全面审查
Nibras Ghanmi1, Mostafa Bondok2, Cole Etherington3
1Faculty of Medicine, University of Ottawa, Ottawa, CAN.
Cureus
|June 17, 2024
概括
低于最佳的手术室 (OR) 团队合作导致手术并发症. 这次审查确定了使用行动,参与者,上下文,目标,时间 (AACTT) 框架的团队工作策略,发现了改善OR实践的最可行的协议.
科学领域:
- 医疗保健的质量和安全.
- 手术患者护理手术患者护理
- 医学的团队合作和沟通.
背景情况:
- 在手术室 (OR) 中,低于最佳的团队合作有助于预防手术患者并发症.
- 弥合医疗保健中的证据与实践差距需要明确团队合作行为.
- 现有的团队协作干预缺乏针对OR环境的综合,可操作的策略.
研究的目的:
- 为了确定手术环境的可操作的团队合作策略.
- 用行动,参与者,上下文,目标,时间 (AACTT) 框架对OR团队工作干预措施的现有文献进行映射.
- 确定哪些干预措施是最清楚地规定的实际应用.
主要方法:
- 从创立到2022年4月,对多个数据库 (MEDLINE,Embase,CINAHL,ERIC,Cochrane,Scopus,PsycINFO) 进行了全面的范围审查.
- 从9,289个参考文献中选和提取数据,其中包括249个符合条件的研究,使用重复的独立审查者对.
- 将已识别的团队工作干预措施 (例如,检查清单,协议,指南) 映射到AACTT框架中.
主要成果:
- 通过使用AACTT框架确定并绘制了八种类型的团队协作干预措施.
- 许多干预措施缺乏明确的参与者和行动规范.
- 协议干预 (101项研究) 证明了最可操作的OR的AACTT元素.
结论:
- 协议代表了一种有希望的,可行的干预措施,以改善OR团队合作.
- 进一步的研究应该评估和比较基于协议的干预措施的有效性.
- 在团队协作干预中更清晰地规范AACTT元素对于弥补证据与实践差距至关重要.
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