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人类因素:它们是否会影响外科手术的表现?
Jerry Sam1, Mahak Baid1, Karthikeyan Dhandapani1
1Trauma and Orthopaedics, Aneurin Bevan University Health Board, Newport, GBR.
Cureus
|October 17, 2024
概括
同时执行复杂的任务,比如口述手术步骤,显著增加了手术时间和错误. 音乐的影响最小,而倒计时稍微增加了时间,但没有错误,突出了手术中关键的人类因素.
科学领域:
- 外科手术的表现
- 人类因素在医学中的作用
- 手术中的认知负载.
背景情况:
- 人类因素包括环境,组织和个人因素,影响手术室的表现.
- 了解这些因素对于优化手术结果和患者安全至关重要.
研究的目的:
- 研究特定的人类因素对外科手术性能指标的影响.
- 评估听觉刺激 (音乐) 和认知任务 (倒计时,任务交换) 如何影响外科手术的效率和准确性.
主要方法:
- 十名骨科外科工作人员参加了"不要着电线"迷宫任务.
- 通过完成课程的时间和在四个条件下触摸线的数量来衡量表现:控制,音乐,倒数和口头化动态部螺丝 (DHS) 固定步骤.
主要成果:
- 语言化DHS固定步骤显著增加了完成时间 (69.8s对比33.8s控制,p=0.0039) 和线触 (10.6对比4.3控制,p=0.0078).
- 倒计时适度增加了完成时间 (38.7s),但没有电线触摸 (4).
- 音乐对完成时间 (33.4s) 没有显著影响,并减少了电线触摸 (2.2).
结论:
- 认知负载,特别是来自于同时执行任务的认知负载,例如口头表达手术程序,会对手术表现产生不利影响.
- 意识到这些人为因素对于制定减轻手术室负面影响的策略至关重要.
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