手术团队的时间压力,对患者安全的帮助还是障碍?
Annet van Harten1, Theo J H Niessen2, Jur J Koksma3
1Dept. of Process Improvement and Innovation, Radboud University Medical Center, F.C. Donderslaan 2, 6525, GJ Nijmegen, the Netherlands.
Heliyon
|February 3, 2025
概括
外科手术的时间压力不仅仅是工作量,而且是从冲突的优先事项和关系中共同构建的问题. 提高正念的日常工作需要改进会议和涉及利益相关者.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 组织心理学 组织心理学
背景情况:
- 手术室患者的安全取决于有意识的日常工作.
- 时间压力往往被认为是影响这些日常活动的不可避免的约束.
- 了解时间压力的动态对于制定有效的安全协议至关重要.
研究的目的:
- 研究手术团队内时间压力的性质.
- 探索时间压力与发展正念日常生活之间的相互作用.
- 确定影响建立和维护患者安全实践的因素.
主要方法:
- 一个自然主义的案例研究,利用民族学方法.
- 在荷兰一家学术医院的外科团队进行了103个小时的观察.
- 分析整合了习惯理论和正念组织原则.
主要成果:
- 团队文化优先考虑速度,生产力和情感关系,往往导致避免冲突.
- 关于安全规范,时间问题和节省时间的信念的冲突优先级是普遍存在的.
- 共享的情境意识 (SA) 缓解了时间压力,但新的例行经常受到损害,而已建立的习惯仍然存在.
结论:
- 时间压力是冲突的优先事项和关系动态的共同构建结果,而不仅仅是工作负载驱动的.
- 节省时间的必要性可以激励共享SA和形成新的正念程序.
- 建议包括完善死亡率和发病率会议,增加利益相关者的参与,并解决现有的担忧,以加强正念的日常生活.
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