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人为因素的应用,决策,团队合作和在外科瘤学中的领导力
Elizabeth S Brennan1, Umar Rehman2, Mohammad Sohaib Sarwar3
1University of Bristol Medical School, Bristol, UK.
概括
在手术中,人为因素 (HF) 可以减少错误. 通过解决决策,倦怠和培养公正的文化,应用HF原则可以提高外科医生的表现,团队合作和患者安全.
科学领域:
- 手术瘤学手术瘤学
- 患者安全 患者安全
- 医疗保健管理的管理
背景情况:
- 手术室是高风险的环境,可以避免错误.
- 人为因素 (HF) 原则在医疗保健中得到越来越多的认可,但并不普遍适用.
- 一些外科医生低估了疲劳和个人限制对表现的影响.
研究的目的:
- 探索与英国国家卫生系统 (NHS) 内的外科瘤学相关的人类因素.
- 识别改善个人表现和团队协作的被忽视的因素.
- 讨论HF在决策,情境意识,领导力和公正文化中的作用.
主要方法:
- 对人为因素的审查原则.
- 分析英国国家卫生系统 (NHS) 的经验.
- 讨论相关因素,包括决策,情境意识和倦怠.
主要成果:
- 人类因素显著影响手术性能和患者安全.
- 可以利用被忽视的因素来提高个人和团队的有效性.
- 倦怠症对外科手术错误和患者的结果构成重大风险.
结论:
- 实施人为因素原则对于减少手术瘤学错误至关重要.
- 公正的文化,专注于学习而不是责备,对于事件调查至关重要.
- 解决外科医生疲劳和倦怠问题对于维持高标准的患者护理和安全至关重要.
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