机组人员资源管理和威胁和错误管理改善了内镜中的团队沟通:一项前性研究
Dominik Schweikart1, Anna Melzer1,2, Niklas Sturm1,2
1Endoscopy Research Unit, University Hospital Ulm, Albert-Einstein-Allee 23, 89081, Ulm, Germany.
Scientific reports
|November 3, 2025
概括
从航空到内镜实施机组资源管理 (CRM) 和威胁和错误管理 (TEM) 改善了团队沟通和工作流程. 这提高了患者的安全性,并减少了复杂程序期间的误解.
科学领域:
- 医疗程序 医疗程序
- 团队合作和沟通.
- 患者安全 患者安全
背景情况:
- 复杂的胃肠内镜手术需要有效的团队合作.
- 机组人员资源管理 (CRM) 和威胁和错误管理 (TEM) 是经过验证的航空战略.
- 这些策略可以提高医疗环境中的沟通,工作流程和患者结果.
研究的目的:
- 在干预内镜部门实施和评估CRM和TEM策略.
- 评估这些策略对团队沟通,工作流程和患者安全的影响.
主要方法:
- 与工作人员一起开发了定制的CRM和TEM元素 (沟通指南,检查清单,团队休息时间).
- 这些元素被整合到一个大规模的干预内镜中心的工作流程中.
- 在实施之前和之后进行了员工调查,以评估影响.
主要成果:
- 从模两可的沟通误解显著减少 (p=0.034).
- 在程序 (p=0.020) 中显著明确任务分配.
- 显著改善了医生向护理助理的信息传输 (p=0.047).
结论:
- 实施CRM和TEM改善了团队沟通,工作流程和内镜中的团队合作.
- 超过80%的员工认为患者安全有所改善.
- 这些基于航空的策略有效地提高了复杂的医疗程序.
相关概念视频
Endoscopic Studies II: Thoracocentesis
1.2K
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
1.2K
Endoscopic Procedures V: ERCP
2.7K
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
2.7K
Barriers to Effective Communication II
4.5K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
4.5K
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
459
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
459
Types of Reports III: Telephone and Verbal Reports
974
Telephone and Verbal Reports in healthcare settings are two communication methods for conveying therapeutic instructions from healthcare providers to nurses or other healthcare staff.
Here's an overview of each type:
Telephone Orders
Here's an overview of each type:
Telephone Orders
974
Esophageal Varices-II: Clinical Features and Management
358
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
358


