评估运营团队弹性方法和框架:一个范围审查
Veronica Pentland1, Aayush R Malhotra1, Natalie McGuire1
1Faculty of Health Sciences, Office of Professional Development and Educational Scholarship.
Journal of patient safety
|November 24, 2025
概括
外科团队弹性研究缺乏一致的框架应用,导致各种方法和有限的合成. 开发特定于OR的框架对于推进这一领域和改善研究分类至关重要.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 人类因素工程 人类因素工程
背景情况:
- 手术室 (OR) 的错误对患者的结果有很大的影响.
- 手术团队的弹性,即适应干扰的能力,在OR中至关重要.
- 现有的研究弹性框架在OR研究中不一致地应用.
研究的目的:
- 在研究手术室 (OR) 团队弹性时,描述框架的应用.
- 检查不一致的框架使用对研究综合学的影响.
- 确定需要进一步研究OR团队的弹性.
主要方法:
- 在EMBASE,CINAHL和MEDLINE中使用Arksey & O'Malley框架进行系统的文献搜索,直到2024年7月.
- 包括关注OR人为因素,团队功能,康复和患者安全指标的研究.
- 独立的数据提取和叙事总结由两个评论员.
主要成果:
- 在3165个已识别的研究中,有9项研究符合纳入标准.
- 框架的应用是不一致的:2个使用SEIPS,2个使用NOTSS,5个使用临时方法.
- 只有2项研究在性文献中自我识别.
结论:
- 在OR弹性研究中不一致的框架使用导致了方法的变化,并阻碍了跨研究综合.
- 开发特定于OR的弹性框架对于推进该领域和改善研究分类至关重要.
- 需要更广泛的搜索策略,包括与弹性相邻的术语,以提高研究可见性.
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