在手术室检查口头反的质量和数量:加拿大背景下的多专业研究
Rachael Allen1, Ingrid de Vries2, Tianna M M Murray3
1School of Medicine, Faculty of Health Sciences, Queen's University, Kingston, Ontario, Canada.
Journal of surgical education
|December 17, 2025
概括
医生在手术室经常提供口头反,但它的质量各不相同. 居民发现这种反是有用的,尽管它与特定专业活动 (EPA) 的信任分数没有相关性.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 麻醉学教育 麻醉学教育
背景情况:
- 有效的口头反对于外科和麻醉学培训的住院发展至关重要.
- 了解手术室 (OR) 反的细微差别对于基于能力的医学教育 (CBME) 是必不可少的.
研究的目的:
- 评估手术室内外科和麻醉科住院医生的口头反的数量和质量.
- 检查特定可委托专业活动 (EPA) 的口头反和委托分数之间的关系.
- 探索居民对OR口头反有用性的看法.
主要方法:
- 在一个学术三级医疗医院进行的前性观察研究.
- 涉及20名住院医生和23名临床医生,涉及麻醉学和各种手术学科.
- 在122小时的手术室互动中记录了1180个口头反事件.
主要成果:
- 口头反主要集中在绩效分析 (57%) 和学习者代理 (20%) 上.
- 超过70%的居民将反评为"非常有用"或"非常有用".
- 在反量/质量和EPA委托分数之间没有发现显著的相关性.
结论:
- 临床医生在手术室提供了大量的口头反,但其质量不一致.
- 针对更多反质量改进 (FQI) 领域的反被认为更有用.
- 需要进一步的策略,在CBME框架内整合口头反进行评估.
相关概念视频
Types of Reports III: Telephone and Verbal Reports
968
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
968
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
SBAR II: Application of SBAR
5.6K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
5.6K
SBAR I: Understanding the Concept
5.7K
Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...
Standardized methods of communication have been developed to ensure that information is...
5.7K
Assessment of Ventilation II: Respiratory Depth and Rhythm
2.4K
Respiratory Depth
Respiratory depth measures the volume of air inhaled or exhaled during a breath. It can vary from shallow to deep and typically remains consistent when a person is at rest or asleep. Occasionally, individuals will automatically inhale deeply, known as sighing, which inflates the lungs with more air than normal breathing.
To assess respiratory depth, observe the degree of chest excursion or movement:
Respiratory depth measures the volume of air inhaled or exhaled during a breath. It can vary from shallow to deep and typically remains consistent when a person is at rest or asleep. Occasionally, individuals will automatically inhale deeply, known as sighing, which inflates the lungs with more air than normal breathing.
To assess respiratory depth, observe the degree of chest excursion or movement:
2.4K
Effects of feedback
952
Feedback in control systems plays a critical role in shaping various operational parameters, extending beyond simple error reduction to influence stability, bandwidth, gain, impedance, and sensitivity. Understanding these effects requires examining a basic feedback system characterized by defined input, output, error, and feedback signals.
Feedback significantly modifies the gain of a control system. The gain of a system without feedback is altered by a factor of one plus GH, where G represents...
Feedback significantly modifies the gain of a control system. The gain of a system without feedback is altered by a factor of one plus GH, where G represents...
952


