外科非技术技能对临床结果的影响:系统性审查
Joel Norton1,2, Allison M Janda3, Emma Howie1,2
1Surgical Sabermetrics Laboratory, Usher Institute, College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh, UK.
The British journal of surgery
|December 29, 2025
概括
提高非技术技能 (NTS),如在外科手术中领导和沟通,与更好的患者结果有关. 本综述综合了证据,表明NTS对外科手术质量和安全有积极的影响.
科学领域:
- 医学教育 医学教育
- 改善外科手术的质量
- 患者安全 患者安全
背景情况:
- 非技术技能 (NTS),包括领导和沟通,对于高效和安全的手术至关重要.
- 在NTS的缺陷可能导致手术内错误和低效率.
- 需要对手术内NTS和患者结果之间的关系进行综合分析.
研究的目的:
- 系统地审查关于手术内非技术技能与临床患者结果之间的关系的证据.
主要方法:
- 在PubMed,Embase,CENTRAL,CINAHL和PsycINFO数据库中搜索到2024年11月1日.
- 包括的研究评估了非模拟环境中的手术室人员NTS,并报告了临床结果.
- NTS被分为领导和沟通领域;患者的结果包括死亡率和并发症.
主要成果:
- 21项涉及8536名参与者和251,180项手术的研究符合纳入标准.
- 57%的研究报告了临床结果的显著改善.
- 观察性研究 (82%) 比干预性研究 (30%) 更频繁地报告了积极的结果.
结论:
- 在手术内NTS和患者水平的结果之间存在显著的关联.
- 研究结果支持行为评估和手术团队培训.
- 将NTS纳入监管框架对于全球外科手术质量和安全至关重要.
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