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指南针项目:对欧洲人对外科手术非技术技能的看法进行全面概述
Jada Saunders1, Konstantinos Polyzois2, Millicent Hamadziripi3
1Northumbria Healthcare NHS Foundation Trust, 7, Northumbria House, Cobalt Business Park, Newcastle upon Tyne, NE27 0QJ, UK.
Surgical endoscopy
|January 6, 2026
概括
欧洲外科医生重视外科医生非技术技能 (NOTSS) 的安全性,但缺乏正式培训. 参与手术的外科医生依赖经验,而实习生寻求结构化的教育以提高手术表现.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 患者安全 患者安全
背景情况:
- 外科医生的非技术技能 (NOTSS) 对于安全的手术实践至关重要.
- 将NOTSS纳入欧洲外科培训计划是不一致的.
- 了解外科医生在不同职业阶段的看法对于改善培训至关重要.
研究的目的:
- 评估欧洲外科医生对NOTSS的看法.
- 基于职业阶段 (实习生与参加) 的认知进行比较.
- 评估之前的NOTSS培训对感知的影响.
主要方法:
- 基于NOTSS框架的5分利克特调查分发给512名欧洲外科医生.
- 数据是在2025年2月15日至4月15日期间收集的.
- 统计分析包括曼-惠特尼U和克鲁斯卡尔-瓦利斯试验,以及子组分析.
主要成果:
- 只有21.1%的参与者接受了正式的NOTSS培训,但95%的人表示有兴趣.
- 参与手术的外科医生报告说,他们对患者的病情和并发症预期的意识更高.
- 培训人员认为NOTSS培训具有更大的益处,并强调其在外科安全方面的重要作用.
结论:
- 欧洲外科医生承认NOTSS的重要性,但结构化培训是有限的.
- 出席外科医生的信心源于经验,而学员则对正规教育表现出热情.
- 标准化的NOTSS培训可以弥合代际差距,提高外科安全和团队表现.
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