团队策略和工具,以提高团队表现在模拟训练在一个围产单位的模拟训练
Jenny Collins1, Jamie Buchanan1
1University of Phoenix, Phoenix, Arizona, USA.
Worldviews on evidence-based nursing
|February 2, 2026
概括
实施团队策略和工具以提高绩效和患者安全 (TeamSTEPPS) 在产周病房关键事件期间显著改善了沟通和团队合作. 这种基于证据的做法提高了患者的安全性,并促进了积极的工作环境.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全研究的研究.
- 医学的团队合作和沟通.
背景情况:
- 医疗错误和不良事件是多因素的,通常源于系统缺陷和通信故障.
- 据估计,这些错误每年在美国造成21万至40万例可预防的死亡.
- 有效的沟通和团队合作对于患者的安全至关重要,尤其是在关键事件期间.
研究的目的:
- 实施团队策略和工具以提高绩效和患者安全 (TeamSTEPPS) 3.0.
- 在围产病房关键事件期间改善沟通和团队合作.
主要方法:
- 一个基于证据的实践项目,涉及2小时的教学和交互式TeamSTEPPS教学.
- 2小时的临界事件模拟培训,应用TeamSTEPPS概念.
- 使用TeamSTEPPS团队工作感知问卷 (T-TPQ) 评估跨学科围产阶段团队中的沟通和团队工作感知.
主要成果:
- 在实施后,沟通和团队工作的平均分数分别增加了61%和56%.
- 所有T-TPQ测量都显示出改善,表明对团队功能,领导力,情境监测,相互支持和沟通 (p < 0.01) 有积极影响.
- 一个大的效果大小 (科恩的 dz = 0.821.32) 证明了干预的重大影响.
结论:
- 在TeamSTEPPS的实施中,提供了围产期关键事件期间沟通和团队合作的指导.
- 使用TeamSTEPPS策略可以培养一个安全的患者环境和积极的工作环境,鼓励团队合作和沟通.
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