沟通,团队合作和文化:创造成功的团队,以支持最佳的分娩结果.
Colleen Sinnott1, Katherine H Campbell1, Christian M Pettker2
1Division of Maternal Fetal Medicine, Yale School of Medicine, New Haven, CT, USA.
有效的劳动和分娩护理需要团队合作和清晰的沟通. 结构化工具,定义的角色和安全团结改善了产科的患者结果和紧急管理.
科学领域:
- 产科和妇科 产科和妇科
- 医疗保健管理的管理
- 患者安全 患者安全
背景情况:
- 有效的劳动和分娩护理取决于有凝聚力的多学科团队.
- 强有力的安全文化对于最佳的患者结果至关重要.
- 医生,护士,麻醉师和家庭之间的协调是必不可少的.
研究的目的:
- 概述各种各样的医疗保健专业人员如何形成劳动和分娩护理的功能单位.
- 强调结构化工具和沟通在提高团队绩效方面的作用.
- 突出调整护理,减少延迟和管理产科紧急情况的战略.
主要方法:
- 在护理团队内定义明确的角色和领导结构.
- 实施标准化的沟通工具和语言.
- 使用安全 (床边和单元) 进行护理对齐.
- 使用诸如情况,背景,评估和建议 (SBAR) 和疾病严重程度,患者,行动,综合,摘要 (IPASS) 等框架.
- 使用基于颜色的剖腹产分级和胎儿心率监测.
主要成果:
- 改善了团队凝聚力和不同专业人士之间共享的心理模式.
- 加强沟通,从而减少护理延误.
- 更有效地管理产科紧急情况.
- 通过专门的工具提高患者监测的警.
结论:
- 清晰定义的角色,领导和标准化的沟通促进了有效的劳动和交付团队.
- 结构化的工具和安全是协调护理和提高安全性的关键.
- 实施特定的沟通框架和监测工具可以提高产科护理效率和患者安全.
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