实施安全气候温度计的障碍和促进者:手术团队的新工具
Esther Martine van der Linde1, Wilhelmina M U van Grevenstein1, Alex Burdorf2
1Department of Surgery, University Medical Center Utrecht, Utrecht, the Netherlands.
Journal of surgical education
|March 13, 2026
概括
安全气候温度计 (SCT) 工具有效支持手术团队的安全文化改进. 关键的促进者包括外部便利和受保护的时间,而障碍则涉及工作压力和调查疲劳.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 组织心理学 组织心理学
背景情况:
- 安全气候温度计 (SCT) 是一种新的工具,旨在提高手术环境中的团队级安全文化.
- 它利用视觉洞察力,并促进跨学科的讨论,以促进日常实践的变化.
- 以前的开发涉及以用户为中心的设计,包括文献评论和国际调查.
研究的目的:
- 调查影响在外科环境中实施SCT的障碍和促进因素.
- 评估SCT在支持基于团队的安全文化改进方面的作用.
主要方法:
- 使用半结构面试和观察数据进行了定性实施研究.
- 这项研究以实施成果框架为指导.
- 三个荷兰手术团队参与了7个月的时间,利用SCT的视觉反和会议结构.
主要成果:
- 参与者报告了SCT的高可用性和可接受性,因为它的直观设计和匿名性.
- 障碍包括高流动率,工作压力,竞争优先级,缺乏信任和调查疲劳.
- 确定的辅导员是亲自进行外部辅导,并专注于"受保护的时间",从而加强了团队的凝聚力,并增加了被倾听的感觉.
结论:
- 该SCT是一个实用和用户友好的工具,通过团队反思和对话来增强安全文化.
- 未来的成功实施需要仔细考虑上下文因素.
- 该工具对支持手术团队实践的切实变化充满希望.
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