Risser D T, Rice M M, Salisbury M L, Simon R, Jay G D, Berns S D
Dynamics Research Corporation, Andover, MA, USA.
Ann Emerg Med. 1999 Sep;34(3):373-83. doi: 10.1016/s0196-0644(99)70134-4.
This article describes emergency department care work teams designed to improve team communication and coordination and reduce error. The core of this teamwork system is the teaching of teamwork behaviors and skills, development of teamwork habits, and creation of small work teams, all of which are key teamwork concepts largely drawn from successful aviation programs. Arguments for enculturating teamwork into ED practice are drawn from a retrospective study of ED malpractice incidents. Fifty-four incidents (1985-1996), a sample of convenience drawn from 8 hospitals, were identified and judged mitigable or preventable by better teamwork. An average of 8.8 teamwork failures occurred per case. More than half of the deaths and permanent disabilities that occurred were judged avoidable. Better teamwork could save nearly $3.50 per ED patient visit. Caregivers must improve teamwork skills to reduce errors, improve care quality, and reduce litigation risks.
本文介绍了旨在改善团队沟通与协作并减少差错的急诊科护理工作团队。该团队协作系统的核心是团队协作行为与技能的传授、团队协作习惯的养成以及小型工作团队的创建，所有这些关键的团队协作理念主要借鉴了成功的航空项目。将团队协作融入急诊科实践的依据来自对急诊科医疗事故的回顾性研究。从8家医院抽取了54起事故（1985年至1996年）作为便利样本，经判定，通过更好的团队协作这些事故是可减轻或可预防的。每个案例平均发生8.8次团队协作失误。发生的死亡和永久性残疾事件中，超过一半被判定是可避免的。更好的团队协作可为每位急诊科患者节省近3.50美元。护理人员必须提高团队协作技能，以减少差错、提高护理质量并降低诉讼风险。
