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衡量医疗保健中的团队绩效:研究综述及对患者安全的启示

Measuring team performance in healthcare: review of research and implications for patient safety.

作者信息

Jeffcott Shelly A, Mackenzie Colin F

机构信息

Centre for Research Excellence in Patient Safety, Monash University, Australia.

出版信息

J Crit Care. 2008 Jun;23(2):188-96. doi: 10.1016/j.jcrc.2007.12.005. Epub 2008 Apr 18.

DOI:10.1016/j.jcrc.2007.12.005
PMID:18538211
Abstract

Effective team performance is important to measure in order to determine how clinicians should be trained for safe and effective patient care. Team performance is challenging to measure. In this paper, we describe different methodologies used to capture team performance metrics including clinical surveys, direct observation, and video-based analyses of real-life clinical performance. Despite much effort, the instruments reported thus far suffer from a variety of shortcomings that prevent their wide application in assessing team behaviors and performance. A consensus is needed on a conceptual model of clinical team performance that can encompass many real and simulated healthcare settings and account for interdependencies of their outcome criteria.

摘要

为了确定临床医生应如何接受培训以提供安全有效的患者护理,衡量有效的团队绩效很重要。衡量团队绩效具有挑战性。在本文中,我们描述了用于获取团队绩效指标的不同方法,包括临床调查、直接观察以及基于视频的现实临床绩效分析。尽管付出了很多努力,但迄今为止报告的工具存在各种缺点,阻碍了它们在评估团队行为和绩效方面的广泛应用。需要就临床团队绩效的概念模型达成共识,该模型可以涵盖许多真实和模拟的医疗环境,并考虑其结果标准的相互依赖性。

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