Lange J F
Erasmus MC-Centrum, afd. Heelkunde, Postbus 2040, 3000 CA Rotterdam.
Ned Tijdschr Geneeskd. 2008 Oct 18;152(42):2273-4.
The Netherlands Health Care Inpectorate recently concluded that patient safety in operating rooms should improve. One example of improvement is the implementation of the time out procedure, which consists of a preoperative briefing and a postoperative debriefing in the operating room. There is, however, a risk of bureaucray and pro forma procedures, due to the time pressure the inspectorate has imposed. Sustainable improvement in patient safety requires teamwork and training of all members of surgical teams in non-technical skills such as communication. Crew resource management has been implemented in the intensive care departments in The Netherlands and is now being adapted for the training of integrated surgical teams.
荷兰医疗保健检查局最近得出结论，手术室的患者安全状况应得到改善。改进的一个例子是实施“暂停程序”，该程序包括术前简报和术后汇报，均在手术室进行。然而，由于检查局施加的时间压力，存在官僚主义和形式主义程序的风险。患者安全的可持续改善需要团队合作以及对外科团队所有成员进行沟通等非技术技能的培训。荷兰的重症监护部门已经实施了机组资源管理，目前正在对其进行调整，以用于综合外科团队的培训。
