Veltman Larry, Larison Kristine
Department of Obstetrics and Gynecology, Providence St. Vincent Medical Center, Portland, USA.
J Healthc Risk Manag. 2007;27(2):41-4. doi: 10.1002/jhrm.5600270208.
Communications failures have been identified as a significant cause of adverse outcomes in obstetrics. Following the lead of some high reliability organizations, healthcare has introduced structured communication such as SBAR as a way to make sure communications between professionals are direct, complete and effective. The authors have observed, however, that structured communication in healthcare often requires a cultural change in the way that professionals relate to each other; PURE conversations (Purposeful/prepared/productive, Unambiguous, Respectful and Effective) can facilitate this cultural shift. PURE conversations stress the mental processes necessary to conduct and monitor structured communications in real time by taking into account the context and relationships that exist among professionals. This article describes the elements of a multidisciplinary workshop based on clinical scenarios incorporating the PURE concept to improve the effectiveness and adoption of structured communication by the perinatal team.
沟通失误已被确认为产科不良后果的一个重要原因。效仿一些高可靠性组织的做法，医疗保健领域引入了诸如SBAR之类的结构化沟通方式，以确保专业人员之间的沟通直接、完整且有效。然而，作者观察到，医疗保健领域的结构化沟通通常需要专业人员相互关系方式的文化变革；PURE对话（有目的/有准备/有成效、明确、尊重和有效）可以促进这种文化转变。PURE对话强调了实时进行和监控结构化沟通所需的思维过程，要考虑到专业人员之间存在的背景和关系。本文描述了一个基于临床场景的多学科研讨会的要素，该研讨会纳入了PURE概念，以提高围产期团队结构化沟通的有效性和采用率。
