Department of Industrial and Systems Engineering, 1513 University Ave, 3214 Mechanical Engineering Bldg, University of Wisconsin-Madison, Madison, WI 53706, USA.
Appl Ergon. 2010 Sep;41(5):701-12. doi: 10.1016/j.apergo.2009.12.008. Epub 2010 Mar 3.
Over the past 50 years, significant improvements in cardiac surgical care have been achieved. Nevertheless, surgical errors that significantly impact patient safety continue to occur. In order to further improve surgical outcomes, patient safety programs must focus on rectifying work system factors in the operating room (OR) that negatively impact the delivery of reliable surgical care. The goal of this paper is to provide an integrative review of specific work system factors in the OR that may directly impact surgical care processes, as well as the subsequent recommendations that have been put forth to improve surgical outcomes and patient safety. The important role that surgeons can play in facilitating work system changes in the OR is also discussed. The paper concludes with a discussion of the challenges involved in assessing the impact that interventions have on improving surgical care. Opportunities for future research are also highlighted throughout the paper.
在过去的 50 年中，心脏外科学术护理取得了重大进展。然而，仍会发生严重影响患者安全的手术失误。为了进一步改善手术结果，患者安全计划必须专注于纠正手术室（OR）中对可靠手术护理产生负面影响的工作系统因素。本文的目的是综合回顾 OR 中可能直接影响手术护理流程的特定工作系统因素，以及为改善手术结果和患者安全而提出的后续建议。还讨论了外科医生在促进 OR 中的工作系统变革方面可以发挥的重要作用。本文最后讨论了评估干预措施对改善手术护理的影响所涉及的挑战。本文还在各处强调了未来研究的机会。
