Shetty Pallavi, Cohen Trevor, Patel Bhavesh, Patel Vimla L
Center for Decision Making and Cognition, Department of Biomedical Informatics, Arizona State University, Phoenix, Arizona, USA.
AMIA Annu Symp Proc. 2009 Nov 14;2009:599-603.
Despite a body of research on teams in other fields relatively little is known about measuring teamwork in healthcare. The aim of this study is to characterize the qualitative dimensions of team performance during cardiac resuscitation that results in good and bad outcomes. We studied each team's adherence to Advanced Cardiac Life Support (ACLS) protocol for ventricular fibrillation/tachycardia and identified team behaviors during simulated critical events that affected their performance. The process was captured by a developed task checklist and a validated team work coding system. Results suggest that deviation from the sequence suggested by the ACLS protocol had no impact on the outcome as the successful team deviated more from this sequence than the unsuccessful team. It isn't the deviation from the protocol per se that appears to be important, but how the leadership flexibly adapts to the situational changes with deviations is the crucial factor in team competency.
尽管在其他领域有大量关于团队的研究，但对于医疗保健领域团队合作的衡量却知之甚少。本研究的目的是描述心脏复苏过程中团队绩效的定性维度，这些维度会导致好的和坏的结果。我们研究了每个团队对心室颤动/心动过速的高级心脏生命支持（ACLS）协议的遵守情况，并确定了模拟关键事件期间影响其绩效的团队行为。该过程由一个开发的任务清单和一个经过验证的团队合作编码系统记录。结果表明，偏离ACLS协议建议的顺序对结果没有影响，因为成功的团队比不成功的团队偏离该顺序的程度更大。似乎重要的不是偏离协议本身，而是领导者如何灵活地适应偏离情况下的情境变化，这是团队能力的关键因素。
