Department of Surgery, Louisiana State University School of Medicine, New Orleans, LA 70112, USA.
Surg Clin North Am. 2010 Jun;90(3):569-81. doi: 10.1016/j.suc.2010.02.007.
This article focuses on key aspects of the "nontraditional" surgical subjects of organizational structure and team interaction. First, the deficiencies in team dynamics found within the modern operating room (OR) and their resultant consequences are highlighted. Next, essential human factors concepts related to error generation, organizational culture, high reliability, and team science as applied to the OR environment are reviewed. Finally, various strategies for improving OR team function, including the use of high-fidelity simulation (HFS) in team training are discussed.
本文重点介绍组织结构和团队互动这两个“非传统”外科主题的关键方面。首先,强调了现代手术室(OR)中团队动态的缺陷及其产生的后果。其次,回顾了与错误生成、组织文化、高可靠性和团队科学相关的基本人为因素概念及其在 OR 环境中的应用。最后,讨论了改善 OR 团队功能的各种策略,包括在团队培训中使用高保真模拟(HFS)。