Wong Shing W, Smith Richard, Crowe Phil
Department of Surgery, University of New South Wales, Prince of Wales Hospital, Randwick, New South Wales, Australia.
ANZ J Surg. 2010 Dec;80(12):917-24. doi: 10.1111/j.1445-2197.2010.05526.x. Epub 2010 Oct 12.
The operating theatre is a complex place. There are many potential factors which can interfere with surgery and predispose to errors. Optimizing the operating theatre environment can enhance surgeon performance, which can ultimately improve patient outcomes. These factors include the physical environment (such as noise and light), human factors (such as ergonomics), and surgeon-related factors (such as fatigue and stress). As individual factors, they may not affect surgical outcome but in combination, they may exert a significant influence. The evidence for some of these working environment factors are examined individually. Optimizing the operating environment may have a potentially more significant impact on overall surgical outcome than improving individual surgical skill.
手术室是一个复杂的场所。存在许多可能干扰手术并易引发差错的潜在因素。优化手术室环境可提高外科医生的表现，最终改善患者预后。这些因素包括物理环境（如噪音和光线）、人为因素（如人体工程学）以及与外科医生相关的因素（如疲劳和压力）。作为个体因素，它们可能不会影响手术结果，但综合起来可能会产生重大影响。本文将分别审视其中一些工作环境因素的证据。优化手术环境可能比提高个体手术技能对整体手术结果产生更显著的影响。
