North Bristol NHS Trust, Frenchay, Bristol BS16 1JE, UK.
Postgrad Med J. 2011 May;87(1027):331-4. doi: 10.1136/pgmj.2009.095802. Epub 2011 Jan 27.
Team work, communication, and efficiency in the operating theatre are widely recognised to be suboptimal. Poor communication is the single biggest cause of medical error. The surgical operating theatre is a potentially highly stressed environment where poor communication can lead to fatal errors. The objectives of this study were to assess the effects briefings and debriefings had on theatre start time, list lengths, and the staff's impression of these meetings.
Briefings and debriefings were conducted before the start of theatre lists over a 6 month period in 2007 in a district general hospital in north Bristol, UK. Both quantitative and qualitative data were collected. Using the hospital theatre database, theatre start and finish time was found and list length calculated. A questionnaire was devised and used to assess staff attitude to the briefings and debriefings.
Staff felt that the briefings highlighted potential problems, improved the team culture, and led to organisational change. Theatre start times tended to be earlier and lists lengths were shorter when briefings were conducted, although this only reached statistical significance on one type of list.
Briefings and debriefings had a positive impact on teamwork and communication. The lists ran more efficiently and briefings did not delay the theatre start times-in fact, the lists tended to start earlier.
团队合作、沟通和手术室效率被广泛认为不尽如人意。沟通不畅是医疗差错的最大原因。手术室是一个潜在的高度紧张的环境，沟通不畅可能导致致命的错误。本研究的目的是评估术前会议对手术室开始时间、手术列表长度以及员工对这些会议的印象的影响。
2007 年在英国布里斯托尔北部的一家地区综合医院，对手术列表开始前的术前会议和术后会议进行了 6 个月的评估，收集了定量和定性数据。使用医院手术室数据库，找到了手术室开始和结束时间，并计算了手术列表的长度。设计了一份问卷，用于评估员工对术前会议和术后会议的态度。
员工认为术前会议突出了潜在的问题，改善了团队文化，并导致了组织变革。进行术前会议时，手术室开始时间往往更早，手术列表长度更短，尽管只有一种类型的列表达到了统计学意义。
术前会议和术后会议对团队合作和沟通有积极影响。手术列表更高效，术前会议并没有延迟手术室开始时间——实际上，手术列表往往更早开始。
