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手术套装:作为模拟和训练工具的舞蹈编排。

The surgical ensemble: choreography as a simulation and training tool.

机构信息

Department of Surgery, University of Washington Medical Center, 1959 Pacific Street NE, Seattle, WA 98195, USA.

出版信息

Surg Endosc. 2011 Sep;25(9):3080-6. doi: 10.1007/s00464-011-1673-6. Epub 2011 Apr 12.

DOI:10.1007/s00464-011-1673-6
PMID:21484530
Abstract

Team training and interprofessional training have recently emerged as critical new simulations that enhance performance by coordinating communication, leadership, professional, and, to a certain extent, technical skills. In describing these new training tools, the term choreography has been loosely used, but no critical appraisal of the role of the science of choreography has been applied to a surgical procedure. By analogy, the surgical team, including anesthetists, surgeons, nurses, and technicians, constitutes a complete ensemble, whose physical actions and interactions constitute the "performance of surgery." There are very specific "elements" (tools) that are basic to choreography, such as space, timing, rhythm, energy, cues, transitions, and especially rehearsal. This review explores whether such a metaphor is appropriate and the possibility of applying the science of choreography to the surgical team in the operating theater.

摘要

团队培训和跨专业培训最近成为了重要的新模拟方法,通过协调沟通、领导力、专业技能,在一定程度上还有技术技能,来提高绩效。在描述这些新的培训工具时,术语“编舞”被松散地使用,但尚未将编舞科学的作用应用于手术过程。类似地,包括麻醉师、外科医生、护士和技术人员在内的手术团队构成了一个完整的整体,其物理动作和相互作用构成了“手术表演”。编舞有非常特定的“元素”(工具),如空间、时间、节奏、能量、提示、过渡和特别是排练。本综述探讨了这种隐喻是否合适,以及是否有可能将编舞科学应用于手术室中的手术团队。

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Patient-specific endovascular simulation influences interventionalists performing carotid artery stenting procedures.个体化血管内模拟影响行颈动脉支架置入术的介入医师。
Eur J Vasc Endovasc Surg. 2011 Apr;41(4):492-500. doi: 10.1016/j.ejvs.2010.12.013. Epub 2011 Jan 26.
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Outcomes of classroom-based team training interventions for multiprofessional hospital staff. A systematic review.针对多专业医院工作人员的基于课堂的团队培训干预措施的效果:一项系统综述。
Qual Saf Health Care. 2010 Dec;19(6):e27. doi: 10.1136/qshc.2009.037184.
3
Using in situ simulation to identify and resolve latent environmental threats to patient safety: case study involving a labor and delivery ward.
运用现场模拟来识别和解决潜在的患者安全环境威胁:以一个产房为例的案例研究。
J Patient Saf. 2009 Sep;5(3):184-7. doi: 10.1097/PTS.0b013e3181b35e6c.
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Stereoscopic virtual reality simulation for microsurgical excision of cerebral arteriovenous malformation: case illustrations.用于脑动静脉畸形显微手术切除的立体虚拟现实模拟:病例说明
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Effect of short-term pretrial practice on surgical proficiency in simulated environments: a randomized trial of the "preoperative warm-up" effect.短期术前练习对模拟环境下手术熟练度的影响:“术前热身”效果的随机试验
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The importance of simulation: preventing hand-off mistakes.模拟的重要性:预防交接失误。
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Int J Urol. 2006 May;13(5):560-4. doi: 10.1111/j.1442-2042.2006.01354.x.
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Anesthesiology. 1988 Sep;69(3):387-94.