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从航空到外科手术:安全的挑战

[From aviation to surgery: the challenge of safety].

作者信息

Suva D, Haller G, Lübbeke-Wolff A, Macheret F, Kindler V, Hoffmeyer P

机构信息

Service de Chirurgie Orthopédique et Traumatologie de l'apparel Moteur Départment D'anesthémiologie Clinique.

出版信息

Rev Med Suisse. 2011 Mar 23;7(287):670-3.

PMID:21542383
Abstract

Medical errors result in 44,000 to 98,000 deaths per year in the United States of America. Within the surgical specialties, half of these errors occur in the operating room. The origin of these errors is multifactorial, and is generally associated with problems in communication and teamwork. In order to improve safety in the operating room, many hospitals now propose to the medical staff "crew resource management" (CRM) training programs inspired by the aviation industry. This approach favors a better utilization of surgical checklists, improves efficiency during chirurgical interventions, and reduces patient mortality. In October 2009 we introduced a CRM course within the department of surgery at the Geneva University Hospitals. We are presenting this program as well as the first results following its application.

摘要

在美国,医疗失误每年导致44000至98000人死亡。在外科专业领域,这些失误有一半发生在手术室。这些失误的根源是多方面的,通常与沟通和团队协作问题有关。为了提高手术室的安全性,许多医院现在向医务人员提议开展受航空业启发的“机组资源管理”(CRM)培训项目。这种方法有助于更好地使用手术清单,提高手术干预期间的效率,并降低患者死亡率。2009年10月,我们在日内瓦大学医院的外科部门引入了一门CRM课程。我们在此介绍该项目及其应用后的初步结果。

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