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建立有效的重症监护团队。

Building effective critical care teams.

机构信息

Bridgeport Hospital and Yale University School of Medicine, 267 Grant Street, Bridgeport, CT 06610, USA.

出版信息

Crit Care. 2011 Aug 12;15(4):307. doi: 10.1186/cc10255.

DOI:10.1186/cc10255
PMID:21884639
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3387583/
Abstract

Critical care is formulated and delivered by a team. Accordingly, behavioral scientific principles relevant to teams, namely psychological safety, transactive memory and leadership, apply to critical care teams. Two experts in behavioral sciences review the impact of psychological safety, transactive memory and leadership on medical team outcomes. A clinician then applies those principles to two routine critical care paradigms: daily rounds and resuscitations. Since critical care is a team endeavor, methods to maximize teamwork should be learned and mastered by critical care team members, and especially leaders.

摘要

重症监护是由一个团队制定和提供的。因此,与团队相关的行为科学原则,即心理安全、交互记忆和领导力,适用于重症监护团队。两位行为科学专家回顾了心理安全、交互记忆和领导力对医疗团队结果的影响。然后,一位临床医生将这些原则应用于两个常规的重症监护范例:日常查房和复苏。由于重症监护是一项团队工作,因此重症监护团队成员,尤其是领导者,应该学习和掌握最大限度提高团队合作的方法。

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本文引用的文献

1
Team science and critical care.团队科学与重症监护。
Am J Respir Crit Care Med. 2011 Jul 1;184(1):17-25. doi: 10.1164/rccm.201101-0185CI. Epub 2011 Mar 18.
2
Improving work environments in health care: test of a theoretical framework.改善医疗保健工作环境:理论框架的检验。
Health Care Manage Rev. 2009 Oct-Dec;34(4):334-43. doi: 10.1097/HMR.0b013e3181abce2b.
3
Hands-on time during cardiopulmonary resuscitation is affected by the process of teambuilding: a prospective randomised simulator-based trial.心肺复苏期间的实际操作时间受团队建设过程的影响:一项基于模拟人试验的前瞻性随机试验。
BMC Emerg Med. 2009 Feb 14;9:3. doi: 10.1186/1471-227X-9-3.
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Relationship of safety climate and safety performance in hospitals.医院安全氛围与安全绩效的关系。
Health Serv Res. 2009 Apr;44(2 Pt 1):399-421. doi: 10.1111/j.1475-6773.2008.00918.x. Epub 2008 Nov 4.
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The role of continuous quality improvement and psychological safety in predicting work-arounds.持续质量改进和心理安全在预测变通方法中的作用。
Health Care Manage Rev. 2008 Apr-Jun;33(2):134-44. doi: 10.1097/01.HMR.0000304505.04932.62.
6
Influence of transactive memory on perceived performance, job satisfaction and identification in anaesthesia teams.交互记忆对麻醉团队中感知绩效、工作满意度和认同感的影响。
Br J Anaesth. 2008 Mar;100(3):327-32. doi: 10.1093/bja/aem404. Epub 2008 Jan 29.
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Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel.手术室中的团队合作:医院与手术室工作人员的一线观点
Anesthesiology. 2006 Nov;105(5):877-84. doi: 10.1097/00000542-200611000-00006.
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Variation in caregiver perceptions of teamwork climate in labor and delivery units.分娩单位中护理人员对团队氛围认知的差异。
J Perinatol. 2006 Aug;26(8):463-70. doi: 10.1038/sj.jp.7211556. Epub 2006 Jun 15.
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Measuring transactive memory systems in the field: scale development and validation.测量实地中的交互记忆系统:量表的编制与验证
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Discrepant attitudes about teamwork among critical care nurses and physicians.重症监护护士和医生对团队合作的态度存在差异。
Crit Care Med. 2003 Mar;31(3):956-9. doi: 10.1097/01.CCM.0000056183.89175.76.