Leonard Michael W, Frankel Allan S
Pascal Metrics, Department of Medicine, Washington, DC 20007, USA.
Mt Sinai J Med. 2011 Nov-Dec;78(6):820-6. doi: 10.1002/msj.20295.
Healthcare is delivered in an extraordinary complex environment. Despite highly skilled, dedicated clinicians, there are currently unacceptably high levels of communication failures and adverse events. Effective teamwork, in conjunction with reliable processes of care, is essential for the consistent delivery of high-quality care. Practical concepts and tools are provided that address the team behaviors of structured communication, effective assertion/critical language, psychological safety, situational awareness, and effective leadership. Examples of the mounting clinical evidence of improved patient outcomes and reduced harm resulting from effective teamwork training are cited.
医疗保健是在一个极其复杂的环境中提供的。尽管有技术高超、敬业的临床医生,但目前沟通失误和不良事件的发生率高得令人无法接受。有效的团队合作,结合可靠的护理流程,对于持续提供高质量护理至关重要。文中提供了一些实用的概念和工具,涉及结构化沟通、有效主张/关键语言、心理安全、情境意识和有效领导等团队行为。文中还列举了越来越多的临床证据,表明有效的团队合作培训能改善患者预后并减少伤害。