手术中的干扰与沟通不畅：一项观察性研究。

Interruptions and miscommunications in surgery: an observational study.

作者信息

Gillespie Brigid M, Chaboyer Wendy, Fairweather Nicole

机构信息

NHMRC Centre of Research Excellence in Nursing Interventions for Hospitalized Patients, Griffith Institute of Health, Griffith University, Gold Coast Campus, Queensland, Australia.

出版信息

AORN J. 2012 May;95(5):576-90. doi: 10.1016/j.aorn.2012.02.012.

DOI:10.1016/j.aorn.2012.02.012

PMID:22541769

Abstract

In surgery, as much as 30% of procedure-specific information may be lost as a result of miscommunication. We assessed the relationship between interruptions, team familiarity, and miscommunications across a purposive sample of 160 surgical procedures in 10 specialties during a six-month period. Descriptive analysis was used to quantify interruptions in respect to the source (ie, conversational, procedural) and type of miscommunication (ie, audience, purpose, occasion, content, experience). Results revealed an inverse correlation between the length of time that teams had worked together and the number of miscommunications in surgery (τ = -.33, P < .01). There was a positive correlation between the number of intraoperative interruptions and the number of miscommunications (τ = .30, P < .01). These results may help to inform the development of evidence-based interventions designed to mitigate the effects of miscommunications in surgery.

摘要

在外科手术中，由于沟通不畅，多达30%的特定手术信息可能会丢失。我们评估了在六个月期间，10个专业的160例外科手术的目标样本中，干扰、团队熟悉程度与沟通不畅之间的关系。描述性分析用于量化干扰的来源（即对话、程序）和沟通不畅的类型（即受众、目的、场合、内容、经验）。结果显示，团队合作的时间长度与手术中沟通不畅的次数呈负相关（τ = -0.33，P < 0.01）。术中干扰次数与沟通不畅次数呈正相关（τ = 0.30，P < 0.01）。这些结果可能有助于为旨在减轻外科手术中沟通不畅影响的循证干预措施的制定提供信息。