Women's Health, Chilterns, Southmead Hospital, Bristol, UK.
Best Pract Res Clin Obstet Gynaecol. 2013 Aug;27(4):571-81. doi: 10.1016/j.bpobgyn.2013.04.004. Epub 2013 May 3.
Poor teamwork results in preventable morbidity and mortality for mothers and babies. Suboptimal communication and lack of leadership cost not only lives but also money that is diverted from clinical care to insurance and litigation. Avoidable harm is usually not the result of staff failing their duty of care, it is the result of poor training failing hard-worked staff. A few simple teamwork and leadership behaviours can make a huge difference to outcome and experience for women and their companions, yet they are often missing from maternity care. Recent research has identified the problems and solutions, including the best way to train maternity teams to make a palpable difference. We describe simple yet evidence-based methods to improve teams and leaders.
团队合作不佳会导致母婴可预防的发病率和死亡率。沟通不畅和领导力不足不仅会导致生命损失，还会导致原本用于临床护理的资金转移到保险和诉讼上。可避免的伤害通常不是员工未尽到护理职责的结果，而是培训不佳导致辛勤工作的员工未能尽责。一些简单的团队合作和领导行为可以对女性及其伴侣的结果和体验产生巨大影响，但这些行为通常在产科护理中缺失。最近的研究已经确定了问题和解决方案，包括培训产科团队以产生明显效果的最佳方法。我们描述了一些简单但基于证据的方法来改善团队和领导者。
