Department of Surgery, The Johns Hopkins University, Baltimore, Maryland.
Armstrong Institute, The Johns Hopkins University, Baltimore, Maryland.
JAMA Surg. 2014 Aug;149(8):863-8. doi: 10.1001/jamasurg.2014.172.
To describe the current state of the science for operating room (OR) briefings and debriefings, including an overview of key definitions, a review of the evidence of effectiveness, and a summary of our experiences as part of a comprehensive unit-based safety program.
Use of preoperative briefings has been shown to improve team communication, decrease disruptions to surgical workflow, improve compliance with antibiotic and deep vein thrombosis prophylaxis, and improve overall perceptions about the safety climate in the OR. Studies have demonstrated that an effective briefing can be performed in less than 2 minutes and reduce delays by more than 80%. Effective implementation involves changing workflows and expectations of interaction among OR team members, including participation from leaders at all levels. Briefings and debriefings are a strategy for revealing defects and facilitating adaptive change in the OR.
Briefings and debriefings are a good method for improving teamwork and communication in the OR. Effective implementation may be associated with improved patient outcomes. Commitment by the participating providers is essential for effective briefings, which include discussion of relevant information pertaining to the procedure.
描述手术室（OR）简报和汇报的现状，包括关键定义概述、有效性评估综述，以及我们作为综合以单位为基础的安全计划的一部分所积累的经验总结。
术前简报的使用已被证明可改善团队沟通，减少手术流程中断，提高抗生素和深静脉血栓预防措施的依从性，并提高对手术室安全氛围的整体认知。研究表明，有效的简报可以在不到 2 分钟的时间内完成，并将延误减少 80%以上。有效的实施涉及改变工作流程和手术室团队成员之间互动的期望，包括各级领导的参与。简报和汇报是揭示缺陷和促进手术室适应性变革的策略。
简报和汇报是改善手术室团队合作和沟通的有效方法。有效的实施可能与改善患者结局相关。参与提供者的承诺对于有效的简报至关重要，其中包括与手术相关的相关信息的讨论。
