Sykes Mark, Gillespie Brigid M, Chaboyer Wendy, Kang Evelyn
AORN J. 2015 Feb;101(2):238-48. doi: 10.1016/j.aorn.2014.03.018.
Perioperative team membership consistency is not well researched despite being essential in reducing patient harm. We describe perioperative team membership and staffing across four surgical specialties in an Australian hospital. We analyzed staffing and case data using social network analysis, descriptive statistics, and bivariate correlations and mapped 100 surgical procedures with 171 staff members who were shared across four surgical teams, including 103 (60.2%) nurses. Eighteen of 171 (10.5%) staff members were regularly shared across teams, including 12 nurses, five anesthetists, and one registrar. We found weak but significant correlations between the number of staff (P < .001), procedure start time (P < .001), length of procedure (P < .05), and patient acuity (P < .001). Using mapping, personnel can be identified who may informally influence multiple team cultures, and nurses (ie, the majority of team members in surgery) can lead the development of highly functioning surgical teams.
尽管围手术期团队成员的一致性对于减少患者伤害至关重要，但相关研究却并不充分。我们描述了澳大利亚一家医院四个外科专科的围手术期团队成员构成和人员配备情况。我们运用社会网络分析、描述性统计和双变量相关性分析了人员配备和病例数据，并绘制了100例外科手术的图谱，涉及四个外科团队共享的171名工作人员，其中包括103名（60.2%）护士。171名工作人员中有18名（10.5%）经常在各团队之间共享，包括12名护士、5名麻醉师和1名住院医生。我们发现工作人员数量（P < .001）、手术开始时间（P < .001）、手术时长（P < .05）和患者病情严重程度（P < .001）之间存在微弱但显著的相关性。通过绘制图谱，可以识别出可能对多种团队文化产生非正式影响的人员，并且护士（即外科手术中团队成员的大多数）可以引领高效外科团队的发展。
