Raley Jessica, Meenakshi Rani, Dent Daniel, Willis Ross, Lawson Karla, Duzinski Sarah
Division of Trauma, Department of Surgery, UT Health Science Center San Antonio, San Antonio, Texas.
Division of Trauma, Department of Surgery, UT Health Science Center San Antonio, San Antonio, Texas.
J Surg Educ. 2017 Jan-Feb;74(1):173-179. doi: 10.1016/j.jsurg.2016.06.001. Epub 2016 Jul 12.
Fatal errors due to miscommunication among members of trauma teams are 2 to 4 times more likely to occur than in other medical teams, yet most trauma team members do not receive communication effectiveness training. A needs assessment was conducted to examine trauma team members' miscommunication experiences and research scientists' evaluations of live trauma activations. The purpose of this study is to demonstrate that communication training is necessary and highlight specific team communication competencies that trauma teams should learn to improve communication during activations.
Data were collected in 2 phases. Phase 1 required participants to complete a series of surveys. Phase 2 included live observations and assessments of pediatric trauma activations using the assessment of pediatric resuscitation team assessments (APRC-TA) and assessment of pediatric resuscitation leader assessments (APRC-LA).
Data were collected at a southwestern pediatric hospital. Trauma team members and leaders completed surveys at a meeting and were observed while conducting activations in the trauma bay. Trained research scientists and clinical staff used the APRC-TA and APRC-LA to measure trauma teams' medical performance and communication effectiveness.
The sample included 29 healthcare providers who regularly participate in trauma activations. Additionally, 12 live trauma activations were assessed monday to friday from 8am to 5pm.
Team members indicated that communication training should focus on offering assistance, delegating duties, accepting feedback, and controlling emotional expressions. Communication scores were not significantly different from medical performance scores. None of the teams were coded as effective medical performance and ineffective team communication and only 1 team was labeled as ineffective leader communication and effective medical performance.
Communication training may be necessary for trauma teams and offer a deeper understanding of the communication competencies that should be addressed. The APRC-TA and APRC-LA both include team communication competencies that could be used as a guide to design training for trauma team members and leaders. Researchers should also continue to examine recommendations for improved team and leader communication during activations using in-depth interviews and focus groups.
与其他医疗团队相比，创伤团队成员之间因沟通不畅导致的致命错误发生可能性要高出2至4倍，但大多数创伤团队成员并未接受沟通效能培训。开展了一项需求评估，以检查创伤团队成员的沟通失误经历以及研究科学家对现场创伤激活情况的评估。本研究的目的是证明沟通培训是必要的，并强调创伤团队在激活过程中为改善沟通应学习的特定团队沟通能力。
分两个阶段收集数据。第一阶段要求参与者完成一系列调查。第二阶段包括使用儿科复苏团队评估（APRC-TA）和儿科复苏领导者评估（APRC-LA）对儿科创伤激活情况进行现场观察和评估。
数据在一家西南儿科医院收集。创伤团队成员和领导者在一次会议上完成了调查，并在创伤病房进行激活操作时接受观察。训练有素的研究科学家和临床工作人员使用APRC-TA和APRC-LA来衡量创伤团队的医疗表现和沟通效能。
样本包括29名经常参与创伤激活的医疗服务提供者。此外，周一至周五上午8点至下午5点对12次现场创伤激活情况进行了评估。
团队成员表示，沟通培训应侧重于提供协助、分配职责、接受反馈和控制情绪表达。沟通得分与医疗表现得分没有显著差异。没有一个团队被归类为医疗表现有效但团队沟通无效，只有一个团队被标记为领导者沟通无效但医疗表现有效。
创伤团队可能需要沟通培训，并能更深入地理解应解决的沟通能力。APRC-TA和APRC-LA都包含团队沟通能力，可作为为创伤团队成员和领导者设计培训的指南。研究人员还应继续通过深入访谈和焦点小组来研究关于在激活过程中改善团队和领导者沟通的建议。
