McQuaid-Hanson Emily, Pian-Smith May C M
Departments of Anesthesia, Critical Care, and Pain Medicine, Harvard Medical School, Massachusetts General Hospital, 55 Fruit Street, Jackson 440, Boston, MA 02114, USA.
Departments of Anesthesia, Critical Care, and Pain Medicine, Harvard Medical School, Massachusetts General Hospital, 55 Fruit Street, Jackson 440, Boston, MA 02114, USA.
Anesthesiol Clin. 2017 Mar;35(1):59-67. doi: 10.1016/j.anclin.2016.09.006. Epub 2016 Dec 12.
Interprofessional teams work together on the labor and delivery unit, where clinical care is often unscheduled, rapidly evolving, and fast paced. Effective communication is key for coordinated delivery of optimal care and for fostering a culture of community and safety in the workplace. The preoperative huddle allows for information sharing, cross-checking, and preparation before the start of surgery. Postoperative debriefings allow the operative team to engage in ongoing process improvement. Debriefings after adverse events allow for shared understanding, mutual healing, and help mitigating the harm to potential "second victims."
跨专业团队在产房共同协作，产房的临床护理通常是无计划的、快速变化且节奏紧凑的。有效的沟通是协调提供最佳护理以及在工作场所营造团队协作和安全文化的关键。术前碰头会有助于在手术开始前进行信息共享、交叉核对和准备工作。术后汇报会能让手术团队持续改进工作流程。不良事件后的汇报会有助于达成共同理解、相互疗伤，并有助于减轻对潜在“第二受害者”的伤害。
