简短团队培训方案对手术团队非技术技能的影响：一项中断时间序列研究。
Effects of a Brief Team Training Program on Surgical Teams' Nontechnical Skills: An Interrupted Time-Series Study.
机构信息
School of Applied Psychology, Griffith University, Gold Coast Campus, Gold Coast.
National Centre of Research Excellence in Nursing, Menzies Health Institute of Queensland.
出版信息
J Patient Saf. 2021 Aug 1;17(5):e448-e454. doi: 10.1097/PTS.0000000000000361.
BACKGROUND
Up to 60% of adverse events in surgery are the result of poor communication and teamwork. Nontechnical skills in surgery (NOTSS) are critical to the success of surgery and patient safety. The study aim was to evaluate the effect of a brief team training intervention on teams' observed NOTSS.
METHODS
Pretest-posttest interrupted time-series design with statistical process control analysis was used to detect longitudinal changes in teams' NOTSS. We evaluated NOTSS using the revised NOTECHS weekly for 20 to 25 weeks before and after implementation of a team training program.
RESULTS
We observed 179 surgical procedures with cardiac, vascular, upper gastrointestinal, and hepatobiliary teams. Mean posttest NOTECHS scores increased across teams, showing special cause variation. There were also significant before and after improvements in NOTECHS scores in respect to professional role and in the use of the Surgical Safety Checklist.
CONCLUSIONS
Our results suggest associated improvements in teams' NOTSS after implementation of the team training program.
背景
手术中多达 60%的不良事件是沟通和团队合作不佳的结果。手术中的非技术技能（NOTSS）对于手术的成功和患者安全至关重要。本研究旨在评估简短的团队培训干预对团队观察到的 NOTSS 的影响。
方法
采用预测试-后测试的时间序列设计，并进行统计过程控制分析，以检测团队 NOTSS 的纵向变化。我们使用经过修订的 NOTECHS 每周评估 NOTSS，在实施团队培训计划之前和之后进行 20 到 25 周的评估。
结果
我们观察了心脏、血管、上消化道和肝胆团队的 179 个手术程序。术后 NOTECHS 评分在各个团队中均有所增加，表现出特殊原因的变化。在职业角色和使用手术安全检查表方面，NOTECHS 评分也有显著的前后改善。
结论
我们的结果表明，实施团队培训计划后，团队的 NOTSS 得到了相关改善。
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