Haycock Adam, Matharoo Manmeet K, Thomas-Gibson Siwan
Wolfson Unit for Endoscopy, St Mark's Hospital, Harrow, UK.
Frontline Gastroenterol. 2012 Apr;3(2):86-89. doi: 10.1136/flgastro-2011-100048. Epub 2011 Nov 29.
The majority of healthcare provision within the NHS is delivered by teams, but most attempts at improving team functioning are limited to promoting working relationships within the team. This contrasts with other high risk industries, where formalised team training is recognised to be of paramount importance in reducing error. Some medical specialities have adapted such training methodologies with the aim of improving productivity and clinical outcomes. There are many teams within gastroenterology that could benefit from such attention. Formal analysis of team objectives and identification of essential task sequences can allow redesign of team organisation and enable structured training to strengthen team cohesion, enhance critical team skills and improve clinical outcomes. The challenge is to change teams of experts into expert teams.
英国国家医疗服务体系(NHS)内的大部分医疗服务是由团队提供的,但大多数改善团队运作的尝试都局限于促进团队内部的工作关系。这与其他高风险行业形成对比,在其他高风险行业中,正规的团队培训被认为对减少失误至关重要。一些医学专科已经采用了这种培训方法,旨在提高工作效率和临床效果。胃肠病学领域有许多团队可以从这种关注中受益。对团队目标进行正式分析并确定基本任务序列,可以重新设计团队组织,并进行结构化培训,以增强团队凝聚力、提升关键团队技能并改善临床效果。挑战在于将专家团队转变为专业团队。