Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, Massachusetts.
J Am Coll Surg. 2018 Sep;227(3):382-386. doi: 10.1016/j.jamcollsurg.2018.06.006. Epub 2018 Jul 25.
Teamwork is now recognized as important for safe, high-quality perioperative care. The relationship in each surgeon-anesthesiologist dyad is perhaps the most critical element of overall team performance. A well-functioning relationship is conducive to safe, effective care. A dysfunctional relationship can promote unsafe conditions and contribute to an adverse outcome. Yet, there is little research about this relationship, about what works well or not well, what can be done to optimize it. This article explores functional and dysfunctional aspects of the relationship, identifies some negative stereotypes each profession has of the other and calls for research to better characterize and understand how to improve working relationships. Suggestions are given for what an ideal relationship might be and actions that surgeons and anesthesiologists can take to improve how they work together. The goal is safer care for patients, and more joy and meaning in work for surgeons and anesthesiologists.
团队合作现在被认为对安全、高质量的围手术期护理至关重要。在每个外科医生-麻醉师二人组中，关系可能是整体团队表现的最关键因素。良好的关系有助于安全有效的护理。功能失调的关系会导致不安全的情况，并导致不良后果。然而，关于这种关系的研究很少，关于什么是有效的，什么是无效的，如何优化它。本文探讨了关系的功能和失调方面，确定了每个专业对另一个专业的一些负面刻板印象，并呼吁进行研究，以更好地描述和理解如何改善工作关系。本文还提出了理想关系的特征，并为外科医生和麻醉师提出了一些建议，以改善他们的合作方式。目标是为患者提供更安全的护理，以及为外科医生和麻醉师提供更快乐、更有意义的工作。
