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临时麻醉团队的观察性研究。

An observational study of ad-hoc anaesthesia teams.

机构信息

Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.

Department of Neuroscience, Uppsala University, Uppsala, Sweden.

出版信息

J Perioper Pract. 2020 Apr;30(4):102-106. doi: 10.1177/1750458919864837. Epub 2019 Oct 1.

DOI:10.1177/1750458919864837
PMID:31573383
Abstract

BACKGROUND

Anaesthesia teams are temporarily assembled to cooperate with teams in emergency departments in the immediate management of events compromising patients’ airway, ventilation and circulation.

PURPOSE

The aim was to describe a temporary ad-hoc anaesthesia team’s performance.

DESIGN

An observational study was conducted.

METHODS

Data, collected with 12 non-participatory observations, were analysed using both an thematic method, and a validated assessment tool, the Team Emergency Assessment Measure.

RESULTS

Three themes were identified: (1) flexibility in assuming varying roles, (2) expertise in verbal and non-verbal communication and (3) skills dealing with the challenges of working in unfamiliar dynamic environments. Ninety per cent of anaesthesia teams scored 7.6 (0–10) on the overall assessment according to the Team Emergency Assessment Measure rating.

CONCLUSION

Ad-hoc anaesthesia team members communicated in various ways and the anaesthesia team adapted well to the unpredictable environment in the emergency department.

摘要

背景

麻醉团队会临时组建,与急诊科团队合作,立即处理危及患者气道、通气和循环的事件。

目的

描述一个临时特别麻醉团队的表现。

设计

进行了一项观察性研究。

方法

使用主题方法和经过验证的评估工具(团队紧急评估量表)对收集到的 12 次非参与式观察数据进行分析。

结果

确定了三个主题:(1)灵活承担不同角色的能力,(2)口头和非口头沟通方面的专业知识,(3)处理在不熟悉的动态环境中工作的挑战的技能。根据团队紧急评估量表的评分,90%的麻醉团队在整体评估中得分为 7.6(0-10)。

结论

临时麻醉小组成员以各种方式进行沟通,麻醉团队很好地适应了急诊科不可预测的环境。

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