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医疗保健中的团队协作黑客行为:解决重症监护医学中临时团队构成的不利影响。

Hacking teamwork in health care: Addressing adverse effects of ad hoc team composition in critical care medicine.

出版信息

Health Care Manage Rev. 2021;46(4):341-348. doi: 10.1097/HMR.0000000000000265.

Abstract

BACKGROUND

The continued need for improved teamwork in all areas of health care is widely recognized. The present article reports on the application of a hackathon to the teamwork problems specifically associated with ad hoc team formation in rapid response teams.

PURPOSES

Hackathons-problem-solving events pioneered in computer science-are on the rise in health care management. The focus of these events tends to be on medical technologies, however, with calls for improvements in management practices as general recommendations. The hackathon reported here contributes to health care management practice by addressing improvements in teamwork as the focal problem.

METHODOLOGY

The hackathon event took place over 2.5 days in conjunction with an academic conference focused on group research. Three teams comprised of practicing healthcare professionals, academic researchers and students developed solutions to problems of ad hoc team formation in rapid response teams.

FINDINGS

The event fulfilled several goals. The teams produced three distinct, yet complementary solutions that were backed by both field-based experience and solid research evidence. The event provided the opportunity for two-way translation of research and practice through direct collaboration among key stakeholders. The hackathon produced long term effects through establishing or strengthening collaborations, dissemination of the ideas through presentations, workshops, and publications, and changes in participantsâ work practices.

PRACTICE IMPLICATION

The event demonstrated that hackathons, classically focused on technology, can also offer a spur to innovation around organizational processes. The article provides advice for organizing other hackathons focused on similar topics. The solutions offered by the participants in the event yields the clear insight that multipronged solutions for emergency-oriented teamwork are needed. The hackathon highlighted the scaled of collaboration and effort needed to tackle the many complexities in health care that impact outcomes for providers, patients, and health organizations.

摘要

背景

人们广泛认识到,在医疗保健的各个领域都需要不断提高团队合作能力。本文报告了黑客马拉松在解决团队合作问题方面的应用,这些问题与快速反应团队中特别相关的临时团队组建有关。

目的

黑客马拉松——计算机科学领域首创的解决问题的活动——在医疗保健管理中越来越受欢迎。这些活动的重点往往是医疗技术,但也呼吁作为一般建议改进管理实践。这里报告的黑客马拉松通过将团队合作作为焦点问题来为医疗保健管理实践做出贡献。

方法

黑客马拉松活动在与专注于小组研究的学术会议一起进行了 2.5 天。三支由实践中的医疗保健专业人员、学术研究人员和学生组成的团队制定了解决快速反应团队中临时团队组建问题的解决方案。

结果

该活动实现了几个目标。团队提出了三个不同但互补的解决方案,这些解决方案既有现场经验的支持,也有可靠的研究证据的支持。该活动通过关键利益相关者之间的直接合作,提供了研究和实践双向转化的机会。黑客马拉松通过建立或加强合作、通过演示、研讨会和出版物传播思想以及改变参与者的工作实践产生了长期影响。

实践意义

该活动表明,专注于技术的黑客马拉松也可以为组织流程的创新提供动力。本文提供了组织其他类似主题的黑客马拉松的建议。活动参与者提供的解决方案清楚地表明,需要针对面向紧急情况的团队合作的多管齐下的解决方案。黑客马拉松突出了需要协作和努力的规模,以解决影响提供者、患者和医疗组织结果的医疗保健中的许多复杂性。

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