Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institute and Peri-operative Medicine and Intensive Care, Karolinska University Hospital, Stockholm, Sweden.
College of Health and Medicine, Australian National University, Canberra, Australian Capital Territory, Australia.
Anaesthesia. 2020 Jan;75 Suppl 1:e158-e164. doi: 10.1111/anae.14869.
An ageing population and rising healthcare costs are challenging cost-efficient hospital systems wanting to adapt, employing novel organisational structures designed to merge diverse skill sets. This needs not only physician and nursing leadership but also new models of care. Anaesthetists have expanded their role into the broader multidisciplinary field of peri-operative medicine, emphasising collaboration and safety in health teams. A greater focus on patient-centred care and shared decision making, along with validated metrics to quantify quality improvement activities, have emphasised the importance of comfort, patient satisfaction and quality of life after surgery. Shared decision-making is more likely to be manifest in a flat hierarchy in which each member of the team brings their own experience and skills to optimise patient care. Successful surgery is best achieved by a coordinated, multidisciplinary team, embedded in a culture of collaboration and safety.
人口老龄化和不断上升的医疗成本给那些希望适应变化的高效成本医院系统带来了挑战,它们采用了新颖的组织结构,旨在融合不同的技能。这不仅需要医生和护理人员的领导,还需要新的护理模式。麻醉师将他们的角色扩展到围手术期医学这个更广泛的多学科领域,强调在医疗团队中协作和安全。更多地关注以患者为中心的护理和共同决策,以及用于量化质量改进活动的经过验证的指标,强调了舒适度、患者满意度和手术后生活质量的重要性。共同决策更有可能在一个扁平化的层级结构中表现出来,在这个结构中,团队的每个成员都带来自己的经验和技能来优化患者护理。成功的手术最好是由一个协调的多学科团队来完成,该团队根植于协作和安全的文化之中。