AORN J. 2021 Jan;113(1):64-75. doi: 10.1002/aorn.13281.
The dynamic nature of perioperative care often brings unfamiliar clinicians together yet requires them to collectively provide complex health care in a challenging environment. In this review, we comprehensively evaluated evidence regarding surgical team familiarity and its relationship to surgical team performance. Using a comprehensive and iterative search strategy, we searched PubMed, Web of Science, PsycInfo, and EMBASE for surgical team familiarity manuscripts. We identified 598 manuscripts, 16 of which met our inclusion criteria. We found that surgical team familiarity is associated with improved performance for many metrics, including shorter total operative time, team member safety, decreased surgical errors and disruptions, reduced miscommunication, and fewer patient readmissions. Although additional research would be helpful, surgical managers should consider team familiarity and consistency in team membership when assigning staff members to surgical teams to optimize surgical care, decrease inefficiencies, and promote safe patient outcomes.
围手术期护理的动态性质常常将不熟悉的临床医生聚集在一起，但要求他们在具有挑战性的环境中共同提供复杂的医疗保健。在本次综述中，我们全面评估了有关手术团队熟悉程度及其与手术团队绩效关系的证据。我们采用全面且迭代的搜索策略，在 PubMed、Web of Science、PsycInfo 和 EMBASE 中搜索有关手术团队熟悉程度的文献。我们共找到了 598 篇文献，其中 16 篇符合我们的纳入标准。我们发现，手术团队的熟悉程度与许多指标的绩效提高有关，包括总手术时间缩短、团队成员安全、手术错误和中断减少、减少沟通失误以及患者再入院率降低。尽管还需要进一步的研究，但手术管理人员在为手术团队分配工作人员时应考虑团队熟悉程度和团队成员的一致性，以优化手术护理、减少效率低下并促进安全的患者结局。
