临床前急救团队在危急情况下的沟通：一项全国性研究。
Communication of preclinical emergency teams in critical situations: A nationwide study.
机构信息
Department of Internal Medicine I, Ketteler Hospital, Hesse, Germany.
Department of Psychiatry, Psychotherapy and Psychosomatics, Clinic Hohe Mark, Oberursel, Hesse, Germany.
出版信息
PLoS One. 2021 May 3;16(5):e0250932. doi: 10.1371/journal.pone.0250932. eCollection 2021.
BACKGROUND
The emergency medical service as a high-risk workplace is a danger to patient safety. A main factor for patient safety, but also at the same time a main factor for patient harm, is team communication. Team communication is multidimensional and occurs before, during, and after the patient's treatment.
METHODS
In an online based, anonymous and single-blinded study, medical and non-medical employees in the emergency medical services were asked about team communication, and communication errors.
RESULTS
Seven hundred and fourteen medical and non-medical rescue workers from all over Germany took part. Among them, 72.0% had harmed at least one patient during their work. With imprecise communication, 81.7% rarely asked for clarification. Also, 66.3% saw leadership behavior as the cause of poor communication; 46.0% could not talk to their superiors about errors. Of note, 96.3% would like joint training of medical and non-medical employees in communication.
CONCLUSION
Deficits in team communication occur frequently in the rescue service. There is a clear need for uniform training in team and communication skills in all professions.
背景
急救医疗服务作为一个高风险的工作场所，对患者安全构成威胁。团队沟通是患者安全的一个主要因素，但同时也是患者伤害的一个主要因素。团队沟通是多维度的，发生在患者治疗之前、期间和之后。
方法
在一项基于网络的、匿名的、单盲研究中，急救医疗服务中的医疗和非医疗人员被问及团队沟通和沟通错误。
结果
来自德国各地的 714 名医疗和非医疗救援人员参加了这项研究。其中，72.0%的人在工作中至少伤害过一名患者。由于沟通不准确，81.7%的人很少要求澄清。此外，66.3%的人认为领导行为是沟通不良的原因；46.0%的人不能向上级谈论错误。值得注意的是，96.3%的人希望对医疗和非医疗人员进行联合沟通培训。
结论
在救援服务中，团队沟通存在缺陷。所有专业人员都需要统一的团队和沟通技能培训。
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