手术总结会：仅仅是另一个检查表，还是推动文化变革的工具？
The surgical debrief: Just another checklist or an instrument to drive cultural change?
机构信息
Department of Surgery, University of Colorado, Anschutz Medical Campus, 12631 East 17th Ave. Room 6000, Aurora, CO, 80045, USA.
UCHealth at University of Colorado Anschutz Medical Campus, 1300 E. 17th Place, Aurora, CO, 80045, USA.
出版信息
Am J Surg. 2022 Jan;223(1):120-125. doi: 10.1016/j.amjsurg.2021.07.043. Epub 2021 Jul 29.
INTRODUCTION
Post-procedural debrief is recommended to improve patient safety. We examined operating room (OR) clinicians' perceptions of the impact of a multi-disciplinary debrief on OR culture.
METHODS
A survey was administered to 182 OR clinicians at a major academic medical center. Attitudes toward the surgical debrief and its effect on patient safety and OR culture were evaluated.
RESULTS
Majority of clinicians (58.2%) believed creating a culture of safety in the OR was a shared care team responsibility, however, surgical attendings and trainees were more likely to assign this responsibility to the surgical attending. Few circulating nurses and trainees felt comfortable initiating a surgical debrief. Overall clinicians agreed that a debrief would impact both patient safety outcomes and OR culture.
CONCLUSIONS
Clinicians felt implementation of a surgical debrief would positively affect the OR culture of safety by improving interdisciplinary communication and influencing the power hierarchy that exists in many ORs.
简介
建议术后汇报以提高患者安全性。我们研究了手术室（OR）临床医生对多学科汇报对 OR 文化影响的看法。
方法
对一家主要学术医疗中心的 182 名 OR 临床医生进行了一项调查。评估了他们对手术汇报的态度及其对患者安全和 OR 文化的影响。
结果
大多数临床医生（58.2%）认为在 OR 中营造安全文化是一个共同的护理团队责任，但外科主治医生和受训者更有可能将此责任归咎于外科主治医生。很少有巡回护士和受训者觉得可以轻松发起手术汇报。总体而言，临床医生一致认为汇报将对患者安全结果和 OR 文化产生影响。
结论
临床医生认为实施手术汇报将通过改善跨学科沟通和影响许多 OR 中存在的权力等级制度，积极影响安全的 OR 文化。
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