Vanderbilt University Medical Center, Nashville, TN, USA.
The University of Texas Health Science Center at Houston, TX, USA.
Stud Health Technol Inform. 2022 Jun 6;290:469-473. doi: 10.3233/SHTI220120.
Intensive Care Units (ICUs) are recognized as a susceptible area to potential errors resulting in adverse outcomes. Healthcare professionals are multi-tasking, information-overloaded, and often with an interruptive workflow in ICUs. Such a stressful work environment poses challenges to reach a shared mental model in clinical practice, which leads to ineffective communication and reduces their awareness of potential safety risks. Despite data sources or materials supporting patient safety and team training being available, little research has been conducted to measure teamwork in clinical practice and to detect inefficient communication factors. The advent of telehealth provides an opportunity for remote video watchers to observe the entire process of patient care and related team activities. The potential application of video analyzing algorithms to video recordings can detect safety risks retrospectively. This article presents major teamwork and patient safety challenges in ICUs, and the opportunities of utilizing available data and telehealth including video recordings in future patient safety and teamwork research.
重症监护病房（ICUs）被认为是容易发生潜在错误导致不良后果的区域。医疗保健专业人员在 ICU 中需要同时处理多项任务，信息过载，工作流程经常被打断。这种紧张的工作环境对在临床实践中达成共享心理模型构成挑战，导致沟通不畅，降低了他们对潜在安全风险的意识。尽管有支持患者安全和团队培训的数据来源或材料，但很少有研究用于衡量临床实践中的团队合作并发现低效沟通的因素。远程医疗的出现为远程视频观察者提供了机会，可以观察患者护理和相关团队活动的整个过程。视频分析算法在视频记录中的潜在应用可以回溯检测安全风险。本文介绍了 ICU 中主要的团队合作和患者安全挑战，以及利用现有数据和远程医疗（包括视频记录）在未来患者安全和团队合作研究中的机会。
