Paquette Shannon, Kilcullen Molly, Hoffman Olivia, Hernandez Jessica, Mehta Ankeeta, Salas Eduardo, Greilich Philip E
Office of Undergraduate Medical Education, UT Southwestern Medical Center, Dallas, TX, United States.
Department of Psychological Sciences, Rice University, Houston, TX, United States.
Front Psychol. 2023 Jun 15;14:1187262. doi: 10.3389/fpsyg.2023.1187262. eCollection 2023.
Perioperative handoffs are high-risk events for miscommunications and poor care coordination, which cause patient harm. Extensive research and several interventions have sought to overcome the challenges to perioperative handoff quality and safety, but few efforts have focused on teamwork training. Evidence shows that team training decreases surgical morbidity and mortality, and there remains a significant opportunity to implement teamwork training in the perioperative environment. Current perioperative handoff interventions face significant difficulty with adherence which raises concerns about the sustainability of their impact. In this perspective article, we explain why teamwork is critical to safe and reliable perioperative handoffs and discuss implementation challenges to the five core components of teamwork training programs in the perioperative environment. We outline evidence-based best practices imperative for training success and acknowledge the obstacles to implementing those best practices. Explicitly identifying and discussing these obstacles is critical to designing and implementing teamwork training programs fit for the perioperative environment. Teamwork training will equip providers with the foundational teamwork competencies needed to effectively participate in handoffs and utilize handoff interventions. This will improve team effectiveness, adherence to current perioperative handoff interventions, and ultimately, patient safety.
围手术期交接是沟通失误和护理协调不善的高风险事件，会对患者造成伤害。大量研究和多种干预措施试图克服围手术期交接质量与安全方面的挑战，但很少有工作聚焦于团队协作培训。有证据表明，团队培训可降低手术发病率和死亡率，在围手术期环境中实施团队协作培训仍有很大机会。当前围手术期交接干预措施在依从性方面面临重大困难，这引发了对其影响可持续性的担忧。在这篇观点文章中，我们解释了团队协作对安全可靠的围手术期交接为何至关重要，并讨论了围手术期环境中团队协作培训项目五个核心组成部分的实施挑战。我们概述了培训成功所必需的循证最佳实践，并认识到实施这些最佳实践的障碍。明确识别和讨论这些障碍对于设计和实施适合围手术期环境的团队协作培训项目至关重要。团队协作培训将使医护人员具备有效参与交接和利用交接干预措施所需的基本团队协作能力。这将提高团队效能、对当前围手术期交接干预措施的依从性，并最终提高患者安全性。
