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手术团队成员的非技术技能。

Nontechnical Skills for Intraoperative Team Members.

机构信息

Department of Anesthesiology, University of Michigan Medical School, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA.

Department of Anesthesiology, University of Michigan Medical School, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA.

出版信息

Anesthesiol Clin. 2023 Dec;41(4):803-818. doi: 10.1016/j.anclin.2023.03.013. Epub 2023 Apr 18.

DOI:10.1016/j.anclin.2023.03.013
PMID:37838385
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10703542/
Abstract

Nontechnical skills, defined as the set of cognitive and social skills used by individuals and teams to reduce error and improve performance in complex systems, have become increasingly recognized as a key contributor to patient safety. Efforts to characterize, quantify, and teach nontechnical skills in the context of perioperative care continue to evolve. This review article summarizes the essential behaviors for safety, described in taxonomies for nontechnical skills assessments developed for intraoperative clinical team members (eg, surgeons, anesthesiologists, scrub practitioners, perfusionists). Furthermore, the authors describe emerging methods to advance understanding of the impact of nontechnical skills on perioperative outcomes.

摘要

非技术技能是指个人和团队在复杂系统中用于减少错误和提高绩效的一组认知和社交技能,已日益被认为是患者安全的关键因素。在围手术期护理背景下对非技术技能进行描述、量化和教学的工作仍在不断发展。本文综述了围手术期安全相关的基本行为,这些行为在针对手术室内临床团队成员(如外科医生、麻醉师、洗手护士、灌注师)开发的非技术技能评估分类法中有所描述。此外,作者还介绍了一些新兴方法,以增进对非技术技能对围手术期结局影响的理解。

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本文引用的文献

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Senior surgeons as role models in the operating theatre: a thematic analysis through the lens of aristotelian ethics.资深外科医生在手术室中的榜样作用:亚里士多德伦理学视角下的主题分析。
BMC Med Educ. 2022 Nov 30;22(1):822. doi: 10.1186/s12909-022-03921-7.
2
Assessment of Core Surgical Skills Using a Mixed Reality Headset - The MoTOR Study.使用混合现实头戴设备评估核心外科手术技能——MoTOR研究。
J Med Syst. 2022 Nov 24;46(12):102. doi: 10.1007/s10916-022-01891-3.
3
The role of teamwork and non-technical skills for improving emergency surgical outcomes: an international perspective.团队合作和非技术技能对改善急诊手术结果的作用:国际视角
Patient Saf Surg. 2022 Feb 8;16(1):8. doi: 10.1186/s13037-022-00317-w.
4
Effects of structured intraoperative briefings on patient outcomes: multicentre before-and-after study.结构化术中简报对患者结局的影响:多中心前后研究。
Br J Surg. 2021 Dec 17;109(1):136-144. doi: 10.1093/bjs/znab384.
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Workplace bullying, burnout and resilience amongst perioperative nurses in Australia: A descriptive correlational study.澳大利亚手术护士工作场所欺凌、倦怠与复原力:描述性相关性研究。
J Nurs Manag. 2022 Sep;30(6):1502-1513. doi: 10.1111/jonm.13437. Epub 2021 Aug 25.
6
Surgical caps displaying team members' names and roles improve effective communication in the operating room: a pilot study.显示团队成员姓名和角色的手术帽可改善手术室中的有效沟通:一项试点研究。
Patient Saf Surg. 2021 Jul 28;15(1):27. doi: 10.1186/s13037-021-00301-w.
7
A tool to assess nontechnical skills of perfusionists in the cardiac operating room.一种评估心脏手术室灌注师非技术技能的工具。
J Thorac Cardiovasc Surg. 2023 Apr;165(4):1462-1469. doi: 10.1016/j.jtcvs.2021.06.052. Epub 2021 Jul 2.
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