AORN J. 2024 Aug;120(2):71-81. doi: 10.1002/aorn.14190.
The surgical team works collaboratively to prevent the occurrence of retained surgical items (RSIs). The purpose of this quality improvement project was to increase compliance with facility policies and improve teamwork skills to prevent the occurrence of RSIs. The project team implemented an evidence-based communication protocol, updated hospital network policies, introduced just-in-time job aids, and facilitated leader support through a daily huddle to address identified practice gaps. The TeamSTEPPS Teamwork Attitudes Questionnaire was used to measure the change in staff members' attitudes about teamwork before and after project implementation. Additional process and outcome measures included the number of near misses and actual RSIs, compliance with the daily huddle, and completion of the communication training. Results included improved perceived teamwork attitude scores and zero reports of actual RSI events over 7.5 weeks.
手术团队协作以预防手术器械遗留（RSI）的发生。本质量改进项目的目的是提高对设施政策的遵守程度，并提高团队合作技能，以预防 RSI 的发生。项目团队实施了循证沟通协议，更新了医院网络政策，引入了即时作业辅助工具，并通过每日例会提供领导支持，以解决已确定的实践差距。使用 TeamSTEPPS 团队态度问卷来衡量项目实施前后工作人员对团队合作的态度变化。其他过程和结果衡量标准包括接近差错的数量和实际 RSI 的发生、每日例会的遵守情况以及沟通培训的完成情况。结果包括改善的感知团队合作态度评分和 7.5 周内无实际 RSI 事件报告。
