Communication failure in the operating room
Communication failure in the operating room
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DOI：
10.1016/j.surg.2010.07.051
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发表时间：
2011-03-01
期刊：
影响因子：
3.8
通讯作者：
Moorman, Don
中科院分区：
文献类型：
--
作者：
Halverson, Amy L.;Casey, Jessica T.;Moorman, Don
背景沟通错误导致医疗保健各个领域不良事件的发生。最近的研究调查的看法，在手术室的沟通发现的差距，在感知质量的沟通成员之间的手术室团队。我们的目的是描述在手术室中观察到的沟通失败的性质，并评估团队培训课程是否对观察到的沟通错误有任何影响。进行术中观察，并根据预定标准识别通信错误。根据错误类型、主题和观察效果对观察到的错误进行分类。在150个小时的观察中，观察到76次通信故障。总体而言，与设备有关的通信错误和让团队成员了解行动进展分别占所有观察到的通信错误的36%和24%。在引入团队训练课程之前，在76小时内观察到56个错误（速率，每小时737个错误;标准误差; 0.098）。在团队训练后，观察到20个错误超过74小时（率0.270错误每小时;标准误，0.060; P <0.001）。通信故障最常与设备和保持团队成员更新操作进度有关。这些故障可能导致程序延迟和效率低下。一个教授团队合作和沟通技巧的计划是一个可以改善手术室团队成员之间沟通的策略。（Surgery 2011;149：305-10.）
Background. Communication errors contribute to the occurrence of adverse events in various domains of health care. Recent studies surveying perceptions of communication in the operating room have found disparities in the perceived quality of communication among members of the operating room team. Our aim was to characterize the nature of communication failures observed in the operating room and to assess whether a Team Training curriculum had any impact on observed communication errors.Methods. Intraoperative observation was performed and communication errors were identified according to predetermined criteria. Observed errors were classified according to the type of error; subject matter, and observed effect.Results. Seventy-six communication failures were observed over 150 hours of observation. Overall, communication errors relating to equipment and keeping team members informed of the progress of an operation comprised 36% and 24% of all observed communication errors, respectively. Prior to the introduction of a Team Training curriculum, 56 errors were observed over 76 hours (rate, 737 errors per hour; standard error; 0.098). After Team Training, 20 errors over 74 hours were observed (rate .270 errors per hour; standard error, 0.060; P < .001).Conclusion. Communication failures related most frequently to equipment and keeping team members updated as to the progress of an operation. These failures can lead to procedural delay and inefficiencies. A program that teaches teamwork and communication skills is one strategy that may improve communication among members of the operating room team. (Surgery 2011;149:305-10.)