Multidisciplinary in-hospital teams improve patient outcomes: A review.
Multidisciplinary in-hospital teams improve patient outcomes: A review.
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DOI：
10.4103/2152-7806.139612
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发表时间：
2014-01-01
影响因子：
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通讯作者：
Epstein, Nancy E
中科院分区：
文献类型：
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作者：
Epstein, Nancy E
背景技术背景：使用多学科的医院团队限制不良事件（AE），改善结果，并增加了病人和员工satisfactions.METHODS：作为像“润滑良好的机器”，多学科的医院团队包括“工作人员”从不同层次的治疗金字塔（例如，工作人员包括护士的助手，外科技术人员，护士，麻醉师，主治医生，和其他人）。他们加强团队合作，透过加强不同层面医护人员之间的沟通，对抗“筒仓效应”，从而减少不良事件（例如发病率/死亡率），同时提高患者和医护人员的满意度。跨不同学科的多篇文章为急诊室（ER）、医院病房、重症监护室（ICU）的工作人员提供了各种“团队合作”概念，最重要的是，手术室（OR）。凝聚力的团队合作提高了不同层次的医护人员之间的沟通，有限的不良事件，改善的结果，减少住院时间（LOS），并取得了更大的病人“工作人员”satisfaction.CONCLUSION：在医院内，提供最好的医疗/手术护理是一个“团队运动”。“目标包括：最大限度地提高患者安全性（例如限制AE）和满意度，降低LOS，提高结局质量。额外的好处包括优化医护人员的表现，降低医院成本/并发症，提高工作满意度。这一审查应提醒医院管理人员，迫切需要保持多学科团队在一起，使他们能够继续操作他们的“润滑良好的机器”，提高病人护理的质量/安全，同时使“工作人员”能够优化他们的表现，提高他们的工作满意度。
BACKGROUND: The use of multidisciplinary in-hospital teams limits adverse events (AE), improves outcomes, and adds to patient and employee satisfaction.METHODS: Acting like "well-oiled machines," multidisciplinary in-hospital teams include "staff" from different levels of the treatment pyramid (e.g. staff including nurses' aids, surgical technicians, nurses, anesthesiologists, attending physicians, and others). Their enhanced teamwork counters the "silo effect" by enhancing communication between the different levels of healthcare workers and thus reduces AE (e.g. morbidity/mortality) while improving patient and healthcare worker satisfaction.RESULTS: Multiple articles across diverse disciplines incorporate a variety of concepts of "teamwork" for staff covering emergency rooms (ERs), hospital wards, intensive care units (ICUs), and most critically, operating rooms (ORs). Cohesive teamwork improved communication between different levels of healthcare workers, and limited adverse events, improved outcomes, decreased the length of stay (LOS), and yielded greater patient "staff" satisfaction.CONCLUSION: Within hospitals, delivering the best medical/surgical care is a "team sport." The goals include: Maximizing patient safety (e.g. limiting AE) and satisfaction, decreasing the LOS, and increasing the quality of outcomes. Added benefits include optimizing healthcare workers' performance, reducing hospital costs/complications, and increasing job satisfaction. This review should remind hospital administrators of the critical need to keep multidisciplinary teams together, so that they can continue to operate their "well-oiled machines" enhancing the quality/safety of patient care, while enabling "staff" to optimize their performance and enhance their job satisfaction.