کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3178434 1200382 2016 10 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Observation of behavioural markers of non-technical skills in the operating room and their relationship to intra-operative incidents
ترجمه فارسی عنوان
مشاهده نشانگرهای رفتاری مهارت های غیر فنی در اتاق عمل و ارتباط آنها با حوادث درون عملیاتی
کلمات کلیدی
اطلاع*، شناخت *، ارتباط *، صلاحیت بالینی *، برنامه تحصیلی*، تصمیم سازی، جراحی عمومی / آموزش و پرورش، جراحی عمومی / استانداردهای *، انسان، روابط بین فردی*، رهبری، خطاهای پزشکی / روند *، تیم مراقبت از بیمار، رقابت حرفه ای
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی دندانپزشکی، جراحی دهان و پزشکی
چکیده انگلیسی

BackgroundThe importance of non-technical skills in improving surgical safety and performance is now well recognised. Better understanding is needed of the impact that non-technical skills of the multi-disciplinary theatre team have on intra-operative incidents in the operating room (OR) using structured theatre-based assessment. The interaction of non-technical skills that influence surgical safety of the OR team will be explored and made more transparent.MethodsBetween May–August 2013, a range of procedures in general and vascular surgery in the Royal Infirmary of Edinburgh were performed. Non-technical skills behavioural markers and associated intra-operative incidents were recorded using established behavioural marking systems (NOTSS, ANTS and SPLINTS). Adherence to the surgical safety checklist was also observed.ResultsA total of 51 procedures were observed, with 90 recorded incidents – 57 of which were considered avoidable. Poor situational awareness was a common area for surgeons and anaesthetists leading to most intra-operative incidents. Poor communication and teamwork across the whole OR team had a generally large impact on intra-operative incidents. Leadership was shown to be an essential set of skills for the surgeons as demonstrated by the high correlation of poor leadership with intra-operative incidents. Team-working and management skills appeared to be especially important for anaesthetists in the recovery from an intra-operative incident.ConclusionA significant number of avoidable incidents occur during operative procedures. These can all be linked to failures in non-technical skills. Better training of both individual and team in non-technical skills is needed in order to improve patient safety in the operating room.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Surgeon - Volume 14, Issue 3, June 2016, Pages 119–128
نویسندگان
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