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首页> 外文会议>Human Factors and Ergonomics Society annual meeting;HFES 2009 >Study of rule related behavioural migrations in an anesthesiology department
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Study of rule related behavioural migrations in an anesthesiology department

机译：在麻醉科研究与规则有关的行为迁移

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In anesthesiology, rules, recommendations and protocols are used to coordinate behaviour in order to improve patient safety. In systems which have reached a high level of safety, migration is defined as a daily deviation of practices leading to a space of action which is different from the one defined by the rule. Our study assesses variation of behaviour before and after the introduction of a new safety rule in an anesthesiologist's team. The rule introduced by the chief of department makes it compulsory to plan and write the procedure during the pre-anaesthetic visit (day before surgery). Assessments of state before the rule, and of its implementation (immediately after introduction, 6 months later, 12 months later) were made from the anaesthetic files (n=907). Anaesthetists were blind to the study. Items linked to the rule are the inscription of the type of anaesthesia, hypnotic, opioid, muscle relaxant, hypnotic for maintenance, ways of controlling the upper airway and tube size, in the case of general anaesthesia. This study showed an erosion of the implementation six months later, with statistical significance at 12 months (p<.05). In a multivariate analysis, the factors related to a bad implementation of the rule are linked to circumstances (emergency, first anaesthesia of the day) and with the participants themselves (rule related behaviour, workload).
机译：在麻醉学中，使用规则，建议和协议来协调行为，以提高患者的安全性。在达到高度安全性的系统中，迁移被定义为导致实践空间与规则定义的实践空间不同的行为的日常偏离。我们的研究评估了麻醉师团队中引入新安全规则前后的行为变化。由科室主任介绍的规则使得必须在麻醉前就诊（手术前一天）计划和编写手术程序。从麻醉档案（n = 907）中评估规则前的状态及其实施情况（在引入后立即，6个月后，12个月后）。麻醉师对这项研究视而不见。与该规则相关的项目包括：全身麻醉时的麻醉类型，催眠，阿片类药物，肌肉松弛剂，催眠药，维持上呼吸道和管径的方式。这项研究显示，六个月后的实施遭到侵蚀，在12个月时具有统计学意义（p <.05）。在多变量分析中，与规则执行不当相关的因素与情况（紧急情况，当天的第一次麻醉）以及参与者本身（与规则相关的行为，工作量）有关。

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