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首页> 外文期刊>Patient Safety in Surgery >Changes in safety climate and teamwork in the operating room after implementation of a revised WHO checklist: a prospective interventional study
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Changes in safety climate and teamwork in the operating room after implementation of a revised WHO checklist: a prospective interventional study

机译：实施经修订的WHO清单后手术室安全气氛和团队合作的变化：一项前瞻性干预研究

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Background Inter-professional teamwork in the operating room is important for patient safety. The World Health Organization (WHO) checklist was introduced to improve intraoperative teamwork. The aim of this study was to evaluate the safety climate in a Swedish operating room setting before and after an intervention, using a revised version of the WHO checklist to improve teamwork. Methods This study is a single center prospective interventional study. Participants were personnel working in operating room teams including surgeons, anesthesiologists, scrub nurses, nurse anaesthetists and nurse assistants. The study started with pre-interventional observations of the WHO checklist use followed by education on safety climate, the WHO checklist, and non-technical skills in the operating room. Thereafter a revised version of the WHO checklist was introduced. Post-interventional observations regarding the performance of the WHO checklist were carried out. The Safety Attitude Questionnaire was used to assess safety climate at baseline and post-intervention. Results At baseline we discovered a need for improved teamwork and communication. The participants considered teamwork to be important for patient safety, but had different perceptions of good teamwork between professions. The intervention, a revised version of the WHO checklist, did not affect teamwork climate. Adherence to the revision of the checklist was insufficient, dominated by a lack of structure. Conclusions There was no significant change in teamwork climate by use of the revised WHO checklist, which may be due to insufficient implementation, as a lack of adherence to the WHO checklist was detected. We found deficiencies in teamwork and communication. Further studies exploring how to improve safety climate are needed. Trial registration NCT02329691 .
机译：背景技术手术室的跨专业团队合作对患者安全至关重要。引入了世界卫生组织（WHO）清单以改善术中团队合作精神。这项研究的目的是使用修订版的WHO清单改进团队合作，以评估干预前后瑞典手术室环境中的安全气候。方法本研究为单中心前瞻性干预研究。参加者是手术室团队的人员，包括外科医生，麻醉师，磨砂护士，护士麻醉师和护士助理。该研究从对WHO清单使用进行干预前的观察开始，然后进行安全气候，WHO清单和手术室非技术技能的教育。此后，引入了世卫组织清单的修订版。进行了关于WHO清单执行情况的干预后观察。使用“安全态度问卷”评估基线和干预后的安全气候。结果在基线时，我们发现需要改善团队合作和沟通。参加者认为团队合作对患者安全至关重要，但各专业之间对良好团队合作的看法不同。该干预措施是WHO清单的修订版，并未影响团队合作气氛。坚持对清单的修订不够，主要是缺乏结构。结论使用修订后的WHO清单对团队合作气氛没有重大变化，这可能是由于执行不力所致，因为检测到缺乏对WHO清单的依从性。我们发现团队合作和沟通方面存在缺陷。需要进一步研究以探索如何改善安全气候。试用注册号NCT02329691。

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