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首页> 外文期刊>Patient Safety in Surgery >The impact of a daily pre-operative surgical huddle on interruptions, delays, and surgeon satisfaction in an orthopedic operating room: a prospective study
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The impact of a daily pre-operative surgical huddle on interruptions, delays, and surgeon satisfaction in an orthopedic operating room: a prospective study

机译：每天术前杂乱无章对整形外科手术室的中断，延误和外科医生满意度的影响：一项前瞻性研究

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Background The goal of this project was to implement a daily pre-operative huddle (briefing) for orthopedic cases and evaluate the impact of the daily huddle on surgeons’ perceptions of interruptions and operative delays. Methods Baseline measurements on interruptions, delays, and questions were obtained. Then the daily pre-operative huddle was introduced. Surgeons completed a surgical outcomes worksheet for each day’s cases. Outcomes evaluated were primarily interruptions and delays starting cases before and following introduction of the huddle. Results 19 baseline observations and 19 huddle-implemented observations of surgeon’s days were assessed. Overall, surgeon satisfaction increased and fewer delays occurred after introduction of huddles. Interruptions decreased in all categories including equipment, antibiotics, planned procedure and side. Time required for a huddle was less than one minute per case. Conclusions In this pilot study, a daily pre-operative huddle improved the flow of a surgeon’s day and satisfaction and indirectly provided indications of safety benefits by decreasing the number of interruptions and delays. Further studies in other surgical specialties should be conducted due to the promising results. Data was collected from three orthopedic surgeons in this phase; however, as a next step, data should be drawn from the rest of the orthopedic surgical team and other surgical subspecialties as well.
机译：背景技术该项目的目的是对整形外科患者实施术前日常汇报（简报），并评估日结局对外科医生对中断和手术延迟的看法的影响。方法获得了关于中断，延迟和问题的基准测量。然后介绍了术前的日常琐事。外科医生为每天的病例填写了手术结果工作表。评估的结果主要是引入杂乱无章前后的中断和延迟启动案例。结果评估了19个基线观察值和19个杂乱无章的手术时间观察值。总体而言，引入杂乱无章的手术后，外科医生的满意度提高了，延迟也减少了。所有类别的中断都减少了，包括设备，抗生素，计划的程序和侧面。每个案例的闲聊时间少于一分钟。结论在这项前瞻性研究中，每天进行的手术杂乱无章地改善了外科医生的工作流程和满意度，并通过减少打扰和延误的次数间接提供了安全益处的迹象。由于有希望的结果，应该在其他外科领域进行进一步的研究。在此阶段，从三名骨科医生那里收集了数据。但是，下一步，应该从整形外科团队的其他成员以及其他外科专业中获取数据。

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