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首页> 外文期刊>Patient Safety in Surgery >Surgical caps displaying team members' names and roles improve effective communication in the operating room: a pilot study
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Surgical caps displaying team members' names and roles improve effective communication in the operating room: a pilot study

机译：外科帽展示团队成员的名称和角色改善了手术室的有效沟通：试点研究

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Teamwork in the operating theatre is a complex emergent phenomenon and is driven by cooperative relationships between staff. A foundational requirement for teamwork is the ability to communicate effectively, and in particular, knowing each other’s name. Many operating theatre staff do not know each other’s name, even after formal team introductions. The use of theatre caps to display a staff member’s name and role has been suggested to improve communication and teamwork. We hypothesized that the implementation of scrub hats with individual team members' names and roles would improve the perceived quality and effectiveness of communication in the operating theatre. A pilot project was designed as a pre-/post-implementation questionnaire sent to 236 operating room staff members at a general hospital in suburban Melbourne, Victoria, Australia, between November 6 to December 18, 2018. Participants included medical practitioners (anaesthetists, surgeons, obstetricians and gynaecologists), nurses (anaesthetic, scrub/scout and paediatric nurses), midwives and theatre technicians. The primary outcome was a change in perceived teamwork score, measured using a five position Likert scale. Of 236 enrolled participants, 107 (45%) completed both the pre and post intervention surveys. The median perceived teamwork response of four did not change after the intervention, though the number of low scores was reduced (p?=?0.015). In a pre-planned subgroup analysis, the median perceived teamwork score rose for midwives from three to four (p??0.001), while for other craft groups remained similar. The median number of staff members in theatre that a participant did not know the name of reduced from three to two (p??0.001). Participants reported knowing the names of all staff members present in the theatre more frequently after the intervention (31% vs 15%, p??0.001). The reported rate of formal team introductions was not significantly different after the intervention (34.7% vs 47.7% p?=?0.058). In this study, we found that wearing caps displaying name and role appeared to improve perceived teamwork and improve communication between staff members working in the operating theatre.
机译：经营剧院的团队合作是一种复杂的紧急现象，是由员工之间的合作关系驱动。团队合作的一个基本要求是有效沟通的能力，特别是彼此的名字。即使在正式的团队介绍之后，许多经营剧院的工作人员也不知道彼此的名字。已经建议使用剧院帽展示工作人员的名称和角色来改善沟通和团队合作。我们假设具有个人团队成员的名称和角色的磨砂帽的实施将提高操作剧院中的通信的感知质量和有效性。一项试点项目被设计为在2018年11月6日至12月18日在澳大利亚郊区墨尔本郊区驻澳大利亚郊区的一家综合医院发送到236名手术室工作人员。参与者包括医学员（麻醉师，外科医生，产科医生和妇科医生），护士（麻醉，磨砂/童子军和儿科护士），助产士和剧院技术人员。主要结果是使用五个位置李克特量表来测量的感知团队共和绩评分的变化。在236名参与者中，107（45％）完成了预先和干预后调查。在干预后，四个中位的感知团队合作响应在干预后没有改变，尽管降低了低分的数量（P？= 0.015）。在预先计划的亚组分析中，从三到四个（P？＆ 0.001）中，中位的被感知的团队合作得分为助产率升起（P？＆ <0.001），而其他工艺群体保持相似。参与者不知道从三到两个减少的剧院中位数的工作人员数量中位数（P？＆？0.001）。参与者报告说，在干预后更频繁地了解剧院中所有工作人员的名称（31％vs 15％，p？0.001）。干预后报告的正式团队介绍的率并没有显着差异（34.7％vs 47.7％p？= 0.058）。在这项研究中，我们发现戴着帽子显示名称和角色似乎可以改善感知团队合作，改善工作剧院工作人员之间的沟通。

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