tailieunhanh - Safer Surgery part 19

Safer Surgery part 19. There have been few research investigations into how highly trained doctors and nurses work together to achieve safe and efficient anaesthesia and surgery. While there have been major advances in surgical and anaesthetic procedures, there are still significant risks for patients during operations and adverse events are not unknown. Due to rising concern about patient safety, surgeons and anaesthetists have looked for ways of minimising adverse events. | 154 Safer Surgery In aviation where links between teamwork and performance are paramount CRM has successfully been used for teaching error management to flight crews error management meaning Using all available data to understand the causes of errors and taking appropriate actions including changing policy procedures and special training to reduce their incidence of error and to minimize the consequences of those that do occur. Helmreich 1998 p. 1 One of the underlying principles of error management is the recognition of the inevitability of human error and the adoption of a blame-free environment. Most of the time commercial pilots fly as ad hoc teams and often work with unfamiliar team members with different skills and knowledge and different tasks and responsibilities. Circumstances that are similar to the multidisciplinary teams that work together in OT. Like flight crews operating teams need good easy-to-transfer non-technical skills in order to work effectively. As healthcare is a high risk and technically complex industry cooperation between professionals is crucial to assure safety and reliability of care processes. Although interdependency is high and teamwork essential teamwork is often poorly developed Leggat 2007 . One of the barriers for teamwork is partly due to the individual s formal education and training. Professional education forms a solid base for proficiency in technical knowledge and skills and standardization of processes but also creates job boundaries and status thus stifling communication Boonstra 2004 . Another barrier for teamwork has to do with the culture of the medical profession like stress recognition. Healthcare professionals have a tendency to deny the influence of stressors such as fatigue danger and personal problems on performances. Denial of these stressors leads to defensive reasoning blaming the environment rather than reflecting critically on one s own work performance Argyris 1991 pp. 99-109 . Another important .