tailieunhanh - Safer Surgery part 33

Safer Surgery part 33. 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. | 294 Safer Surgery questions Can you manually adjust white balance Let s try again. Can you adjust the colour . The circulating nurse hears and acts on these questions but never articulates or announces her actions. She eventually goes to call for help this time she announces that she has called. The OR-coordinator arrives and then the PSA. OR-coordinator leaves. PSA arrives fiddles with controls for a while though it seems he doesn t have any solutions . The staff surgeon finally asks again Are we getting another tower The circulating nurse pages a second PSA returns and asks this PSA if there s another in the office. The circulating nurse disappears without indicating that she s going. Second PSA arrives and mumbles about being in six rooms can t hear the pages. The staff surgeon asks the first PSA about the resolution. PSA1 says they can bring another or turn this one off and on again. They try turning off and on with no success. Third screen arrives a second was rolled in earlier but nobody pointed it out . PSA1 and the circulating nurse who is now back in the room set up new screen at 11 30am. Observer notes This seems to be primarily a style problem. Neither staff surgeon nor especially circulating nurse speaks very assertively in naming and navigating the situation. There seems to be less communication than needed for efficient resolution of the problem. I ve also recorded this as a content failure to capture that element of the exchange. Relevant information seems lacking for example status of attempt to fix the problem plan to fix the problem opinions about what should be done . As this observer notes the silences in this communication exchange seem attributable to personal style some team members are more quiet than others. In fact volume and degree of communicative involvement - particularly the consistent patterning of who speaks more loudly and who speaks more quietly in the OR - is a function of social structures and power relationships not only an .