tailieunhanh - Safer Surgery part 47

Safer Surgery part 47. 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. | 434 Safer Surgery healthcare. He has suggested that the future of healthcare is to reform the working relationships that exist throughout our systems and he probably has the right idea. Without addressing the underlying dysfunction of the work environment in this industry without addressing interprofessional friction and without addressing organizational issues in how we encourage or fail to encourage optimal team performance it is difficult to see how behavioural marker-based CRM-oriented team training programmes will take hold and be able to deliver their potential in improving the quality of care that is delivered in our current systems. So looking back what was it that made me worry that adapting CRM and similar practices from aviation would fail to produce the benefits that many had expected It was the suspicion that CRM alone was too easy a solution to the complex problems that surround medical error and team dysfunction. Physician surgeon and nursing cultures have evolved to function within the systems in which they operate and indeed have created key elements of the very system itself. Well-designed CRM programmes may address some of the issues that arise in those teams and may provide a safety net that traps potential errors before they occur. But will a training programme once delivered continue to influence behaviour in any one setting or surgical unit Possibly but our experience from aviation and our early experience from healthcare suggests the impact of training may quickly decay. If the programme itself suffers from a perceived lack of relevance then its decay will be almost immediate. So how do we ensure that trained safety behaviours persist How do we make training relevant to front-line personnel To be relevant programmes must be well designed conceptually and must address practical issues in the environment in which they are introduced. Basing such training programmes on front-line safety and error data was responsible for major improvements in .