Processes and tools to improve teamwork and communication in surgical settings: a narrative review

BMJ Open Quality

article

Sherry Espin¹  Alyssa Indar²  Marketa Gross³  Antoniette Labricciosa³  Maryanne D'Arpino⁴ 

[1] Daphne Cockwell School of Nursing , Ryerson University;Faculty of Health Sciences and Wellness , Humber College Institute of Technology and Advanced Learning;Sinai Health System;Safety Improvement and Capability Building , Canadian Patient Safety Institute

关键词: teamwork;    communication;    implementation science;    patient safety;    surgery;   

DOI  :  10.1136/bmjoq-2020-000937

学科分类：药学

来源: BMJ Publishing Group

【 摘 要 】

Patient safety has become a global priorityto support reducing harm associated withhealthcare delivery.1 In Canada, patient safetyincidents (PSI) are the third leading cause ofdeath behind heart disease and stroke andare associated with an additional cost to thehealthcare system of $2.75 billion each year.2PSIs occur across the healthcare continuum,but over half are associated with surgical care,which consists of preoperative, intraoperativeand postoperative care.3 4 Globally, four mainthreats to surgical safety have been identified: (1) insufficient recognition of safetyas a public health concern, (2) lack of available data related to surgical outcomes, (3)the inconsistent implementation of existingsafety practices, and (4) the complexity ofthe surgical setting.5 The WHO Guidelinesfor Safe Surgery, published in 2009, haveincreased and highlighted the importance ofsurgical safety worldwide. However, key gapsrelated to complexity of surgical processesstill remain to be addressed. A leading causeof these events is communication failurebetween care providers during surgical care,and between transition points during ‘handoffs’ or ‘handovers’.

【 授权许可】

CC BY-NC|CC BY|CC BY-NC-ND