Có 48+ tài liệu thuộc chủ đề "hiệu quả thực hành phẫu thuật"
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Observation of unsafe Actions and Critical events. The observation of unsafe actions and critical events is well established for human factor research using simulator environments (Gaba 1992, Gaba and Howard 2002, Howard et al. 2003, Overly et al. Figure 22.2 Flow chart for simulated scenario and stress measurement Time. Simulator-Based Evaluation of Clinical Guidelines in Acute Medicine 375 These are...
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Measuring the Impact of Time Pressure on Team Task Performance. Understanding team performance under time pressure provides a basis for developing counter-measures. However, prospective investigation to study team performance under stress is difficult, due to the unpredictable nature of crisis events. Time pressure is a hallmark of trauma care where breakdowns in coordination can result in errors which threaten the...
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Time to achieve various landmarks in the task model for intubation showed that pre-oxygenation was shorter, duration between completion of tracheal tube insertion and monitoring of exhaled CO 2 was almost four times longer in emergency than elective intubation (Table 23.3).. Payne et al. Training can explicitly address the speed/accuracy trade off issue to allow adaptation to changing time pressure...
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Distractions and Interruptions in the Operating Room. In recent years, there have been significant attempts in the surgical literature to re- conceptualize the way surgical performance, errors and outcomes are understood.. Key drivers behind such attempts are the recent focus on the safety and the quality of the care delivered to surgical patients (e.g., Greenberg et al. 2007, Gawande et...
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This means that some surgeons will fare better than others in coping with distracting events in the OR – an individual difference that should be assessed systematically. A final consideration is the interaction of expertise and individual differences with the level of disruptiveness in the OR. It follows that minimizing distractions in the OR environment wherever possible and/or by training...
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and, again, like many physicians, I was not overly keen to delve into human error in medicine and team performance in healthcare. I learned about CRM training, which by that time had ceased to be a controversial topic in aviation and by then had become the standard of practice for any good airline.. Rather than defining CRM and developing training...
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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...
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helen Purdie is a senior research sister at the Clinical Research Facility in Sheffield. [email protected] Marcus Rall is an anaesthetist and the director of the Centre for Patient Safety and Simulation (TüPASS) at the University of Tuebingen, Germany. She works for the Tuebingen Centre for Patient Safety and Simulation with an emphasis on in-situ trainings, instructor training and the German...