Optimizing Teamwork in the Operating Room: A Scoping Review of Actionable Teamwork Strategies

被引：0

作者：

Ghanmi, Nibras ^{[1
]}

Bondok, Mostafa ^{[2
]}

Etherington, Cole ^{[3
]}

Saddiki, Youssef ^{[1
]}

Lefebvre, Isabelle ^{[1
]}

Berthelot, Pauline ^{[1
]}

Dion, Pierre-Marc ^{[1
]}

Raymond, Benjamin ^{[1
]}

Seguin, Jeanne ^{[1
]}

Sekhavati, Pooyan ^{[1
]}

Islam, Sindeed ^{[1
]}

Boet, Sylvain ^{[4
]}

机构：

[1] Univ Ottawa, Fac Med, Ottawa, ON, Canada

[2] Univ British Columbia, Fac Med, Dept Anesthesiol, Vancouver, BC, Canada

[3] Ottawa Hosp, Clin Epidemiol Program, Res Inst, Ottawa, ON, Canada

[4] Univ Ottawa, Ottawa Hosp, Dept Anesthesiol & Pain Med, Ottawa, ON, Canada

来源：

CUREUS JOURNAL OF MEDICAL SCIENCE | 2024年 / 16卷 / 05期

关键词：

interdisciplinary teamwork; scoping review; operating room; patient outcomes; human factors; medical education; healthcare simulation; surgical safety checklist; SURGICAL SAFETY CHECKLIST; IMPROVING PATIENT SAFETY; COMMUNICATION; INTERVENTIONS; OUTCOMES; SURGERY; IMPACT; TEAMS;

D O I：

10.7759/cureus.60522

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Suboptimal teamwork in the operating room (OR) is a contributing factor in a significant proportion of preventable complications for surgical patients. Specifying behaviour is fundamental to closing evidencepractice gaps in healthcare. Current teamwork interventions, however, have yet to be synthesized in this way. This scoping review aimed to identify actionable strategies for use during surgery by mapping the existing literature according to the Action, Actor, Context, Target, Time (AACTT) framework. The databases MEDLINE (Medical Literature Analysis and Retrieval System Online), Embase, Cumulated Index to Nursing and Allied Health Literature (CINAHL), Education Resources Information Center (ERIC), Cochrane, Scopus, and PsycINFO were searched from inception to April 5, 2022. Screening and data extraction were conducted in duplicate by pairs of independent reviewers. The search identified 9,289 references after the removal of duplicates. Across 249 studies deemed eligible for inclusion, eight types of teamwork interventions could be mapped according to the AACTT framework: bundle/checklists, protocols, audit and feedback, clinical practice guidelines, environmental change, cognitive aid, education, and other), yet many were ambiguous regarding the actors and actions involved. The 101 included protocol interventions appeared to be among the most actionable for the OR based on the clear specification of ACCTT elements, and their effectiveness should be evaluated and compared in future work.

引用

页数：29

共 56 条

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