Critical Role of the Surgeon-Anesthesiologist Relationship for Patient Safety

被引:41
作者
Cooper, Jeffrey B. [1 ]
机构
[1] Massachusetts Gen Hosp, Dept Anesthesia Crit Care & Pain Med, Boston, MA 02114 USA
关键词
OPERATING-ROOM; TEAMS;
D O I
10.1097/ALN.0000000000002324
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Teamwork is now recognized as important for safe, high-quality perioperative care. The relationship in each surgeon-anesthesiologist dyad is perhaps the most critical element of overall team performance. A well-functioning relationship is conducive to safe, effective care. A dysfunctional relationship can promote unsafe conditions and contribute to an adverse outcome. Yet, there is little research about this relationship, about what works well or not well, what can be done to optimize it. This article explores functional and dysfunctional aspects of the relationship, identifies some negative stereotypes each profession has of the other and calls for research to better characterize and understand how to improve working relationships. Suggestions are given for what an ideal relationship might be and actions that surgeons and anesthesiologists can take to improve how they work together. The goal is safer care for patients, and more joy and meaning in work for surgeons and anesthesiologists.
引用
收藏
页码:402 / 405
页数:4
相关论文
共 18 条
[1]   Pilot Testing of a Model for Insurer-Driven, Large-Scale Multicenter Simulation Training for Operating Room Teams [J].
Arriaga, Alexander F. ;
Gawande, Atul A. ;
Raemer, Daniel B. ;
Jones, Daniel B. ;
Smink, Douglas S. ;
Weinstock, Peter ;
Dwyer, Kathy ;
Lipsitz, Stuart R. ;
Peyre, Sarah ;
Pawlowski, John B. ;
Muret-Wagstaff, Sharon ;
Gee, Denise ;
Gordon, James A. ;
Cooper, Jeffrey B. ;
Berry, William R. .
ANNALS OF SURGERY, 2014, 259 (03) :403-410
[2]  
Bosk CL., 1979, Forgive and Remember: Managing Medical Failure, DOI 10.7208/chicago/9780226924687.001.0001
[3]   Identifying Variability in Mental Models Within and Between Disciplines Caring for the Cardiac Surgical Patient [J].
Brown, Evans K. H. ;
Harder, Kathleen A. ;
Apostolidou, Ioanna ;
Wahr, Joyce A. ;
Shook, Douglas C. ;
Farivar, R. Saeid ;
Perry, Tjorvi E. ;
Konia, Mojca R. .
ANESTHESIA AND ANALGESIA, 2017, 125 (01) :29-37
[4]   AN ANALYSIS OF MAJOR ERRORS AND EQUIPMENT FAILURES IN ANESTHESIA MANAGEMENT - CONSIDERATIONS FOR PREVENTION AND DETECTION [J].
COOPER, JB ;
NEWBOWER, RS ;
KITZ, RJ .
ANESTHESIOLOGY, 1984, 60 (01) :34-42
[5]   PREVENTABLE ANESTHESIA MISHAPS - STUDY OF HUMAN-FACTORS [J].
COOPER, JB ;
MCPEEK, B ;
LONG, CD ;
NEWBOWER, RS .
ANESTHESIOLOGY, 1978, 49 (06) :399-406
[6]   Speaking up in the operating room: How team leaders promote learning in interdisciplinary action teams [J].
Edmondson, AC .
JOURNAL OF MANAGEMENT STUDIES, 2003, 40 (06) :1419-1452
[7]   Redesigning Surgical Decision Making for High-Risk Patients [J].
Glance, Laurent G. ;
Osler, Turner M. ;
Neuman, Mark D. .
NEW ENGLAND JOURNAL OF MEDICINE, 2014, 370 (15) :1379-1381
[8]  
Haidt J., 2012, The Righteous Mind
[9]  
Junger S., 2016, Tribe: On homecoming and belonging
[10]   Conflict and its resolution in the operating room [J].
Katz, Jonathan D. .
JOURNAL OF CLINICAL ANESTHESIA, 2007, 19 (02) :152-158