Teamwork and safety in surgery

Published on Jan 1, 2015in Colombian Journal of Anesthesiology
· DOI :10.1016/J.RCAE.2014.10.007
Louise Hull21
Estimated H-index: 21
(ICL: Imperial College London),
Nick Sevdalis80
Estimated H-index: 80
(ICL: Imperial College London)
La forma de ver los errores y la seguridad del paciente ha cambiado radicalmente durante los ultimos 15 anos. Un trabajo en equipo efectivo, no solamente en el quirofano sino tambien en toda la ruta perioperatoria, se considera un componente relevante y critico para la seguridad y la efectividad de la atencion quirurgica y lleva a buenos resultados y a una recuperacion rapida del paciente quirurgico1. Por consiguiente, se han realizado esfuerzos considerables para comprender la forma como los equipos trabajan dentro de la ruta de la atencion quirurgica y para mejorar el trabajo en equipo. El estudio de Amaya, A.2 y sus colaboradores, presentado en este numero de la revista, es un intento claro dentro de ese objetivo. Los autores reportan un enfoque detallado para evaluar a los equipos quirurgicos y obstetricos en la base, para luego introducir una intervencion compleja basada en trabajo en equipo y finalmente volver a evaluar a los equipos para determinar si ha mejorado su efectividad. Es alentador ver ese enfoque integrado frente a la capacitacion del equipo: los autores utilizaron elementos de programas bien establecidos (TeamSTEPPS) y enfoques para el trabajo en equipo (enfoque sistemico, principios de gestion de recursos en situacion de crisis [MRC]). Tambien integraron la teoria con instrumentos practicos, como la lista de verificacion de la OMS adaptada para aplicacion local, y las sesiones de informacion/retroalimentacion con el equipo. Desde el punto de vista de la evaluacion, es alentador ver un intento por poner en marcha un enfoque psicometrico solido por
#2Douglas Idarraga (Industrial University of Santander)H-Index: 2
Last. Luz María GómezH-Index: 4
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Resumen Introduccion El objetivo fue determinar si un programa de entrenamiento podia mejorar el trabajo en equipo en las salas de cirugia y obstetricia de una institucion de salud. Metodo Estudio cuasiexperimental de antes y despues. Se aplico un programa de entrenamiento multifase y multimetodo para mejorar el trabajo en equipo, el cual se midio aplicando el instrumento OTAS-S en 40 procedimientos quirurgicos en las etapas pre y posintervencion. La capacitacion fue dada al 80% de la poblacion....
#1Ana Carolina Amaya Arias (National University of Colombia)H-Index: 4
#2Rocío Barajas (National University of Colombia)H-Index: 1
Last. Nick Sevdalis (ICL: Imperial College London)H-Index: 80
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Abstract Background . Poor teamwork and nontechnical skill performance are increasingly recognized as important contributing factors to errors and adverse events in the operating room. Assessment of these safety critical skills is important to facilitate improvement, however there are no tools available to assess these safety skills in Latin America. This study aimed to translate, culturally adapt and content validate the Observational Teamwork Assessment for Surgery (OTAS) tool for use in Latin...
#1Stefanie Passauer-Baierl (LMU: Ludwig Maximilian University of Munich)H-Index: 4
#2Louise Hull (ICL: Imperial College London)H-Index: 21
Last. Matthias Weigl (LMU: Ludwig Maximilian University of Munich)H-Index: 27
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Background The nontechnical and team skills of surgical teams are critical for safety and efficiency in the operating room. Assessment of nontechnical and team skills can facilitate improvement by encouraging both self-reflection and team reflection, identifying training needs, and informing operating room (OR) team training approaches. The observational teamwork assessment for surgery (OTAS) tool is a well-validated and robust tool for capturing teamwork in the operating room. The aims of the p...
#1Louise Hull (ICL: Imperial College London)H-Index: 21
#2Sonal AroraH-Index: 47
Last. Nick SevdalisH-Index: 80
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Objective: To develop guidelines for the requirements for a faculty training program in nontechnical skill assessment in surgery. Background: Nontechnical skills in the operating room are critical for patient safety. The successful integration of these skills into workplace-based assessment is dependent upon the availability of faculty who are able to teach and assess them. At present, no guidelines exist regarding the training requirements for such faculty in surgical contexts. Methods: The dev...
#1Nick Sevdalis (ICL: Imperial College London)H-Index: 80
#2Louise Hull (ICL: Imperial College London)H-Index: 21
Last. David J. Birnbach (ICL: Imperial College London)H-Index: 29
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Summary The publication of To Err Is Human in the USA and An Organisation with a Memory in the UK more than a decade ago put patient safety firmly on the clinical and policy agenda. To date, however, progress in improving safety and outcomes of hospitalized patients has been slower than the authors of these reports had envisaged. Here, we first review and analyse some of the reasons for the lack of evident progress in improving patient safety across healthcare specialities. We then focus on what...
#1Eduardo Salas (UCF: University of Central Florida)H-Index: 155
#2Nancy J. CookeH-Index: 43
Last. Michael A. Rosen (UCF: University of Central Florida)H-Index: 37
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Objective: We highlight some of the key discoveries and developments in the area of team performance over the past 50 years, especially as reflected in the pages of Human Factors.Background: Teams increasingly have become a way of life in many organizations, and research has kept up with the pace. Method: We have characterized progress in the field in terms of eight discoveries and five challenges. Results: Discoveries pertain to the importance of shared cognition, the measurement of shared cogn...
#1Eduardo SalasH-Index: 155
#2Joseph W. GuthrieH-Index: 3
Last. C. Shawn BurkeH-Index: 30
view all 5 authors...
#1Charles Vincent (ICL: Imperial College London)H-Index: 103
#2Krishna MoorthyH-Index: 55
Last. Ara DarziH-Index: 143
view all 5 authors...
Research into surgical outcomes has primarily focused on the role of patient pathophysiological risk factors, and on the skills of the individual surgeon. The outcome of surgery is, however, also dependent on the quality of care received throughout the patient's stay in hospital and the performance of a considerable number of health professionals, all of whom are influenced by the environment in which they work. Drawing on the wider literature on safety and quality in healthcare, and recent pape...
#1Michael West (Aston University)H-Index: 115
Effective Teamwork provides all the tools necessary to help teams become more effective, including case studies, discussion questions, exercises and questionnaires. Drawing on psychological research, the text examines those factors which prevent and promote team effectiveness. The second edition includes new chapters on creating teams and on conflicts in teams. Now includes more material on team leadership, on the sorts of tasks that are best done by teams, and on the relationship between workin...
#1Martha ReevesH-Index: 6
This book is a practical guide for those involved in training or personnel management. It offers a simple explanation of the most common evaluation designs and methods and provides many examples of how evaluation has been put into practice in many organisations. It also gives practical advice about calculating the costs and benefits of training and about how to structure an evaluation report.
Cited By4
#1Martin J. Elliott (UCL: University College London)H-Index: 68
#2Derek J. Roebuck (Boston Children's Hospital)H-Index: 2
Last. Clare A. McLaren (Boston Children's Hospital)H-Index: 1
view all 8 authors...
#1Soheila Bakhtiari (Shiraz University of Medical Sciences)H-Index: 1
Introduction: The provision of care according to the code of ethics is of the highest priority in operating rooms (OR). However, the exposure of the surgical team to a high level of stress may result in unethical behavior and undermine their pursuit of excellence. Since the concept of excellence is complex and there are limited published studies in the nursing literature, there was a need for in-depth research. Objective: The present study aimed at evaluating the perspective and experience of OR...
#1Claudia TeunissenH-Index: 1
#2Beverley Burrell (University of Otago)H-Index: 6
Last. Virginia Maskill (University of Otago)H-Index: 8
view all 3 authors...
It is imperative to understand the factors that contribute to effective surgical teams. The aim of this integrative review was to evaluate the aids and barriers for perioperative teams in functioni...
#1Ngan Nguyen (Riverside Methodist Hospital)H-Index: 2
#2William D. Watson (Riverside Methodist Hospital)H-Index: 3
Last. Edward P. Dominguez (Riverside Methodist Hospital)H-Index: 5
view all 3 authors...
Objective Simulation is a technique recommended for teaching and measuring teamwork, but few published methodologies are available on how best to design simulation for teamwork training in surgery and health care in general. The purpose of this article is to describe a general methodology, called event-based approach to training (EBAT), to guide the design of simulation for teamwork training and discuss its application to surgery. Design The EBAT methodology draws on the science of training by s...
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