陌生人组成的团队会给医疗保健带来危险吗?手术室团队一致性对青少年特发性脊柱侧凸手术时间的影响。

IF 1.6 Q3 CLINICAL NEUROLOGY
Ritt R Givens, Melanie Brown, Matan S Malka, Kevin Lu, Thomas M Zervos, Benjamin D Roye, Teeda Pinyavat, John M Flynn, Michael G Vitale
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引用次数: 0

摘要

目的:团队合作和沟通是任何外科团队的重要组成部分。本研究使用简单、可重复和量化的 "团队一致性评分 "和基于节点的模型来检查团队成员之间之前的互动,以表示和量化手术室团队在特定手术病例中的规律性:方法:我们查询了本机构的电子病历(EMR),其中包括 2021 年 1 月至 2023 年 12 月期间接受脊柱手术的儿科患者。我们记录了每个病例中在手术室中扮演不同角色的人员之间的互动次数。我们制定了一个被称为 "一致性评分 "的指标,代表这些先前互动的总和,并将其标准化为一个参考病例。斯皮尔曼相关性和曼-惠特尼比较试验用于分析病例团队一致性得分与效率指标之间的关联:共纳入 154 个病例进行分析。病例一致性评分与麻醉时间之间存在统计学意义上的显著负相关(rho = -0.159;p 结论:研究结果表明,团队一致性评分越高,麻醉效率越高:研究结果表明,以 "团队一致性评分 "指标衡量的团队一致性的提高与效率的提高和术中时间的缩短有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Do teams of strangers create health care dangers? The effect of OR team consistency on operative times in adolescent idiopathic scoliosis.

Purpose: Teamwork and communication are important components of any surgical team. This study uses a simple, reproducible, and quantitative "team consistency score" and a nodal-based model for examining prior interactions amongst team members to represent and quantify the regularity of an OR team for a specific surgical case.

Methods: The electronic medical record (EMR) at our institution was queried for pediatric patients undergoing spinal surgery from January 2021 through December 2023. The number of prior interactions between individuals filling distinct roles in the OR for each case was recorded. A metric coined the consistency score was developed representing the sum total of these prior interactions standardized to a reference case. Spearman's Correlation as well as the Mann-Whitney comparison test were used to analyze the associations between case team consistency score and efficiency measures.

Results: 154 cases were included for analysis. There was a statistically significant negative correlation between case consistency score and both anesthesia time (rho = -0.159; p < 0.05) and patient preparation time (rho = -0.218; p < 0.01). When looking at the consistent (above median consistency score of 0.46) vs. inconsistent cohorts, the inconsistent cohort had a higher mean patient preparation time (53.3 ± 14.0 min vs. 49.0 ± 9.3 min; p < 0.05), as well as a higher overall mean case length (336.6 ± 47.4 min vs. 321.9 ± 42.4 min; p < 0.05).

Conclusion: The findings suggest that increased team consistency, as measured by a "team consistency score" metric, is related to heightened efficiency and reduced intraoperative times.

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来源期刊
CiteScore
3.20
自引率
18.80%
发文量
167
期刊介绍: Spine Deformity the official journal of the?Scoliosis Research Society is a peer-refereed publication to disseminate knowledge on basic science and clinical research into the?etiology?biomechanics?treatment?methods and outcomes of all types of?spinal deformities. The international members of the Editorial Board provide a worldwide perspective for the journal's area of interest.The?journal?will enhance the mission of the Society which is to foster the optimal care of all patients with?spine?deformities worldwide. Articles published in?Spine Deformity?are Medline indexed in PubMed.? The journal publishes original articles in the form of clinical and basic research. Spine Deformity will only publish studies that have institutional review board (IRB) or similar ethics committee approval for human and animal studies and have strictly observed these guidelines. The minimum follow-up period for follow-up clinical studies is 24 months.
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