期刊信息
友情链接
热门文章
TeamSTEPPS在患者安全中的应用与思考
发布人：yaot 发布时间：2022/10/25 17:09:46 浏览次数：1017次
——张颖嘉 李跃荣
【摘要】目的 分析提高医疗质量和患者安全的团队策略和工具包（TeamSTEPPS）在患者安全中的应用现状，为构建符合我国医疗环境的TeamSTEPPS患者安全培训体系提供依据。方法 检索中英文数据库关于TeamSTEPPS应用的相关文献，并进行文献筛选、资料提取及分析总结。结果 TeamSTEPPS在跨专业教学、临床培训、团队安全文化建设等方面应用广泛，能够促进团队协作，提高医疗护理质量。但TeamSTEPPS模式在我国仍处于初步探索阶段，尚未形成规范化培训体系。结论 建议强化多学科交叉融合，有机整合TeamSTEPPS培训与教学；确定TeamSTEPPS培训标准，完善评价体系；培育组织安全文化。
【关键词】TeamSTEPPS；跨专业教学；团队合作；患者安全；安全文化
中图分类号：R197.323 文献标识码：A
Application and Thinking of TeamSTEPPS in Patient Safety/ZHANG Yingjia,LI Yuerong.//Chinese Health Quality Management，2022,29(9):30-33
Abstract Objective To analyze the application status of TeamSTEPPS in patient safety and provide basis for the construction of TeamSTEPPS patient safety training course system in China's medical environment. Methods The literatures related to TeamSTEPPS application were searched from Chinese and English databases, and the literatures were screened, extracted, analyzed and summarized.Results TeamSTEPPS was widely used in cross-specialty teaching, clinical training, team safety culture construction and other aspects, which can promote team assistance and improve the quality of medical care. However, TeamSTEPPS mode was still in the preliminary exploration stage in China and had not yet formed a standardized training system.Conclusion It was suggested to strengthen interdisciplinary integration and organically integrate TeamSTEPPS training and teaching; to determine TeamSTEPPS training standards and improve the evaluation system; to establish organizational safety culture.
Key words TeamSTEPPS; Cross-Disciplinary Teaching; Teamwork;Patient Safety; Safety Culture
First-author's address The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China
医疗质量和患者安全是医疗机构质量评价的核心内容。患者安全实质是预防与医疗保健相关的错误和不良影响并且不对患者造成伤害。传统医学教育注重培养学生临床技能，疏于团队合作能力的培训，因此临床上容易因团队合作不良而发生医疗差错甚至医疗事故。
提高医疗质量和患者安全的团队策略和工具包(Team Strategies and Tools to Enhance Performance and Patient Safety,TeamSTEPPS）是经过认证并认为能够有效提高团队协作能力的培训模式。2006年11月，美国卫生保健研究与质量机构和国防部联合发布将TeamSTEPPS作为医疗团队培训的国家标准。TeamSTEPPS定义了4项可被训练的团队合作核心技能，即领导力、情境监控、相互支持和有效沟通。研究［1］提示，将团队合作核心技能应用于临床实践，能够提高医疗效率，改善医疗服务质量，保障患者安全。本研究探讨了TeamSTEPPS在患者安全教学、培训、团队安全文化建设中的应用现状与效果，并指出存在问题，提出未来研究方向，旨在为患者安全相关研究提供参考。