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Team dynamics in emergency surgery teams: results from a first international survey
World Journal of Emergency Surgery ( IF 6.0 ) Pub Date : 2021-09-16 , DOI: 10.1186/s13017-021-00389-6
Lorenzo Cobianchi 1, 2 , Francesca Dal Mas 3 , Maurizio Massaro 4 , Paola Fugazzola 2 , Federico Coccolini 5, 6 , Yoram Kluger 7 , Ari Leppäniemi 8 , Ernest E Moore 9 , Massimo Sartelli 10 , Peter Angelos 11 , Fausto Catena 12 , Luca Ansaloni 1, 2 ,
Affiliation  

Emergency surgery represents a unique context. Trauma teams are often multidisciplinary and need to operate under extreme stress and time constraints, sometimes with no awareness of the trauma’s causes or the patient’s personal and clinical information. In this perspective, the dynamics of how trauma teams function is fundamental to ensuring the best performance and outcomes. An online survey was conducted among the World Society of Emergency Surgery members in early 2021. 402 fully filled questionnaires on the topics of knowledge translation dynamics and tools, non-technical skills, and difficulties in teamwork were collected. Data were analyzed using the software R, and reported following the Checklist for Reporting Results of Internet E-Surveys (CHERRIES). Findings highlight how several surgeons are still unsure about the meaning and potential of knowledge translation and its mechanisms. Tools like training, clinical guidelines, and non-technical skills are recognized and used in clinical practice. Others, like patients’ and stakeholders’ engagement, are hardly implemented, despite their increasing importance in the modern healthcare scenario. Several difficulties in working as a team are described, including the lack of time, communication, training, trust, and ego. Scientific societies should take the lead in offering training and support about the abovementioned topics. Dedicated educational initiatives, practical cases and experiences, workshops and symposia may allow mitigating the difficulties highlighted by the survey’s participants, boosting the performance of emergency teams. Additional investigation of the survey results and its characteristics may lead to more further specific suggestions and potential solutions.

中文翻译:

急诊手术团队的团队动态:第一次国际调查的结果

急诊手术代表了一个独特的背景。创伤团队通常是多学科的,需要在极端压力和时间限制下开展工作,有时不了解创伤的原因或患者的个人和临床信息。从这个角度来看,创伤团队如何运作的动态对于确保最佳绩效和结果至关重要。2021 年初,在世界急诊外科学会成员中进行了一项在线调查。收集了 402 份关于知识转化动态和工具、非技术技能和团队合作困难等主题的完整问卷。使用软件 R 分析数据,并按照互联网电子调查报告结果清单 (CHERRIES) 进行报告。研究结果强调了几位外科医生仍然不确定知识转化的意义和潜力及其机制。培训、临床指南和非技术技能等工具在临床实践中得到认可和使用。其他人,如患者和利益相关者的参与,尽管在现代医疗保健场景中越来越重要,但几乎没有实施。描述了作为一个团队工作的几个困难,包括缺乏时间、沟通、培训、信任和自我。科学协会应带头提供有关上述主题的培训和支持。专门的教育举措、实际案例和经验、研讨会和座谈会可以减轻调查参与者强调的困难,提高应急小组的绩效。
更新日期:2021-09-16
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