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Risk Prevention

Enhance teamwork in the operating room

Team training can minimize human error and increase patient safety

Patient care and health economics

A number of different initiatives were subsequently introduced to focus attention on patient safety. We can include: the minimum ratios required between nurses and patients, the reduction of working hours, protocols aimed at improving the care given to patients, safety checklists, scientific progress in simulation, and training of work teams.

Teamwork-based approaches are especially significant. Contradictions in treatments have often been attributed to the high turnover of professionals. Studies currently underway measure the success of:

  • Simulation – from the simplest models of surgery such as a “work table”, to task functions, virtual reality and operating room simulators for training and evaluating clinical teams.​

  • Standardization – creating coherent means of assessing core competencies and performance.

  • Team Building – touching on three key aspects - leadership (over the years), management (over months) and training (daily)

  • CPT's – implementing long-term routines, objective standards and checklists.

What makes an effective team?

 

One of the key factors of effective teams is the sharing and accuracy of “mental models” on the task at hand, the equipment available, and the skills and responsibilities of colleagues.

With these success factors evident and objectively measurable, it is relatively easy to check whether the team has achieved its goals.

Other factors that are often overlooked include the happiness of the team, commitment to its goals, and its ability to unite efforts and increase performance together.

Team building – when and how?

Staff training and safety interventions must constantly be considered as ongoing disciplines that are incorporated into healthcare delivery organisations. The construction of effective teams, specialists, who have a clear understanding of their tasks, their roles and their expected behavior, presupposes advantages in the results of treatments for patients, more than would be achievable by biomedical advances.

The only way to achieve these levels of success is through systematic staff training.

 

A shift is needed from training on real patients to simulation-based training, where team members cooperate in a simulated operating room environment. Using this process, teams can test and refine effective responses to catastrophic and/or rare situations, and introduce new interventions such as checklists according to the World Health Organization (WHO).

Improvement and standardization of evaluation systems

 

Another important area to consider in improving patient safety is the current lack of standardization in health care assessment systems. The challenge is to create a systematic benchmark against which to measure or compare performance.

It is recommendedthat standards are applied to ensure that assessments are fair and reliable, provided valid feedback is provided in an effective and tailored way. It also suggests that teachers and trainers should undertake extensive training, demonstrate a minimum level of competence, and hold a certification to apply these measures in practice.

Finally, it proposes that the selection of the health care provider should be based on the evidence of duly certified functions, and on the concept of evaluation/selection of services, whose implementation will cross specialties such as: intensive care, surgery and anesthesia.

INFARMED

Pursuant to the provisions of Decree-Law No. 145/2009, of June 17, and Deliberation No. 515/2010, hereby certifies the Director of the Inspection and Licensing Department of INFARMED, IP the notification of the exercise of WHOLESALE DISTRIBUTION activity of medical devices under the terms communicated to this authority, as per the application submitted by RYBONE LDA., NIPC515326941.CERTIFICATE No. 056/DM/2020/V01/2020

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© 2023 by Rybone.

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