BackgroundThe process involved in organ procurement and transplantation is very complex that requires multidisciplinary coordination and teamwork. To prevent error during the processes, teamwork education and training might play an important role. We wished to evaluate the efficacy of implementing a Team Resource Management (TRM) program on patient safety and the behaviors of the team members involving in the process.MethodsWe implemented a TRM training program for the organ procurement and transplantation team members of the National Taiwan University Hospital (NTUH), a teaching medical center in Taiwan. This 15-month intervention included TRM education and training courses for the healthcare workers, focused group skill training for the procurement and transplantation team members, video demonstration and training, and case reviews with feedbacks. Teamwork culture was evaluated and all procurement and transplantation cases were reviewed to evaluate the application of TRM skills during the actual processes.ResultsDuring the intervention period, a total of 34 staff members participated the program, and 67 cases of transplantations were performed. Teamwork framework concept was the most prominent dimension that showed improvement from the participants for training. The team members showed a variety of teamwork behaviors during the process of procurement and transplantation during the intervention period. Of note, there were two potential donors with a positive HIV result, for which the procurement processed was timely and successfully terminated by the team. None of the recipients was transplanted with an infected organ. No error in communication or patient identification was noted during review of the case records.ConclusionImplementation of a Team Resource Management program improves the teamwork culture as well as patient safety in organ procurement and transplantation.
Scribing followed by a breaking method has often been applied to separate the individual liquid‐crystal‐display (LCD) glass panels from the mother cells. In some special occasions, especially for compact mobile devices, the bending strength of the glass substrates after breakage is the most important concern. In this study, the effect of the geometrical characteristics of the scribing wheel on the bending strength of LCD glass substrates was investigated. A volume‐crack effective coefficient was defined to estimate the effect of different geometrical characteristics of the scribing wheels. It was found that there is a strong correlation between the bending strength and the coefficient before chipping appears as the scribing load is increased. Thus, the coefficient can be used for the assessment of the geometrical effect of scribing wheels on the bending strength of glass substrates.
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