Kommunikation

Burghofer, K.; Lackner, Christian

doi:10.1007/s10049-009-1273-3

Cited by 9 publications

(5 citation statements)

References 13 publications

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“…Bag-mask ventilation Technical skills have a strong correlation and are dependent on each other. [9][10][11][12][13] These results are consistent with the existing literature [9][10][11][12][13] describing the following approaches to optimise teamwork: (i) clear definition and communication of responsibilities and competences (distribution of tasks and roles), (ii) clearly and precisely verbal expressions, and (iii) application of closed-loop communication.…”

Section: Chest Compressionsupporting

confidence: 88%

“…These trainings work with high-fidelity simulation and video-based debriefing to provide participants with authentic experiences to increase their awareness of human factors' importance. After medical teams have been trained to 'define and communicate responsibilities, tasks and roles,' to 'speak clear and precise' and to use the technique of 'closed-loop communication', [9][10][11][12][13] significantly fewer errors occur than prior to the skills training (baseline errors = 30.9%, errors post training 4.4%). 14 Overall, effective interprofessional collaboration results in a better patient outcome, for example, reduced in-hospital stay, improved treatment success and fewer patient re-admissions to the intensive care unit.…”

Section: Introductionmentioning

confidence: 99%

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Enhancing interprofessional collaboration in paediatric training: Insights from profession‐specific experiences and implications for future education

Schwarz,

Zahler,

Schmid

et al. 2024

Acta Paediatrica

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AimThere is limited evidence on trainees' and instructors' needs and perspectives concerning interprofessional simulation‐based trainings. We aimed to study task distribution among team members, profession‐specific learning effects and enhancing collaboration and competencies within medical teams.MethodsThis prospective study examined expectations and experiences of medical and nursing students during paediatric emergency training in a tertiary care centre with questionnaires before and after a training. Further, expert interviews were conducted to identify the needs for interprofessional training. Results were used to design a standardised checklist for structured preparation of interprofessional paediatric emergency management training.ResultsOf the nursing students, 82% initially intended to assume the role of the team leader, but only 5.8% did so during training. Both professions emphasised the significance of effective communication and transparent task distribution for successful collaboration. Experts highlighted the importance of proficiency in basic technical skills and identified non‐technical skills such as closed‐loop communication and the 10‐4‐10 principle as crucial for both professions.ConclusionThe study revealed profession‐specific variations in the intention of acquiring the team leader or member role. Interprofessional training emerges as a potential strategy to dismantle these structures and promote shared responsibilities. The checklist aims to facilitate structured preparation of a training.

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Section: Chest Compressionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Enhancing interprofessional collaboration in paediatric training: Insights from profession‐specific experiences and implications for future education

Schwarz,

Zahler,

Schmid

et al. 2024

Acta Paediatrica

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“…Communication problems with clinics or nursing homes seemed to correlate with higher odds of negative safety outcomes. Burghofer et al [ 48 ] stated that communication failures account for the majority of unanticipated adverse events in patients in emergency medicine, which in our study is the case for communication with clinics and nursing homes, but not with regard to the EMS station, control center and police or fire department. Communication with clinics and nursing homes pose typical interfaces in emergency medicine where patient handoffs take place.…”

Section: Discussionmentioning

confidence: 47%

Psychosocial working conditions, perceived patient safety and their association in emergency medical services workers in Germany – a cross-sectional study

Elsässer,

Dreher,

Pietrowsky

et al. 2024

BMC Emerg Med

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Background Emergency medical service (EMS) workers face challenging working conditions that are characterized by high stress and a susceptibility to making errors. The objectives of the present study were (a) to characterize the psychosocial working conditions of EMS workers, (b) to describe the perceived quality of patient care they provide and patient safety, and (c) to investigate for the first time among EMS workers associations of psychosocial working conditions with the quality of patient care and patient safety. Methods For this cross-sectional study, we carried out an online survey among 393 EMS workers who were members of a professional organization. Working conditions were measured by the Demand-Control-SupportQuestionnaire (DCSQ) and seven self-devised items covering key stressors. Participants reported how often they perceived work stress to affect the patient care they provided and we inquired to what extent they are concerned to have made a major medical error in the last three months. Additionally, we used parts of the Emergency Medical Services – Safety Inventory (EMS-SI) to assess various specific errors and adverse events. We ran descriptive analyses (objective a and b) and multivariable logistic regression (objective c). Results The most common stressors identified were communication problems (reported by 76.3%), legal insecurity (69.5%), and switching of colleagues (48.9%) or workplaces (44.5%). Overall, 74.0% reported at least one negative safety outcome based on the EMS-SI. Concerns to have made an important error and the perception that patient care is impaired by work stress and were also frequent (17.8% and 12.7%, respectively). Most psychosocial working conditions were associated with the perception that patient care is impaired due to work stress. Conclusions Work stress in EMS staff is pronounced and negative safety outcomes or potential errors are perceived to occur frequently. Poor psychosocial working conditions were only consistently associated with perceived impairment of patient care due to work stress. It seems necessary to reduce communication problems and to optimize working processes especially at interfaces between emergency services and other institutions. Legal insecurity could be reduced by clarifying and defining responsibilities. Communication and familiarity between team colleagues could be fostered by more consistent composition of squads.

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“…Hieraus ergibt sich zwangsläufig, dass bei geplanten Abweichungen von SOPs alle Teammitglieder über diese Absicht unterrichtet werden müssen, um sie letztlich in die Lage zu versetzen, das mentale Modell und damit das individuelle Verhalten entsprechend abstimmen oder ihren Dissens artikulieren zu können [8,22,23,24]. …”

Section: Fehlervermeidung Und Fehlerbehandlungunclassified

“…Somit ist von entscheidender Bedeutung, kritische Informationen stets aktuell zu halten, um im Entscheidungsfall niederschwellig darauf zugreifen zu können [8,23]. …”

Section: Entscheidungsfindung Und Motivationunclassified

Team Resource Management im OP und in der Endoskopie

Lackner

Moecke

Burghofer³

2013

Visc Med

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Hintergrund: Klinischem Handeln ist implizit, dass die große Mehrzahl an risikoreichen und gleichzeitig prognoserelevanten Handlungen am Patienten nicht durch Einzelne erfolgt, sondern die Resultate einer Teamleistung (bisweilen ad hoc) sind. Methode: Publizierte Forschungsergebnisse zeigen nachvollziehbare Befunde, welche die Ursachen von Fehlermechanismen und -ketten darstellen und die Wirksamkeit von TRM(Team Resource Management)-Trainingsformaten belegen. Ergebnisse: Die Analyse der Literaturbefunde seit 2003 zeigt deutlich, dass die Ursache von prognose- oder zwischenfallrelevanten Fehlerketten in der klinischen Medizin zu mehr als 70% den Anwendern zuzuordnen ist. Die Implementierung und kontinuierliche Weiterentwicklung der Patientensicherheit im Bereich der Human Factors und die Anwendung der TRM-Leitsätze erfordert als Basis eine gute und breit akzeptierte Sicherheitskultur. Schlussfolgerungen: Initiativmaßnahmen wie regelmäßige realitätsnahe Simulationsteamtrainings, TRM-Formate und gut etablierte nichtpunitive Incident-Reporting-Systeme können hierbei effektiv zu einer stetigen und messbaren Verbesserung der Sicherheitskultur beitragen.

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Kommunikation

Cited by 9 publications

References 13 publications

Enhancing interprofessional collaboration in paediatric training: Insights from profession‐specific experiences and implications for future education

Enhancing interprofessional collaboration in paediatric training: Insights from profession‐specific experiences and implications for future education

Psychosocial working conditions, perceived patient safety and their association in emergency medical services workers in Germany – a cross-sectional study

Team Resource Management im OP und in der Endoskopie

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