| Popis: |
Just culture is essential in patient safety culture and a solution to the "doctor knows best," complex healthcare system which needs contributions from interprofessional teamwork. The structured SBAR (situation-background-assessment-recommendation) lessens authority gradient and clinical fractionation, providing chances for non-physicians to express ideas. According to IHI and aviation CRM, SBAR should be disseminated. Golden Jubilee Medical Center and Thai Airways jointly trained medical personnel mainly postgraduate nurses around 605 at five governmental institutes within three years. The course, aimed at know-how and do-how, consists of icebreaking, didactic, workshops, and role-plays for six hours in a single day. The icebreaking lets each team member reflect on self-personality and do critical thinking puzzles. A three-hour lecture starts with patient safety culture, then CRM emphasizing SBAR. Evaluations revealed over 80% trainees were confident SBAR really works while 86.4% will further implement. More than 75% passed the SBAR quiz satisfactorily and the most favorite activity was role-plays. The postgraduate training course development is based on changes of attitude by underpinning patient safety culture importance, changes of teamwork behaviors by activity varieties like self-reflection, mindset modelling, and simulations, meeting with undergraduate IPE curricula. The policy on SBAR and critical language will reinforce collaboration and just culture throughout the organization. |
