運用醫療團隊資源管理於感管政策的落實

Applying Team Resource Management in Infection Control

醫療團隊資源管理（Team Resource Management）主要包含4個構面，領導力（Leadership）、狀況監測（Situation monitoring）、互助（Mutual support）及溝通（Communication）。被推廣至醫療照護主要是強調有效的團隊合作可以在複雜且多變的環定中，促進團隊間的良好溝通，營造團隊合作精神，提升組織共識、減少臨床失誤，改善病人預後與醫療品質，提升病人及員工滿意度，進而能減少醫療糾紛。而感染管制政策的執行牽涉層面甚廣，不僅須向長官說明政策的意義以尋求支持，更需面對執行過程中層層的壓力及困境，因此若感染管制相關工作人員能具備醫療團隊資源管理的技巧，相信對感管業務有所助益，提升感管政策推動的成效。

Teamwork in the healthcare system has a profound impact on patient care. The main goal of team resource management is to improve patient care through improved communication and teamwork. The core teamwork skills are leadership, situation monitoring, mutual support, and communication. Teamwork is also important in infection control. Leadership is a prerequisite for effective action to control infection. Team stability and morale are linked to the implication of infection control policies. Organizational mechanisms for supporting training, appraisal, and clinical governance are important determinants for effective practice and successful change in health care providers’ behavior. The application of team resource management skills can be helpful in infection control.