Briefing‐debriefing: Using a reflexive organizational learning model from the military to enhance the performance of surgical teams
采用行动研究方法，考察以色列空军团队反思性学习模型（简报与汇报）在民用医院手术科室的应用，探讨其对减少可预防不良事件的影响，并基于扎根理论提出提升手术团队质量的命题。
Abstract We adopt an action‐research approach to examine the applicability of briefing‐debriefing sessions—a team‐based, reflexive learning model being used in the IsraelAir Force—to the surgical departments of a major, civilian tertiary center in Israel, and explore the potential impact of such a model on the incidence of preventable adverse events in these departments.Taking into account the similarities and differences between the two team contexts (i.e., surgical team and flight crew), we examine potential barriers to the implementation of such a briefing‐debriefing technology in the surgical world, discuss the ways in which such barriers have been largely overcome in the particular case examined, and present the model currently being implemented by the surgical departments in our study.Additionally, based on a grounded theory approach, we generate propositions regarding the way in which briefing‐debriefing frameworks might enhance the quality‐related outcomes of hospital surgical teams.Wepay particular attention to those aspects of the team‐based learning model—such as a focus on status‐free transparency and systems‐based analysis—intended to promote double‐ as opposed to simply single‐loop learning. ©2007 Wiley Periodicals, Inc.