基础医学与临床 ›› 2026, Vol. 46 ›› Issue (5): 736-742.doi: 10.16352/j.issn.1001-6325.2026.05.0736

• 医学教育 • 上一篇    下一篇

围手术期麻醉科医生与外科医生沟通现状调查

陈雯1, 龚亚红1*, 夏迪1, 张越伦2   

  1. 中国医学科学院北京协和医学院 北京协和医院 1.麻醉科;2.医学科学研究中心,北京 100730
  • 收稿日期:2026-01-23 修回日期:2026-03-24 出版日期:2026-05-05 发布日期:2026-04-28
  • 通讯作者: *yh2087@163.com

A survey on the current status of perioperative communication between anesthesiologist and surgeon

CHEN Wen1, GONG Yahong1*, XIA Di1, ZHANG Yuelun2   

  1. 1. Department of Anesthesiology, 2. Medical Science Research Center, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
  • Received:2026-01-23 Revised:2026-03-24 Online:2026-05-05 Published:2026-04-28
  • Contact: *yh2087@163.com

摘要: 目的 通过对国内多家三级甲等教学医院麻醉科医师进行问卷调查,识别其在围手术期关键场景中的沟通短板,为针对性培训与安全文化建设提供依据。方法 面对中华医学会麻醉学分会委员单位开展横断面问卷调查,覆盖不同职称、学历的在职麻醉科医生匿名参与,调研聚焦术前准备评估、术中不良事件、患者投诉的沟通以及围手术期麻醉科与外科医生沟通分歧4大场景。结果 共回收有效问卷356份(98.07%),通过分析单选、多选题数据,明确了围手术期不同群体麻醉科医生与外科医生沟通能力的异同,发现沟通效能不仅受个人技能与资历影响,还与团队心理安全、组织权利结构及制度支持的共同影响。结论 围手术期非技术技能培养存在短板,建议医院通过建立跨学科(专业)沟通权责机制与不良事件分析制度、培育非惩罚性安全文化来提升麻醉科医生与外科医生沟通质量。

关键词: 跨学科沟通, 跨学科合作, 围手术期, 麻醉科医生, 外科医生

Abstract: Objective To identify and fill the communication gaps among anesthesiologists in key peri-operative scenarios through a questionnaire survey conducted in multiple tertiary teaching hospitals in China in order to provide evidence for targeted training and safety culture improvement. Methods A cross-section questionnaire survey was conducted among active anesthesiologists of varying professional titles and educational backgrounds from institutions affiliated with the Committee of Anesthesiology of the Chinese Medical Association. Participation was anonymous. The survey focused on four key scenarios: preoperative assessment and preparation, intra-operative adverse events, collecting patient complaints, and peri-operative communication gaps between anesthesiologists and surgeons. Results A total of 356 valid questionnaires were collected (98.07% response rate). Analysis of single-choice and multiple-choice question data showed similarities and differences in communication capabilities between different subgroups of anesthesiologists and surgeons. The results indicated that communication effectiveness was influenced not only by individual skills and seniority but also by the combined effects of team psychological safety, organizational power structures, and institutional support. Conclusions Significant gaps remain in the cultivation of non-technical skills. It is recommended that hospitals improve the quality between anesthesiologist and surgeon communication by establishing interdisciplinary accountability mechanisms, adverse event analysis systems and by fostering a non-punitive safety culture.

Key words: interdisciplinary communication, interdisciplinary collaboration, perioperative period, anesthesiologist, surgeon

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