时间:2019-01-12 作者:英语课 分类:2010年VOA慢速英语(十)月


英语课

This is the VOA Special English Health Report.


No one wants a pilot to make a mistake. This is why flight crews are trained in teamwork and communication. Now a study finds hospitals that trained their operating room teams had a lower rate of surgical 1 deaths than other hospitals.


SURGEON: "We'll need a patch in the room, is there a patch available?"


This team has been trained to communicate about the operation and the patient before, during and after the surgery.


SURGEON: "Are there any concerns or questions from the team? Anybody? No?"


The study involved more than one hundred American veterans hospitals. Some had taken part in a program of medical team training.


Researcher Julia Neily, a Veterans Administration nurse, says the training seeks to empower each team member, including technicians.


JULIA NEILY: "One of the key elements here was flattening 2 the hierarchy 3 in the operating room so that everybody, the scrub tech, the nurse, the surgeon, the anesthesiologist, whomever it is in the operating room could bring up any concerns they had about the patient."


And the more training, the better the chances that a patient would survive.



Doctors at a VA hospital in Michigan operate after taking steps to communicate about the surgery and the patient


JULIA NEILY: "The group that had the training initially 4 had a fifty percent greater reduction in their mortality rate and that was greater reduction than the control group, the group that didn't have the training initially."


Study co-author James Bagian is a Veterans Administration doctor.


JAMES BAGIAN: "Better communications by briefings and debriefings that are guided by checklists enhance teamwork."


DOCTOR: "Were there any difficulties or anything for anesthesia?"


ANESTHESIOLOGIST: "No."


The study is in this week's Journal of the American Medical Association.


At first, some team members questioned the value of the communication training. But another new study shows how a lack of communication can lead to mistakes like operating on the wrong site or the wrong patient.


Since two thousand four, hospitals and surgical offices in the United States have had a "universal protocol 5." For example, they are supposed to mark the surgical site and perform a "time-out" immediately before the procedure.


The study looked at records of a company that provides liability insurance to six thousand doctors in Colorado.


The doctors reported twenty-five cases involving the wrong patient between January of two thousand two and June of two thousand eight. Five patients suffered serious harm.


Surgeons and other doctors also reported one hundred seven cases involving the wrong site. More than one-third led to serious harm. One patient died.


The researchers blamed most of the wrong-site cases on errors in judgment 6 or a lack of a time-out. But they say errors in communication were at least one cause of all the patient mix-ups involving the wrong patient.


Philip Stahel at the Denver Health Medical Center led the study in the Archives of Surgery.


And that's the VOA Special English Health Report, available online at voaspecialenglish.com. You can also follow us on Facebook, Twitter, YouTube and iTunes at VOA Learning English. I'm Steve Ember.

___


Includes reporting by Carol Pearson and Avi Arditti, and sound provided by the Journal of the American Medical Association

 



adj.外科的,外科医生的,手术上的
  • He performs the surgical operations at the Red Cross Hospital.他在红十字会医院做外科手术。
  • All surgical instruments must be sterilised before use.所有的外科手术器械在使用之前,必须消毒。
n.等级制度;统治集团,领导层
  • There is a rigid hierarchy of power in that country.那个国家有一套严密的权力等级制度。
  • She's high up in the management hierarchy.她在管理阶层中地位很高。
adv.最初,开始
  • The ban was initially opposed by the US.这一禁令首先遭到美国的反对。
  • Feathers initially developed from insect scales.羽毛最初由昆虫的翅瓣演化而来。
n.议定书,草约,会谈记录,外交礼节
  • We must observe the correct protocol.我们必须遵守应有的礼仪。
  • The statesmen signed a protocol.那些政治家签了议定书。
n.审判;判断力,识别力,看法,意见
  • The chairman flatters himself on his judgment of people.主席自认为他审视人比别人高明。
  • He's a man of excellent judgment.他眼力过人。
学英语单词
addled
affirmatio
american dog ticks
amplified arrays
auripigment (aupiment)
bandog
beitzel
bespoils
bread-winners
Buchner's Eymase
bulk memory
bulses
Caragana leveillei
chain silicate mineral
chamaephytes
Chonemorpha floccosa
cochromatic number
consolidated ice
continuous heavy-duty service
coping mechanism
creeley
crosscountry
deck scupper ipes and sanitary discharge
dewooled
dihydroxytryptamines
direct assignment operator
ecological zero
EFT/POS (electronic funds transfer at point of sale)
Ehretia
elastic stiffness constants
ferricinum ion
field diagnostic test
ganglioneuritis
geaeral purpose
Glyptostrobus pensilis
grain merchant
grey-white
Griffith flaw
group psychotherapy
Gymnogrammaceae
harpagiferid
HOKUNALIN
hydrometrid
inception point
isolated pulse half-width
Kiyan-zaki
know sb well by reputation
Lagochilus grandiflorus
lymphonodi cubitales profundi
mainframe on-line test system
maxillary cyst
megayacht
mengi
mesothorax
message protocol
more than that
muffler outlet piper
multiple fibrous molluscum
neoplastic diseases
nerita incerta
nitrogen phosphorous detector
non-genetic gene
nonsympathetic
oil well screen
open.loop
order eurotialess
parent city
perez-reverte
pesudohydrocephalus
Poa pagophila
poor compression
potato tuberworm
practical gastroenterology
pseuchrolutist
receiver protection device
reduced form of general game
reduction of tax
restrepo
retrograde condensation
rock drill boat
Rodionovo-Nesvetayskaya
Royal Opera House
Sakhalin Island
sand binding plant
secretaries of housing and urban development
sociology of international relation
space-charge limited operation
static standard strain device
stealest
steering gear lockignition switch
step displacement input
stress-tested
Swida parviflora
synaptoplastic
target-marketing
trichoclasomanic or trichkrytomic alopecia
undertones
unrepresentativeness
washing loss
watt level
wire-drawing
wool-broker