Implementation of Resilience Engineering for Operating Room. Unveiling the Hidden Interactions among Multi-Professionals in a Surgical Team

Background: The implementation of resilience engineering for an operating room is difficult;however, its study would become important for the surgeon’s personal and surgical team in order to develop a new surgical safety management. An expert operator must perform an operation with his surgical team that includes an anesthetist, scrub nurse, and young assistant. However, there exist some gaps among these multi-professionals. Objective: From the viewpoint of an expert operator, to have an operation go well, we would describe how to reconcile their gaps. We will explain the gaps among the multi-professionals in a surgical team, such as hidden interactions between the operator and anesthetist, surgeon and scrub nurse, and expert operator and young assistant. Material and Methods: We assumed three types of interactions among the multi-professionals in the operating theater and we clarified how to bridge the gaps by revealing what the operator thinks, what the anesthetist thinks, what the scrub nurse thinks, and what the young assistant thinks in the surgical team, and by understanding how they perform during surgery. Outcomes: What the expert operator thinks and how he performs in surgery is summarized by the following three items: 1) safety is first, 2) achieving the operative purpose, and 3) fast surgery. We interviewed the surgical team members. In order for the surgery to go well, what the important thing is “safety first” for any surgical professionals. The sentence, “safety is first” is the magic words, such as “open sesame”. They can communicate with each other on the spot and build the team and system. To develop a strong and resilient surgical team, these four behaviors are important to improve the performance as a system: 1) sharing the same goal and same priority, 2) understanding gaps with clear verbal communication. Coming out from own professional boundaries (takotsubo), speaking in words, 3) all of us, having a strong will (iron heart), and learning anger management, and 4) improvising even in difficult situations. Conclusion: We would like to summarize the items learned from my three described scenes, which are 1) to develop a strong and resilient surgical team, 2) what we have to do, and how we have to perform, and 3) how we can develop a team and system.

From Small Activities to Big Life:The Dilemma and Implementation Path to Discipline Integration in Middle Schools Pointing to Qualities

The cross-integration of middle school disciplines is the current trend and the need of education,but it is faced with difficulties in practice.The article mainly adopts the observation method and literature research method,analyzes the dilemma with three aspects,and put forward the progressive four-step implementation path.Respectively,schools and teachers can set up teaching objectives pointing to the core qualities of disciplines firstly,organize teaching materials to carry out small interdisciplinary activities in class secondly,then integrate teachers to launch big project-based learning and interdisciplinary activities,finally create comprehensive curriculum pointing to comprehensive qualities.

From Interdisciplinary Approach to Interdisciplines: The New Liberal Arts Development Road of Legal Education

The traditional legal education model based on the discipline system of “theoretical law + departmental law” overemphasizes professional subdivision, resulting not only in the separation of different disciplines from each other, but also in the narrow thinking mode, single knowledge structure, and weak practical ability of trained legal talent, who are therefore hardly adapted to the needs of the era, which are characterized as cross boundary social problems and comprehensive knowledge application. All in all, the training of high-quality interdisciplinary legal talents lags behind social reform and the practice of the rule of law. In the context of comprehensively promoting the development of the new liberal arts, developing the new liberal arts, i.e., deep cross-integration, has penetrated into the construction of the law discipline, broken through the inherent limitations of law knowledge, promoted the interdisciplinary development of law education, and helped cultivate the ability of law students to integrate interdisciplinary knowledge. The development of new law science should proceed step by step, from shallow to deep. It should follow the guidance of social needs, break down discipline barriers, innovate cross-integration mechanisms, transform and upgrade from the “small crossover” among various departmental laws within the law discipline to the “big crossover” between the law discipline and other disciplines, and transform from the innovation of research methods to the innovation of the structure of disciplines. The cultivation of inter disciplines should focus on emerging fields such as national security, artificial intelligence, and social governance.