Can Simulated Team Tasks be Used to Improve Nontechnical Skills in the Operating Room?

Rao, Ravikala; Dumon, Kristoffel R.; Neylan, Christopher J.; Morris, Jon B.; Riddle, Elijah W.; Sensenig, Richard; Park, Yangseon; Williams, Noel N.; Dempsey, Daniel T.; Brooks, Ari D.

doi:10.1016/j.jsurg.2016.06.004

Cited by 39 publications

(17 citation statements)

References 10 publications

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“…There are advocates of using distinct exercises to develop non‐technical skills in parallel to existing technical skills learning, or of a fully integrated training programme. Simulation interventions have included both ‘normal’ operative and crisis situations. Surgical training has commonly focused on aspects similar to the NOTSS categories, and these new results suggest that training should also map to the situation awareness, decision‐making, communication and teamwork, and leadership domains.…”

Section: Discussionmentioning

confidence: 99%

Construct and criterion validity testing of the Non-Technical Skills for Surgeons (NOTSS) behaviour assessment tool using videos of simulated operations

Yule

Gupta

Gazarian

et al. 2018

British Journal of Surgery

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Section: Discussionmentioning

confidence: 99%

Construct and criterion validity testing of the Non-Technical Skills for Surgeons (NOTSS) behaviour assessment tool using videos of simulated operations

Yule

Gupta

Gazarian

et al. 2018

British Journal of Surgery

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“…Furthermore, team exercises can lead to improvement of a surgical team's nontechnical skills which are correlated with the performance of technical skills. 51 Therefore, investing in leadership training focusing on interpersonal skills may not only improve physician leadership but directly enhance clinical care as well. The ACA, as one of the biggest healthcare policy changes in US history, was bound to lead to changes in healthcare administration.…”

Section: Discussionmentioning

confidence: 99%

The Affordable Care Act and Its Effects on Physician Leadership: A Qualitative Systematic Review

Sterbenz

Chung

2017

Quality Management in Health Care

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The Affordable Care Act (ACA) shifted the focus in medical care from quantity to quality. This qualitative systematic review determined the key skills to be an effective physician leader after the implementation of the ACA and to compare them to the key skills identified prior to its implementation. A qualitative systematic review collects qualitative data and can be analyzed in a number of ways, including thematic analysis that constructs themes from the pooled data. A systematic literature search on leadership skills for physicians resulted in 26 papers. Thematic analysis was used to categorize the data presented in each paper. The results from these 26 papers were then compared to a similar paper published prior to the implementation of the ACA. Teamwork and team-building, communication, and self-awareness skills were mentioned the most often. The percentage of papers mentioning teamwork and team-building skills (61.5%) was significantly greater than the percentage (25%) reported prior to the implementation of the ACA (p≤0.04). With the shift towards quality of patient care, healthcare workers at all levels should strive to work as a team to provide the best quality of care at all stages of patient care.

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“…Most frequently, two observers collected data (n ¼ 7). [40][41][42]44,48,49,55 Fourteen studies involved an observer with a clinical background, 9,42,[44][45][46]48,50,[52][53][54][55][56][57][58] and eight studies involved a nonclinical observer. 41,42,44,45,[47][48][49][50] Fourteen of the 19 studies reported details of observer training.…”

Section: Non-technical Skills For Surgeonsmentioning

confidence: 99%

“…41,42,44,45,[47][48][49][50] Fourteen of the 19 studies reported details of observer training. 9,41,42,[44][45][46][47][48]50,52,53,56,58 Validity and reliability. Validity for NOTSS was established by 13 studies (nine of which were conducted in a simulation environment).…”

Section: Non-technical Skills For Surgeonsmentioning

confidence: 99%

Observational Tools That Quantify Nontechnical Skills in the Operating Room: A Systematic Review

McMullan

Urwin

Sunderland

et al. 2020

Journal of Surgical Research

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a b s t r a c tBackground: Errors and adverse events in the operating room (OR) are associated with not only poor technical performance but also deficits in nontechnical skills (NTSs). Numerous tools have been developed to assess NTS in the OR. Our aim was to conduct a systematic review of observational tools and report on their implementation and psychometric properties to guide healthcare professionals, educators, and researchers in tool selection and use.Methods: A systematic literature search (January 1, 1990eMay 28, 2019) was conducted across databases (MEDLINE, Embase, CINAHL, and PsycINFO) and reference lists of included studies. Reviewers independently screened articles for inclusion, assessed study quality, and extracted data.Results: Thirty-one tools were identified across 88 studies, most commonly conducted in a real-world OR (n ¼ 50), involving two observers (n ¼ 50). The NTS of individuals (n ¼ 62)were assessed more often than that of subteams (n ¼ 21) or entire teams (n ¼ 20). The NOn-Technical Skills for Surgeons demonstrated content validity, concurrent validity, predictive validity, and face validity across a range of studies. Oxford NOn-TECHnical Skills demonstrated content validity, concurrent validity, and predictive validity with good inter-rater reliability and test-retest validity. Conclusions:The NOn-Technical Skills for Surgeons has the strongest evidence of validity and reliability for assessing individuals, whereas the most robust tool for evaluating teams was Oxford NOn-TECHnical Skills. We recommend continued investigation of these observational tools regarding their feasibility and reproducibility of methods. Further research is needed to determine the training requirements for observers and the potential of video and audio recordings in the OR. CrownThe operating room (OR) is a complex, high-risk environment in which many factors influence team performance and patient safety. The complexity that is manifested within and across the patient, procedure, equipment, team, and culture increases the likelihood of adverse events. 1 It has been estimated that approximately 40% to 65% of all in-hospital ScienceDirect jo urnal homepage: www.J ou rn alofS urgicalR esearch.com j o u r n a l o f s u r g i c a l r e s e a r c h m a r c h 2 0 2 0 ( 2 4 7 ) 3 0 6 e3 2 2

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Can Simulated Team Tasks be Used to Improve Nontechnical Skills in the Operating Room?

Cited by 39 publications

References 10 publications

Construct and criterion validity testing of the Non-Technical Skills for Surgeons (NOTSS) behaviour assessment tool using videos of simulated operations

Construct and criterion validity testing of the Non-Technical Skills for Surgeons (NOTSS) behaviour assessment tool using videos of simulated operations

The Affordable Care Act and Its Effects on Physician Leadership: A Qualitative Systematic Review

Observational Tools That Quantify Nontechnical Skills in the Operating Room: A Systematic Review

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