Development of the HUman Factors in intraoperative Ophthalmic Emergencies Scoring System (HUFOES) for non-technical skills in cataract surgery

Wood, Thomas Charles; Maqsood, Sundas; Zoutewelle, Stephanie; Nanavaty, Mayank A.; Rajak, Saul

doi:10.1038/s41433-020-0921-1

Cited by 8 publications

(8 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The simulated scenarios were considered to be stressful by the majority of surgeons, however on completion of the model, 92.3% (n = 12) agreed that their NTS required for managing general intraoperative complications and PCR specifically had improved. NTS are fundamental for PCR management; the full taxonomy of NTS necessary for PCR management has been outlined previously [13]. The model developed in the present study consisted of two identical simulations designed to challenge the surgeon's NTS during an unfolding complication.…”

Section: Resultsmentioning

confidence: 99%

“…All members of the focus group had specialist academic interest in human factors and surgical NTS training. The NTS required for managing intraoperative complications in ophthalmic surgery have been outlined previously; the HUman Factors in intraoperative Ophthalmic Emergencies Scoring System (HUFOES) is a content-validated scoring system for NTS using PCR as a focus [13]. Using guidelines and recommendations set by previous studies in combination with the skills taxonomy outlined by HUFOES, the first draft of the simulation scenario was devised [13].…”

Section: Design Of Simulation Scenariomentioning

confidence: 99%

“…To demonstrate the extent of change in participant's TS and NTS abilities as a result of the simulation based training model, both assessors independently rated participant performance in each recording using HUFOES for NTS, and the Objective Structured Assessment of Technical Skill (OSATS) global rating scale for TS [13,15].…”

Section: Outcome Measuresmentioning

confidence: 99%

“…HUFOES and OSATS scores were inputted into Microsoft Excel 2019 (Microsoft ® , Redmond, Washington, USA), and analysed using Microsoft Excel 2019 and IBM ® SPSS ® Statistics for Windows, Version 27 (IBM Corp, Armonk, New York, USA) [13,15]. Mean HUFOES and OSATS scores generated by both assessors were calculated.…”

Section: Data Collection and Analysismentioning

confidence: 99%

See 3 more Smart Citations

Non-technical skills simulation-based training model for managing intraoperative posterior capsule rupture during cataract surgery

Wood

Maqsood

Saunders

et al. 2022

Eye

Self Cite

View full text Add to dashboard Cite

To develop and implement a simulation-based training model for the management of posterior capsule rupture (PCR) from a non-technical skills (NTS) perspective, and analyse changes in participant's NTS and technical skills (TS). METHODS: The simulation-based training model consisted of two identical PCR simulations with NTS stressors applied, separated by a predominantly NTS focussed training intervention. Participants' TS and NTS were evaluated by two blinded assessors using the Objective Structured Assessment of Technical Skill (OSATS) global rating scale and the HUman Factors in intraoperative Ophthalmic Emergencies Scoring System (HUFOES) respectively. Paired t-tests were used to establish the difference in mean HUFOES and OSATS scores between initial and repeat simulations; p < 0.05 indicated statistical significance. McGaghie's model of translational outcomes for simulation-based learning was used to establish the simulation model's educational status. RESULTS: Seventeen cataract surgeons of varying training grades participated in the simulation-based training model. NTS improved with statistical significance; mean HUFOES scores increased from 48.7 ± 16.6 to 59.2 ± 14.8 (p < 0.001). Mean OSATS scores increased without statistical significance from 16.0 ± 7.3 to 17.9 ± 8.3 (p = 0.07). This simulation model achieved Level 1 (internal acceptability) and Level 2 (contained effects) according to McGaghie's model. CONCLUSIONS: This novel simulation-based training model was designed to improve the NTS required for managing intraoperative PCR, through the provision of an interactive training session. Statistically significant improvements in participants' NTS in combination with statistically insignificant improvements in TS demonstrate that the simulation-based training model has specificity within the NTS domain.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Design Of Simulation Scenariomentioning

confidence: 99%

Section: Outcome Measuresmentioning

confidence: 99%

Section: Data Collection and Analysismentioning

confidence: 99%

See 2 more Smart Citations

Non-technical skills simulation-based training model for managing intraoperative posterior capsule rupture during cataract surgery

Wood

Maqsood

Saunders

et al. 2022

Eye

Self Cite

View full text Add to dashboard Cite

show abstract

“…NTS failures are frequently implicated in cataract surgery complications and errors, including wrong intraocular lens events [ 5 ]. The NTS required for managing intraoperative emergencies can be trained and rehearsed through simulation [ 7 , 8 ].…”

Section: Simulation In Aviation and Cataract Surgery Trainingmentioning

confidence: 99%