Measuring non-technical skills of anaesthesiologists in the operating room: a systematic review of assessment tools and their measurement properties

Boet, Sylvain; Larrigan, Sarah; Martin, Linda; Liu, H.; Sullivan, Katrina; Etherington, Nicole

doi:10.1016/j.bja.2018.07.028

Cited by 38 publications

(28 citation statements)

References 48 publications

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“…might suspect that different scores could have been observed with different scales. 40,41 One might acknowledge that even if the two nontechnical skills scales are somewhat different, they are partly composed of elements that could be measuring the same behavior and would be "double counted" in their presence or absence. This choice may have influenced the overall performance score.…”

Section: Educationmentioning

confidence: 99%

Stress Management Training Improves Overall Performance during Critical Simulated Situations

et al. 2020

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Background High-fidelity simulation improves participant learning through immersive participation in a stressful situation. Stress management training might help participants to improve performance. The hypothesis of this work was that Tactics to Optimize the Potential, a stress management program, could improve resident performance during simulation. Methods Residents participating in high-fidelity simulation were randomized into two parallel arms (Tactics to Optimize the Potential or control) and actively participated in one scenario. Only residents from the Tactics to Optimize the Potential group received specific training a few weeks before simulation and a 5-min reactivation just before beginning the scenario. The primary endpoint was the overall performance during simulation measured as a composite score (from 0 to 100) combining a specific clinical score with two nontechnical scores (the Ottawa Global Rating Scale and the Team Emergency Assessment Measure scores) rated for each resident by four blinded independent investigators. Secondary endpoints included stress level, as assessed by the Visual Analogue Scale during simulation. Results Of the 134 residents randomized, 128 were included in the analysis. The overall performance (mean ± SD) was higher in the Tactics to Optimize the Potential group (59 ± 10) as compared with controls ([54 ± 10], difference, 5 [95% CI, 1 to 9]; P = 0.010; effect size, 0.50 [95% CI, 0.16 to 0.91]). After specific preparation, the median Visual Analogue Scale was 17% lower in the Tactics to Optimize the Potential group (52 [42 to 64]) than in the control group (63 [50 to 73]; difference, −10 [95% CI, −16 to −3]; P = 0.005; effect size, 0.44 [95% CI, 0.26 to 0.59]. Conclusions Residents coping with simulated critical situations who have been trained with Tactics to Optimize the Potential showed better overall performance and a decrease in stress level during high-fidelity simulation. The benefits of this stress management training may be explored in actual clinical settings, where a 5-min Tactics to Optimize the Potential reactivation is feasible prior to delivering a specific intervention. Editor’s Perspective What We Already Know about This Topic What This Article Tells Us That Is New

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Section: Educationmentioning

confidence: 99%

Stress Management Training Improves Overall Performance during Critical Simulated Situations

et al. 2020

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“…Tanta Scientific Nursing Journal assessment, nursing performance, and outcomes (28,29) . It also appears necessary to effectively manage nursing risks and improves nurses' behaviors towards patients' safety (30,31).…”

Section: It Enhances Patients'mentioning

confidence: 99%

Contribution of Non -Technical Skills on Nurses' Performance Efficiency of Nursing Care Process in Intensive Care Units

Elmohmady¹,

Gad

Ramadan

2020

Tanta Scientific Nursing Journal

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“…While no study has used CTA in the development of a non-technical assessment specific to neonatal resuscitation, these methods have been successfully used in other medical disciplines including surgery and anesthesiology (46–48). The Anesthetists' Non-Technical Skills assessment tool, for example, was developed using CTA and has been validated with high inter-rater reliability in both a clinical and simulated environment (49). Anesthetists' Non-Technical Skills assessment tool has since been used in neonatal resuscitation (50).…”

Section: Assessmentmentioning

confidence: 99%

An Opportunity for Cognitive Task Analysis in Neonatal Resuscitation

2019

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Approximately 10% of newborn infants require resuscitative intervention at birth. Ideally, this care is provided by a team of expert healthcare professionals who possess exceptional cognitive, psychomotor, and communication skills. Human errors and deviations from resuscitation protocol are common and may be attributable to excessive cognitive demand experienced by the resuscitation team. Cognitive Task Analysis (CTA) is a group of methods used to assess knowledge, judgments, goals, and decision-making of expert healthcare professionals. These methods may be used during neonatal resuscitation to gain an improved understanding of the approaches used by healthcare professionals. CTA methods have been applied in many medical disciplines including neonatology. CTA has been used to identify information previously confined to the intuition of experts. This information has been used to assess, develop, and improve medical technology, clinical decision support tools (DSTs), communication structure, and training methods. Knowledge attained through CTA might be applied similarly to neonatal resuscitation, which may in turn decrease human errors, and improve patient safety.

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Measuring non-technical skills of anaesthesiologists in the operating room: a systematic review of assessment tools and their measurement properties

Cited by 38 publications

References 48 publications

Stress Management Training Improves Overall Performance during Critical Simulated Situations

Stress Management Training Improves Overall Performance during Critical Simulated Situations

Contribution of Non -Technical Skills on Nurses' Performance Efficiency of Nursing Care Process in Intensive Care Units

An Opportunity for Cognitive Task Analysis in Neonatal Resuscitation

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