Rating non-technical skills: developing a behavioural marker system for use in anaesthesia

Fletcher, Gordon; Flin, Rhona; McGeorge, Peter; Glavin, Ronnie; Maran, Nicola; Patey, Rona

doi:10.1007/s10111-004-0158-y

Cited by 179 publications

(172 citation statements)

References 33 publications

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“…Consequently, Behavioural Markers, Line Operation Safety Audits, and NOTECS' Behavioural Checklists are among the most used approaches to evaluate team performance by the use of behavioural observations of team members (Baker, Mulqueen and Dismukes 2001;Fletcher et al 2004;Flin and Martin 2001;Helmreich, Klinect and Wilhelm 1999;Van-Avermaete and Kruijsen 1998). In short motivational and cognitive factors are used for assessing individual-as well as team performance in a variety of domains.…”

Section: Introductionmentioning

confidence: 99%

How to assess team performance in terms of control: a protocol based on cognitive systems engineering

2011

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This article presents a protocol for assessing team performance in terms of control based on cognitive systems engineering theory. The protocol changes the focus of team performance assessment from good and bad behaviours towards team activity. By using Hollnagel's Contextual Control Model (COCOM), a protocol is developed so that team activity can be described as four control modes. Data is collected through observation and questionnaires and is analysed in time intervals. Each time interval is then given a control mode. Based on how the control mode changes over time the performance of the team can be assessed. The protocol was tested in a pilot study where commanding staff exercises were analysed. The results show that the protocol can be used to identify differences in team performance. The study also gives empirical validity to COCOM in that the loss of control in emergencies corresponds to an opportunistic or a scrambled control mode.

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Section: Introductionmentioning

confidence: 99%

How to assess team performance in terms of control: a protocol based on cognitive systems engineering

2011

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“…The Anesthetists' Nontechnical Skills (ANTS) Project in Scotland, involving industrial psychologists and consultant attending anesthesiologists, sought to develop a behavioral marker system for use in anesthesia training, both at the simulator and on the job. 8 A bottom-up approach was adopted for development of the ANTS System. 9 Three sources of data were used to identify a full set of anesthetists' nontechnical skills.…”

Section: Introductionmentioning

confidence: 99%

“…8 A bottom-up approach was adopted for development of the ANTS System. 9 Three sources of data were used to identify a full set of anesthetists' nontechnical skills. First, the current state of knowledge regarding nontechnical skills and the use of behavioral marker systems in anesthesia was established, with a review of human factors research.…”

Section: Introductionmentioning

confidence: 99%

“…10 Cognitive task analysis interviews were conducted with 29 consulting anesthetists by a psychologist with a basic knowledge of anesthesia. 9,11 The anesthetists were asked to recall and describe their management of a challenging case and to list the skills they considered important for good practice in anesthesia. The resulting data were analyzed utilizing a grounded theory approach to identify the nontechnical issues.…”

Section: Introductionmentioning

confidence: 99%

“…Video of simulated anesthesia cases showed that even with minimal training of the raters, there were sufficient levels of validity, reliability, and usability to allow further testing for usability in the real training environment. 8 User trials are a standard human factors research method and are extensively used to investigate usability issues. 14 In order to conduct a trial to investigate the usability issues associated with reallife training environments, it was necessary to identify the implementation requirements, such as user training, and develop user materials and guidance.…”

Section: Introductionmentioning

confidence: 99%

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Developing a Taxonomy of Anesthetists' Nontechnical Skills (ANTS)

et al. 2005

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Safety research in high-reliability industries, such as aviation, has clearly shown that the causes of accidents are primarily related to deficiencies in nontechnical (cognitive and social) skills, rather than a lack of technical expertise. Investigations into causes of error in anesthesia have revealed a similar pattern. The aviation industry uses behavioral marker systems to structure the training and assessment of pilot crew resource management (CRM) (nontechnical) skills. These are empirically derived taxonomies of the principal required nontechnical skills, and an observation-based rating system for assessing their component behaviors. In medicine, the enthusiasm for adopting CRM-type training needs to be underpinned by the development of a properly tested nontechnical skills framework for a given specialization. A research project involving industrial psychologists and consultant anesthetists, and funded by the National Health Service Education for Scotland, is developing and evaluating a behavioral marker system for anesthetists. It has produced and experimentally evaluated a taxonomy of anesthetists' nontechnical skills (ANTS), which can be used to guide professional syllabi, offer a method for evaluating performance, and improve the quality of feedback to trainees. This paper will provide an overview of the ANTS System and the results of usability trials conducted in the operating theatre.

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Human Factors and Ergonomics in Health Care

Carayon¹,

Alyousef²,

Xie³

2012

Handbook of Human Factors and Ergonomics

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Taylor & Francis makes every effort to ensure the accuracy of all the information (the "Content") contained in the publications on our platform. However, Taylor & Francis, our agents, and our licensors make no representations or warranties whatsoever as to the accuracy, completeness, or suitability for any purpose of the Content. Any opinions and views expressed in this publication are the opinions and views of the authors, and are not the views of or endorsed by Taylor & Francis. The accuracy of the Content should not be relied upon and should be independently verified with primary sources of information. Taylor and Francis shall not be liable for any losses, actions, claims, proceedings, demands, costs, expenses, damages, and other liabilities whatsoever or howsoever caused arising directly or indirectly in connection with, in relation to or arising out of the use of the Content.

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Rating non-technical skills: developing a behavioural marker system for use in anaesthesia

Cited by 179 publications

References 33 publications

How to assess team performance in terms of control: a protocol based on cognitive systems engineering

How to assess team performance in terms of control: a protocol based on cognitive systems engineering

Developing a Taxonomy of Anesthetists' Nontechnical Skills (ANTS)

Human Factors and Ergonomics in Health Care

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