The Importance of Non-technical Skills in Modern Surgical Practice

Berner, Juan Enrique; Ewertz, Ernesto

doi:10.1016/j.cireng.2019.03.017

Cited by 9 publications

(14 citation statements)

References 35 publications

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“…The scenario required creating an adaptation of a direct observation of procedure skills (DOPS) scale that proved to be consistent, reliable, and useful for trainee learning (assessment for learning) 27,28 . Designing a simulated training scenario requires an objective measurement tool.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, by using multilevel models, differences in DOPS performances between sessions, and among trainees and experts could be obtained. Identifying the point in the learning curve where the slope attens out (in ection point) is critical 27 . This point represents a progressively higher effort to achieve trainees' learning gains before reaching a performance level similar to an expert 27 .…”

Section: Discussionmentioning

confidence: 99%

“…Identifying the point in the learning curve where the slope attens out (in ection point) is critical 27 . This point represents a progressively higher effort to achieve trainees' learning gains before reaching a performance level similar to an expert 27 . Thus, using this statistical approach, we could graphically represent the learning curves and identi ed their critical points.…”

Section: Discussionmentioning

confidence: 99%

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High-fidelity hybrid simulation not only optimizes skills acquisition but improves nontechnical skills

et al. 2022

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Introduction Knee arthrocentesis is frequently performed as a diagnostic or therapeutic procedure.Although considered a key competency for medical doctors, most students never execute the procedure during their training. We aimed to assess technical and nontechnical skills for knee arthrocentesis through high-delity hybrid simulation Methods Medical students and general physicians were recruited for training; orthopedic surgeons were recruited as experts. Trainees received educational documentation prior to training. Trainees took a medical history and obtained informed consent from a patient-actor, then encountered a simulated knee to execute the procedure. We adapted a direct observation scale to assess technical and nontechnical skill performance. Personalized feedback was received after each session. Performance among trainees (learning curves) and between trainees and experts was compared using a mixed-effects model. ResultsTrainees signi cantly improved from the rst session to the second and third. The third session was the learning curve plateau. Performance obtained in the third and fourth sessions were similar to expert performance. The assessment tool evaluated technical and nontechnical skills with high internal consistency and showed high interobserver reliability.Discussion Learning curve analysis showed that high-delity simulation allowed trainees to become pro cient in technical and nontechnical skills required to perform a safe knee arthrocentesis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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High-fidelity hybrid simulation not only optimizes skills acquisition but improves nontechnical skills

et al. 2022

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Section: Discussionmentioning

confidence: 99%

High-Fidelity Hybrid Simulation Not Only Optimizes Skills Acquisition But Improves Non-Technical Skills

Ruz¹,

Besa²,

Irarrázaval³

et al. 2020

Preprint

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Introduction Knee arthrocentesis is frequently performed as a diagnostic or therapeutic procedure. Although considered a key competency for medical doctors, most students never execute the procedure during their training. We aimed to assess technical and nontechnical skills for knee arthrocentesis through high-fidelity hybrid simulation Methods Medical students and general physicians were recruited for training; orthopedic surgeons were recruited as experts. Trainees received educational documentation prior to training. Trainees took a medical history and obtained informed consent from a patient-actor, then encountered a simulated knee to execute the procedure. We adapted a direct observation scale to assess technical and nontechnical skill performance. Personalized feedback was received after each session. Performance among trainees (learning curves) and between trainees and experts was compared using a mixed-effects model. Results Trainees significantly improved from the first session to the second and third. The third session was the learning curve plateau. Performance obtained in the third and fourth sessions were similar to expert performance. The assessment tool evaluated technical and nontechnical skills with high internal consistency and showed high interobserver reliability. Discussion Learning curve analysis showed that high-fidelity simulation allowed trainees to become proficient in technical and nontechnical skills required to perform a safe knee arthrocentesis.Level of Evidence: Level II (Prospective Cohort Study)

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“…Technical skills are necessary, but not enough to ensure patient safety 1–3 . Non‐technical skills refer to social, cognitive, and personal resources skills that play an essential role in employees’ performance 4 .…”

Section: Introductionmentioning

confidence: 99%

An interview study to identify circulating nurses’ nontechnical skills

et al. 2022

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Aim Non‐technical skills are component features of human factors whose defects can lead to surgical errors and adverse events. Circulating nurses need to deploy non‐technical skills for safe and efficient performance. This study aimed to identify circulating nurses’ non‐technical skills. Methods This interview study was conducted on 29 operating room personnel. Semi‐structured interviews were used for data collection. The prepared annotated transcripts were analysed using the content analysis method by a human factors specialist under the supervision of two other researchers. The extracted behaviours were grouped based on meaning and similarity. Results Six categories of non‐technical skills including leadership, communication, task management, situational awareness, teamwork, and coping were identified as the circulating nurses’ key non‐technical skills. The related behaviours were also noted. Conclusion Non‐technical skills are incorporated in circulating nurses’ tasks from the onset to the end of surgery. Thus, these nurses should be aware of the necessary non‐technical skills and positive behaviours to assure a safe surgery.

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The Importance of Non-technical Skills in Modern Surgical Practice

Cited by 9 publications

References 35 publications

High-fidelity hybrid simulation not only optimizes skills acquisition but improves nontechnical skills

High-fidelity hybrid simulation not only optimizes skills acquisition but improves nontechnical skills

High-Fidelity Hybrid Simulation Not Only Optimizes Skills Acquisition But Improves Non-Technical Skills

An interview study to identify circulating nurses’ nontechnical skills

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