Anaesthetists’ Non-Technical Skills (ANTS): evaluation of a behavioural marker system † †Declaration of interest: The ANTS system was developed under research funding from the Scottish Council for Postgraduate Medical and Dental Education, now part of NHS Education for Scotland, through grants to the University of Aberdeen from September 1999 to August 2003. The views presented in this paper are those of the authors and should not be taken to represent the position or policy of the funding body.

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

doi:10.1093/bja/aeg112

Cited by 760 publications

(103 citation statements)

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“…Each point on the scale would have a behavioral marker to indicate expected performance at each level for the element being assessed. An example of the behavioral anchors for one of the element of the Rescue tool can be found at Figure 1 Assessment scales with behavioral anchors are commonly used when assessing non-technical skills [23,24] . However, there is little evidence that behaviorally anchored scales are more superior to other forms of rating [29] .…”

Section: Developing the Tool And Rating Scalementioning

confidence: 99%

“…A four point scale was selected because it was perceived as easy to use and because similar four point scales had been used to develop rating scales in aviation [30] and for the non-technical rating scales developed to date for use with doctors [23,24] .…”

Section: Developing the Tool And Rating Scalementioning

confidence: 99%

“…A behavioral marker system which was designed to assess non-technical skills amongst anesthetists (ANTSAnaesthetists Non-Technical Skills) was developed in 2003 [24] . The tools sought to assess similar non-technical skills to NOTSS and the initial development and psychometric testing of the tool involved anesthetists rating each, others, performance during anesthetic simulation scenarios.…”

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confidence: 99%

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Assessing human factors during simulation: The development and preliminary validation of the rescue assessment tool

Unsworth

Melling

Allan

et al. 2014

JNEP

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Northumbria University has developed Northumbria Research Link (NRL) to enable users to access the University's research output. Copyright © and moral rights for items on NRL are retained by the individual author(s) and/or other copyright owners. Single copies of full items can be reproduced, displayed or performed, and given to third parties in any format or medium for personal research or study, educational, or not-for-profit purposes without prior permission or charge, provided the authors, title and full bibliographic details are given, as well as a hyperlink and/or URL to the original metadata page. The content must not be changed in any way. Full items must not be sold commercially in any format or medium without formal permission of the copyright holder. The full policy is available online: http://nrl.northumbria.ac.uk/policies.html This document may differ from the final, published version of the research and has been made available online in accordance with publisher policies. To read and/or cite from the published version of the research, please visit the publisher's website (a subscription may be required.) AbstractBackground: Failure to rescue the deteriorating patient is a concern for all healthcare providers. In response to this problem providers have introduced a range of interventions to promote timely rescue. Human factors and non-technical skills play a part in both the recognition of ill patients and in the delivery of interventions associated with their successful rescue. Given the risks to patient safety which failure to rescue raises, simulation provides a vehicle for staff training and development in terms of both technical and non-technical skills. This paper describes the development and preliminary validation of a human factors rating tool specifically designed to assess the non-technical skills associated with the recognition and rescue of the deteriorating patient.Methods: Using high fidelity simulation scenarios related to patient deterioration Faculty independently rated student performance. Scoring took place using video footage of the students' performance. Data were analyzed to establish the validity of the tool, internal consistency between categories and elements and inter-rater reliability.Results: Content validity was established through a process of review and by checking for duplicate or redundant items. The internal consistency of the tool was acceptable with a Cronbach's alpha of 0.84. Factor analysis suggested that the tool assessed only two components rather than the three hypothesized during tool development. The components were labelled as recognizing and responding and leading and reassuring. Inter-rater reliability was initially poor at 0.21 but following training of raters this rose to above 0.8 for two videos related to the same scenario one which had been used during training. However, when the scenario changed the reliability dropped to 0.5. Conclusions:Rescue appears to be a well-structured tool with good levels of inter-rater reliability following intensive t...

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Section: Developing the Tool And Rating Scalementioning

confidence: 99%

Section: Developing the Tool And Rating Scalementioning

confidence: 99%

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confidence: 99%

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Assessing human factors during simulation: The development and preliminary validation of the rescue assessment tool

Unsworth

Melling

Allan

et al. 2014

JNEP

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“…As stated, the aim of the review was to include teamwork assessment tools measuring teamwork of operating team members (not just surgeons). As such, the following behavioural rating systems that cover team skills are absent from the review: Anaesthetists' Non‐Technical Skills (ANTS)5, Anaesthetic Non‐Technical Skills for Anaesthetic Practitioners (ANTS‐AP)6 and Scrub Practitioners' Non‐Technical Skills (SPLINTS)7 8. ANTS, developed in 2003, captures the non‐technical skills of anaesthetists, including task management, team working, situation awareness and decision‐making.…”

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confidence: 99%

“…ANTS, developed in 2003, captures the non‐technical skills of anaesthetists, including task management, team working, situation awareness and decision‐making. Evaluation of the ANTS system has provided data relating to both reliability and validity5. ANTS‐AP, developed in 2015, captures the non‐technical skills of anaesthetic assistants, including situation awareness, teamwork and communication, and task management.…”

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confidence: 99%