Assessing neurosurgical non‐technical skills: an exploratory study of a new behavioural marker system

Michinov, Estelle; Jamet, Éric; Dodeler, Virginie; Haegelen, Claire; Jannin, Pierre

doi:10.1111/jep.12152

Cited by 16 publications

(14 citation statements)

References 33 publications

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“…Recognition of the vital importance of NTS has resulted in the development of various NTS behavioural rating systems. Separate systems have been developed for assessment of the entire surgical team [3][4][5] as well as individual team members such as surgeons [6,7], anaesthetists [8] and scrub practitioners [9]. To be effective such rating systems must accurately capture relevant NTS behaviours.…”

Section: Development and Validation Of A Tool For Nontechnical Skillsmentioning

confidence: 99%

Development and validation of a tool for non-technical skills evaluation in robotic surgery—the ICARS system

et al. 2017

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Section: Development and Validation Of A Tool For Nontechnical Skillsmentioning

confidence: 99%

Development and validation of a tool for non-technical skills evaluation in robotic surgery—the ICARS system

et al. 2017

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“…Observers and training. Across the 23 studies, the most used two observers (n ¼ 11) 17,64,86,90,91,94,95,[97][98][99]101 ; nine studies had observers with a clinical background 8,9,50,64,68,86,90,93,98 ; and eight studies had observers with a nonclinical background. 50 Non-technical skills * NOTECHS 2 24,25 Oxford non-technical skills Oxford NOTECHS 6 [11][12][13]16,26,27 Revised non-technical skills Revised NOTECHS 6 [28][29][30][31][32][33] Non-technical skills (modified) NOTECHS (modified) 1 34 Oxford Non-technical skills II Oxford NOTECHS II 6 4,[35][36][37][38][39] Non-technical skills for surgeons y NOTSS 19 9,[40][41][42][43]…”

Section: Observational Teamwork Assessment For Surgerymentioning

confidence: 99%

“…Validity and reliability. Content validity was established for SO-DIC-OR, 17 SPLINTS, 87 CATME, 97 OSANTS, 90 Ottawa GRS, 64 BMS-NNTS, 94 ICARS, 51 one unnamed tool, 99 and BARS. 68 Concurrent validity was established for SPLINTS, 9,47,86,87 SO-DIC-OR, 88 OSANTS, 90 Ottawa GRS, 64 two unnamed tools, 8,100 ICARS, 51 STCT, 96 BARS, 68 and Cannon-Bowers Scale.…”

Section: Observational Teamwork Assessment For Surgerymentioning

confidence: 99%

Observational Tools That Quantify Nontechnical Skills in the Operating Room: A Systematic Review

McMullan

Urwin

Sunderland

et al. 2020

Journal of Surgical Research

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a b s t r a c tBackground: Errors and adverse events in the operating room (OR) are associated with not only poor technical performance but also deficits in nontechnical skills (NTSs). Numerous tools have been developed to assess NTS in the OR. Our aim was to conduct a systematic review of observational tools and report on their implementation and psychometric properties to guide healthcare professionals, educators, and researchers in tool selection and use.Methods: A systematic literature search (January 1, 1990eMay 28, 2019) was conducted across databases (MEDLINE, Embase, CINAHL, and PsycINFO) and reference lists of included studies. Reviewers independently screened articles for inclusion, assessed study quality, and extracted data.Results: Thirty-one tools were identified across 88 studies, most commonly conducted in a real-world OR (n ¼ 50), involving two observers (n ¼ 50). The NTS of individuals (n ¼ 62)were assessed more often than that of subteams (n ¼ 21) or entire teams (n ¼ 20). The NOn-Technical Skills for Surgeons demonstrated content validity, concurrent validity, predictive validity, and face validity across a range of studies. Oxford NOn-TECHnical Skills demonstrated content validity, concurrent validity, and predictive validity with good inter-rater reliability and test-retest validity. Conclusions:The NOn-Technical Skills for Surgeons has the strongest evidence of validity and reliability for assessing individuals, whereas the most robust tool for evaluating teams was Oxford NOn-TECHnical Skills. We recommend continued investigation of these observational tools regarding their feasibility and reproducibility of methods. Further research is needed to determine the training requirements for observers and the potential of video and audio recordings in the OR. CrownThe operating room (OR) is a complex, high-risk environment in which many factors influence team performance and patient safety. The complexity that is manifested within and across the patient, procedure, equipment, team, and culture increases the likelihood of adverse events. 1 It has been estimated that approximately 40% to 65% of all in-hospital ScienceDirect jo urnal homepage: www.J ou rn alofS urgicalR esearch.com j o u r n a l o f s u r g i c a l r e s e a r c h m a r c h 2 0 2 0 ( 2 4 7 ) 3 0 6 e3 2 2

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“…12 articles concerned analysis of neurosurgery residents 43,44,54,[56][57][58][59][60][61][62][63][64] . 12 others studied senior neurosurgeons 33,35,58,62,[64][65][66][67][68][69][70][71] and 3 others directors of training (also senior neurosurgeons) 44,58,61 . Six others dealt with the whole team of a neurosurgery operating theatre 35,65,66,[68][69][70] and one article studied the whole team of a neurosurgery department 33 .…”

Section: Populations Studiedmentioning

confidence: 99%

Nontechnical Skills in Neurosurgery: A Systematic Review of the Literature

2019

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BackgroundUndesirable events in the neurosurgery operating theatre are surprisingly less often the result of a technical error than of a dysfunction linked to non-technical skills (NTS). The essential aim of our study was a systematic literature study published on NTS in neurosurgery. The secondary objective was identification of a list of NTS more specific to neurosurgery in order to define on that basis the training needs of neurosurgery trainees. Methods MEDLINE andThe Cochrane Database of Systematic Reviews were searched according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) statement.Research initially identified 2132 articles. 21 were eligible for systematic study. Data were extracted from the articles regarding study design, sample size, NTS assessed, assessment tools and the key results were collected. ResultsInterpersonal skills (communication, teamwork), cognitive skills (decision making, situation awareness) and personal resource factors (coping with stress or fatigue) were specifically identified. No article used assessment tools such as NOTECHS, NOTSS or OTAS. They were carried out in a real environment in 11 cases, in a simulated environment in 9 cases and during theoretical teaching in 1 case. ConclusionsVery few studies have been carried out concerning neurosurgical NTS, despite increasing numbers of articles over the last few years on NTS in other domains of surgery. Society today is concentrating more and more on the quality and safety of medical care. The development and 14-15Conclusions 26 Provide a general interpretation of the results in the context of other evidence, and implications for future research. FUNDINGFunding 27 Describe sources of funding for the systematic review and other support (e.g., supply of data); role of funders for the systematic review.

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Assessing neurosurgical non‐technical skills: an exploratory study of a new behavioural marker system

Abstract: Our behavioural marker system provides a structured approach to assessing non-technical skills in the field of neurosurgery. It can also be transferred to other surgical specialties and used in surgeon training curricula.

Cited by 16 publications

References 33 publications

Development and validation of a tool for non-technical skills evaluation in robotic surgery—the ICARS system

Development and validation of a tool for non-technical skills evaluation in robotic surgery—the ICARS system

Observational Tools That Quantify Nontechnical Skills in the Operating Room: A Systematic Review

Nontechnical Skills in Neurosurgery: A Systematic Review of the Literature

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