Assessing non-technical skills on the delivery suite: a pilot study

Abstract

The number of assessments and evaluations completed was disappointing. However, NOTSS appears promising as a formative NTS assessment tool for use on the delivery suite. Overall satisfaction with NOTSS was high (an average score of 4.5 on a scale of 1-5 for trainers and trainees). Both trainers and trainees consider that it is accep and straightforward to deliver, and that the form takes an average of 10 minutes to complete, including time for feedback (range 5-20 min). There will be considerable challenges to achieving the successful implementation of the NOTSS tool, and its inclusion in the RCOG training matrix: primarily, in training those using it to recognise the behaviours under observation and to give feedback appropriately, and also engaging trainees, although they obviously appreciated the NOTSS process when used.

Non‐technical skills in paramedicine: A scoping review

“…Paramedic NTS such as communication, decision-making, leadership, situational awareness, teamwork, and task management were consistent with NTS identified in other high stakes health care settings (Flin et al, 2010;Jackson et al, 2014;Mitchell et al, 2011;Yule, Flin, Paterson-Brown, Maran, & Rowley, 2006). The only study identified in our review to assess errors and NTS (n = 44) found that after NTS training, the intervention group of paramedics completed more errors than the control group of paramedics in simulated scenarios.…”

Non-technical skills and health care provision in low- and middle-income countries: a systematic review

“…INTRODUCTION Over the past two decades, there has been growing interest in the link between non-technical skills of health care providers and medical errors. [1][2][3][4][5][6][7][8] Nontechnical skills (NTS) are commonly defined as either cognitive skills (such as decision making, planning and situation awareness) or social skills (such as leadership, teamwork and communication) that are related to successful execution of a specific task or series of tasks. 9 Studies across a variety of high-risk professions, including medicine, have demonstrated that 50-80% of errors or adverse events are due to human behaviour related to nontechnical skills.…”

“…Over the past two decades, there has been growing interest in the link between non‐technical skills of health care providers and medical errors . Non‐technical skills (NTS) are commonly defined as either cognitive skills (such as decision making, planning and situation awareness) or social skills (such as leadership, teamwork and communication) that are related to successful execution of a specific task or series of tasks .…”

Teaching and assessing non-technical skills

“…In their article on 'Assessing non-technical skills on the delivery suite: a pilot study', Jackson et al addressed arenas of importance and relevance. 1 Their arguments for the importance of teaching and assessing these competencies (e.g. teamwork and professionalism) in medical trainees on the delivery suite were compelling.…”

“…We need more tools like NOTSS and more studies like that described by Jackson et al. to help establish feasibility and to develop tools for this important work …”