Development and applications of the anaesthetists’ non-technical skills behavioural marker system: protocol for a systematic review

Kang, Jiamin; Hu, Jiale; Yan, Chunji; Xing, Xueyan; Tu, Shumin; Zhou, Fang

doi:10.1136/bmjopen-2022-065519

Cited by 5 publications

(4 citation statements)

References 26 publications

(46 reference statements)

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“…In emergencies, caregivers are cognitively challenged by emotional stress and cognitive load, the combination of which can overwhelm cognitive resources and lead to a decline in performance [ 34 , 35 , 36 ]. Situation awareness and user-centred design are concepts that can help health professionals make clinical decisions in dynamic situations [ 25 , 37 , 38 ].…”

Section: Discussionmentioning

confidence: 99%

User Perceptions of ROTEM-Guided Haemostatic Resuscitation: A Mixed Qualitative–Quantitative Study

et al. 2023

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Viscoelastic point-of-care haemostatic resuscitation methods, such as ROTEM or TEG, are crucial in deciding on time-efficient personalised coagulation interventions. International transfusion guidelines emphasise increased patient safety and reduced treatment costs. We analysed care providers’ perceptions of ROTEM to identify perceived strengths and areas for improvement. We conducted a single-centre, mixed qualitative–quantitative study consisting of interviews followed by an online survey. Using a template approach, we first identified themes in the responses given by care providers about ROTEM. Later, the participants rated six statements based on the identified themes on five-point Likert scales in an online questionnaire. Seventy-seven participants were interviewed, and 52 completed the online survey. By analysing user perceptions, we identified ten themes. The most common positive theme was “high accuracy”. The most common negative theme was “need for training”. In the online survey, 94% of participants agreed that monitoring the real-time ROTEM temograms helps to initiate targeted treatment more quickly and 81% agreed that recurrent ROTEM training would be beneficial. Anaesthesia care providers found ROTEM to be accurate and quickly available to support decision-making in dynamic and complex haemostatic situations. However, clinicians identified that interpreting ROTEM is a complex and cognitively demanding task that requires significant training needs.

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Section: Discussionmentioning

confidence: 99%

User Perceptions of ROTEM-Guided Haemostatic Resuscitation: A Mixed Qualitative–Quantitative Study

et al. 2023

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“…This systematic review adheres to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) reporting guidelines (online supplemental file 1). 23 The protocol for this review was registered in the International Prospective Register of Systematic Reviews (PROSPERO ID: CRD42022297773) and was published in an open-access journal 24…”

Section: Methodsmentioning

confidence: 99%

“… 23 The protocol for this review was registered in the International Prospective Register of Systematic Reviews (PROSPERO ID: CRD42022297773) and was published in an open-access journal. 24 …”

Section: Methodsmentioning

confidence: 99%

Development and applications of the Anaesthetists’ Non-Technical Skills behavioural marker system: a systematic review

Kang,

Hu,

Yan

et al. 2024

BMJ Open

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ObjectivesTo comprehensively synthesise evidence regarding the validity and reliability of the Anaesthetists’ Non-Technical Skills (ANTS) behavioural marker system and its application as a tool for the training and assessment of non-technical skills to improve patient safety.DesignSystematic review.Data sourcesWe employed a citation search strategy. The Scopus and Web of Science databases were searched for articles published from 2002 to May 2022.Eligibility criteriaEnglish-language publications that applied the ANTS system in a meaningful way, including its use to guide data collection, analysis and reporting.Data extraction and synthesisStudy screening, data extraction and quality assessment were performed by two independent reviewers. We appraised the quality of included studies using the Joanna Briggs Institute Critical Appraisal Checklists. A framework analysis approach was used to summarise and synthesise the included articles.Results54 studies were identified. The ANTS system was applied across a wide variety of study objectives, settings and units of analysis. The methods used in these studies varied and included quantitative (n=42), mixed (n=8) and qualitative (n=4) approaches. Most studies (n=47) used the ANTS system to guide data collection. The most commonly reported reliability statistic was inter-rater reliability (n=35). Validity evidence was reported in 51 (94%) studies. The qualitative application outcomes of the ANTS system provided a reference for the analysis and generation of new theories across disciplines.ConclusionOur results suggest that the ANTS system has been used in a wide range of studies. It is an effective tool for assessing non-technical skills. Investigating the methods by which the ANTS system can be evaluated and implemented for training within clinical environments is anticipated to significantly enhance ongoing enhancements in staff performance and patient safety.PROSPERO registration numberCRD42022297773.

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“…Principles of situation awareness-oriented and user-centered design enables effective data management and a comprehensive understanding of what is happening and thus help to stay situationally aware. This concept is essential in many domains, including medicine, where managing complex and dynamic situations is fundamental [38,39].…”

Section: Principal Findingsmentioning

confidence: 99%

User Perceptions of Visual Clot in a High-Fidelity Simulation Study: Mixed Qualitative-Quantitative Study

Gasciauskaite,

Castellucci,

Malorgio

et al. 2024

JMIR Hum Factors

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Background Viscoelastic hemostatic assays, such as rotational thromboelastometry (ROTEM) or thromboelastography, enable prompt diagnosis and accelerate targeted treatment. However, the complex interpretation of the results remains challenging. Visual Clot—a situation awareness-based visualization technology—was developed to assist clinicians in interpreting viscoelastic tests. Objective Following a previous high-fidelity simulation study, we analyzed users’ perceptions of the technology, to identify its strengths and limitations from clinicians’ perspectives. Methods This is a mixed qualitative-quantitative study consisting of interviews and a survey. After solving coagulation scenarios using Visual Clot in high-fidelity simulations, we interviewed anesthesia personnel about the perceived advantages and disadvantages of the new tool. We used a template approach to identify dominant themes in interview responses. From these themes, we defined 5 statements, which were then rated on Likert scales in a questionnaire. Results We interviewed 77 participants and 23 completed the survey. We identified 9 frequently mentioned topics by analyzing the interview responses. The most common themes were “positive design features,” “intuitive and easy to learn,” and “lack of a quantitative component.” In the survey, 21 respondents agreed that Visual Clot is easy to learn and 16 respondents stated that a combination of Visual Clot and ROTEM would help them manage complex hemostatic situations. Conclusions A group of anesthesia care providers found Visual Clot well-designed, intuitive, and easy to learn. Participants highlighted its usefulness in emergencies, especially for clinicians inexperienced in coagulation management. However, the lack of quantitative information is an area for improvement.

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Development and applications of the anaesthetists’ non-technical skills behavioural marker system: protocol for a systematic review

Cited by 5 publications

References 26 publications

User Perceptions of ROTEM-Guided Haemostatic Resuscitation: A Mixed Qualitative–Quantitative Study

User Perceptions of ROTEM-Guided Haemostatic Resuscitation: A Mixed Qualitative–Quantitative Study

Development and applications of the Anaesthetists’ Non-Technical Skills behavioural marker system: a systematic review

User Perceptions of Visual Clot in a High-Fidelity Simulation Study: Mixed Qualitative-Quantitative Study

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