Importance of non-technical skills in anaesthesia education

Teaching and learning in anaesthesia and critical care has traditionally included seminars, journal clubs and clinical teaching in the operation theatre. The aim has always been to ignite the spark of thinking and self-directed learning in the students. The process of ‘dissertation preparation’ introduces basic knowledge and interest in research in the postgraduate student. All this is followed by an examination at the end of the course including the theory and practical assessment in the form of long and short case discussions and table viva-voce. The National Medical Commission in 2019 introduced the competency-based medical education curriculum for anaesthesia postgraduates. This curriculum focuses on structured teaching and learning. It has specific learning objectives in theoretical knowledge, skills and attitude development. The building up of communication skills has been given due importance. Though research in anaesthesia and critical care is steadily progressing, much work needs to be done on its improvement.

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“…The development of tools for assessing the NTS of an anaesthesiologist in improving healthcare outcomes is challenging. [ 17 ]…”

Section: Challenges Faced In Teaching and Trainingmentioning

confidence: 99%

Recent advances in research, training and teaching in anaesthesia and critical care

Bajwa

Hemantkumar

Sanwatsarkar

et al. 2023

Indian Journal of Anaesthesia

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“…Though clinical abilities and technical proficiencies are essential for successful airway management, non-technical skills are equally important. [ 41 ] Human factors involve considering the impact of aspects of the individual, environment, processes, and culture on human performance. [ 42 ] Poor human factors have contributed to 40% of reported cases, as per the 4 th National Audit Project (NAP4) of the Royal College of Anaesthetists.…”

Section: Human Factor Considerationsmentioning

confidence: 99%

Recent advances in airway management

et al. 2023

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Airway management is a core skill essential for anaesthesiologists and health care providers involved in resuscitation and acute care of patients. Advancements in airway management are continuously evolving. This narrative review highlights the recent advancements with respect to innovations, tools, techniques, guidelines, and research in both technical and non-technical aspects of airway management. These include nasal endoscopy, virtual endoscopy, airway ultrasound, video endoscopes, supraglottic airways with enhanced protection against aspiration, hybrid devices, and the use of artificial intelligence and telemedicine, the utility of which has increased in recent times, thereby improving success with airway management and enhancing patient safety. There has been an increasing emphasis on peri-intubation oxygenation strategies to reduce complications in patients with a physiologically difficult airway. Recent guidelines for difficult airway management and preventing unrecognised oesophageal intubation are available. Large multicentre airway data collection helps us examine airway incidents, aetiology, and complications to expand our knowledge and give us insights for change in practice.

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“…Modern anaesthetists are part of a complex, dynamic system involving not only the patient, but the surgeon, other coworkers, an array of equipment and a complex infrastructure 14. Surveys have shown that NTS contribute to 80% of adverse events, such as inadequate monitoring, poor communication, and not double-checking machines or drugs 15. Therefore, NTS evaluation and training of anaesthetists are essential to the safety of high-risk anaesthesia 16.…”

Section: Introductionmentioning

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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Importance of non-technical skills in anaesthesia education

Cited by 21 publications

References 30 publications

Recent advances in research, training and teaching in anaesthesia and critical care

Recent advances in research, training and teaching in anaesthesia and critical care

Recent advances in airway management

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

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