Learning non-technical skills in surgery

Allard, M.-A.; Blanié, Antonia; Brouquet, Antoine; Benhamou, Dan

doi:10.1016/j.jviscsurg.2020.03.001

Cited by 23 publications

(33 citation statements)

References 42 publications

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“…In this study, we implemented the QC program in accordance with the 7-step QC story method and the TRM method. 32,33,39 The program emphasizes the application of teamwork to improve medical care quality or procedures and the utilization of methodology tools that focus on the training components of knowledge, skills, and attitudes, covering aspects such as leadership, situational awareness, mutual support, and communication. With the strengths of the program, it has been deemed promising in enhancing patient safety and quality.…”

Section: Trm and Qc Improvement Methodsmentioning

confidence: 99%

“…With the strengths of the program, it has been deemed promising in enhancing patient safety and quality. 28,39 We implemented the 7 major steps during this 12month program, and after deep discussions with the QC improvement team, we established 3 improvement strategies for bowel preparation in relation to healthscreening colonoscopy, which are described in the next paragraph.…”

Section: Trm and Qc Improvement Methodsmentioning

confidence: 99%

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Quality Improvement of Bowel Preparation for Screening Colonoscopies: A Study of Hospital Team Resource Management in Taiwan

Chung¹,

Lin²,

Chen³

2021

Quality Management in Health Care

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Background and Objectives: This study aimed to investigate the impact of patient education using a medical team resource management (TRM) method on the adequacy of bowel preparation. Methods: The study setting was a single hospital in northern Taiwan, and a total of 2104 (884 female, 1220 male) healthy subjects who underwent a health checkup colonoscopy screening were enrolled before and after the application of the TRM program intervention. The efficacy of the TRM intervention and the factors affecting bowel preparation were estimated using multivariate logistic regression. Results: The prevalence of adequate bowel preparation improved significantly from the preintervention period to the postintervention and validation periods, which had prevalence of 79.0%, 81.3%, and 84.0%, respectively. Using the preintervention period prevalence as a reference, the adjusted odds ratios (aORs) for adequate bowel preparation in the postintervention and validation periods were 2.199 (95% confidence interval [CI]: 1.538-3.142) and 2.035 (1.525-2.716), respectively. Men had a lower probability of adequate cleansing than women (aOR = 0.757; 95% CI = 0.598-0.957), and purgative containing polyethylene glycol had a lower probability of adequate cleansing than purgative containing sodium phosphate (aOR = 0.366; 95% CI: 0.277-0.483). Conclusions: Bowel preparation quality for colonoscopy could be improved by enhancing patient education via TRM, and we suggest that effective quality improvement schemes should be proposed for health-screening programs.

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Section: Trm and Qc Improvement Methodsmentioning

confidence: 99%

Section: Trm and Qc Improvement Methodsmentioning

confidence: 99%

Quality Improvement of Bowel Preparation for Screening Colonoscopies: A Study of Hospital Team Resource Management in Taiwan

Chung¹,

Lin²,

Chen³

2021

Quality Management in Health Care

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“…In more recent decades it has been recognized that competence in technical skills alone are not enough to ensure safe practice, 1 with a growing body of evidence showing correlation between nontechnical skills and iatrogenic adverse events. 1,2 'Non-technical skills' is the collective term used to describe a set of behaviours including but not limited to communication, teamwork, leadership, decision-making and situational awareness. The original concept takes its origins from aviation, where failures in non-technical skills were identified as key contributors in aviation accidents.…”

Section: Introductionmentioning

confidence: 99%

Applying the ‘three buckets’ theory of situational awareness to surgical training: an updated framework

Thwin

Lim

Glover

2022

ANZ Journal of Surgery

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“…In selecting patients for undergoing elective surgeries, eliciting their previous anesthesia toxicity, which has not been perceived initially, must be noted and taken under consideration during pandemic COVID-19 [13]. Other patients' necessary consultations, in cases suspicious of any types of infections in the past and present times, should be utilized for candidates of elective surgeries [14]. Hospitals where elective surgeries are operated must be equipped with all preventive measures in operating rooms and their hemodialysis departments if any unexpected events occurred [15,16].…”

Section: Introduction Oronavirus Disease 2019 (Covid-19mentioning

confidence: 99%

Elective Surgery Guidelines During COVID-19 Pandemic: A Current Literature Review

Shemshadi

Layeghi

Khorasani

2021

HDQ

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Background: The primary purpose of this literature review is to investigate different views of elective surgery management during the COVID-19 pandemic. In other words, the guidelines about diseases prevention and their proper management during performing elective surgeries have been reviewed. Materials and Methods: Current articles related to COVID-19 and practicing elective surgeries in different remarkable EndNote X8 database journals in 2020 were retrieved. All articles referring to COVID-19 precaution rules in implementing elective surgeries were integrated into the article’s main goals. Results: All reviews showed alarming guideline steps that should be taken for validated preventing and managing elective surgeries practiced during the COVID-19 pandemic. Emphasizing qualified elective surgery protocols were quoted in many articles to do elective surgeries with successful results. Conclusion: Taking effective and evidence-based steps in patients` selection, precautions, and hospitals` safety cares result in protective surgical results. Elective surgeries should be practiced in highly-equipped hospitals with extraordinary quarantine measures during a COVID-19 pandemic. Safety measures are the primary goal for patients, staff, surgeons, and other health providers before surgeons get involved with any elective surgeries during the COVID-19 pandemic. Questions of how different elective surgical operations are planned during the COVID-19 pandemic are essential controversies. As no clear answers are found to questions of how elective surgeries can be practiced during a COVID-19 pandemic, specific rules issued by the world’s most authentic surgical associations have been adopted by surgeons to operate elective surgeries.

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Learning non-technical skills in surgery

Cited by 23 publications

References 42 publications

Quality Improvement of Bowel Preparation for Screening Colonoscopies: A Study of Hospital Team Resource Management in Taiwan

Quality Improvement of Bowel Preparation for Screening Colonoscopies: A Study of Hospital Team Resource Management in Taiwan

Applying the ‘three buckets’ theory of situational awareness to surgical training: an updated framework

Elective Surgery Guidelines During COVID-19 Pandemic: A Current Literature Review

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