Safety of training and assessment in operating theatres – a systematic review and meta-analysis

Ahmed, Kamran; Ashrafian, Hutan; Harling, Leanne; Patel, V A; Rao, Christopher; Darzi, Ara; Hanna, GB; Punjabi, Prakash P; Athanasiou, Thanos

doi:10.1177/0267659112460882

Cited by 6 publications

(2 citation statements)

References 42 publications

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“…Despite evidence that surgical trainees are safe to operate under direct supervision [ 39 ], the increasing patient expectation of surgeons to be technically competent before live operating has instigated significant research into the area of simulation. The benefits of a simulated environment are evident: acquisition of surgical skill without risk of causing harm to the patient, assessment of competence in a controlled reproducible environment, and preparation for crisis scenarios [ 40 ].…”

Section: Discussionmentioning

confidence: 99%

Teamwork Assessment Tools in Modern Surgical Practice: A Systematic Review

Whittaker

Abboudi

Khan

et al. 2015

Surgery Research and Practice

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Introduction. Deficiencies in teamwork skills have been shown to contribute to the occurrence of adverse events during surgery. Consequently, several teamwork assessment tools have been developed to evaluate trainee nontechnical performance. This paper aims to provide an overview of these instruments and review the validity of each tool. Furthermore, the present paper aims to review the deficiencies surrounding training and propose several recommendations to address these issues. Methods. A systematic literature search was conducted to identify teamwork assessment tools using MEDLINE (1946 to August 2015), EMBASE (1974 to August 2015), and PsycINFO (1806 to August 2015) databases. Results. Eight assessment tools which encompass aspects of teamwork were identified. The Nontechnical Skills for Surgeons (NOTSS) assessment was found to possess the highest level of validity from a variety of sources; reliability and acceptability have also been established for this tool. Conclusions. Deficits in current surgical training pathways have prompted several recommendations to meet the evolving requirements of surgeons. Recommendations from the current paper include integration of teamwork training and assessment into medical school curricula, standardised formal training of assessors to ensure accurate evaluation of nontechnical skill acquisition, and integration of concurrent technical and nontechnical skills training throughout training.

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Section: Discussionmentioning

confidence: 99%

Teamwork Assessment Tools in Modern Surgical Practice: A Systematic Review

Whittaker

Abboudi

Khan

et al. 2015

Surgery Research and Practice

View full text Add to dashboard Cite

show abstract

“…Finally, about this issue: consider the variety of subject matter that ranges from trends in cardiopulmonary bypass in China to ECMO to organ perfusion to so-called mini-bypass for a selected patient population. The meta-analysis by Ahmed and coworkers 2 is a serious attempt to objectively assess the performance of cardiac surgery personnel. Using this methodology, additional systematic review might be performed for other team members.…”

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confidence: 99%