The Impact of Nontechnical Skills on Technical Performance in Surgery: A Systematic Review

Hull, Louise; Arora, Sonal; Aggarwal, Rajesh; Darzi, Ara; Vincent, Charles; Sevdalis, Nick

doi:10.1016/j.jamcollsurg.2011.10.016

Cited by 306 publications

(200 citation statements)

References 65 publications

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“…Thus there is an emerging database of studies examining the relationships between technical skills, non-technical skills, error and safety or other performance metrics. These generally indicate positive, if patchy, relationships (Hull et al 2012) but there is an emerging message that focussing on improving the non-technical skills required for both routine and abnormal task activities can improve safety.…”

Section: Crm Beyond the Flightdeckmentioning

confidence: 99%

Enhancing Safety Performance: Non-technical Skills and a Modicum of Chronic Unease

Flin

2017

Beyond Safety Training

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Current debates on professionalism and safety cover a range of interpretative challenges and theoretical perspectives, as the workshop organized by FonCSI in 2015 revealed. One avenue for consideration was to address the question of the role of professionalism in the job with regard to safety. For example, should safety training just be part of normal job training or should it have a separate and distinctive position in the training curriculum? In this paper, I consider two ways in which safety training and safety thinking are being integrated into routine managerial and technical work. The first of these is behavioural, namely to focus on the non-technical skills (NTS) for a given job, as evidenced by the airlines' Crew Resource Management training and assessment programmes. This approach is now being adopted in other safety-critical sectors, such as acute medicine and offshore oil and gas operations. The second direction is more attitudinal in nature: it examines the relatively novel concept of chronic unease, derived from the High Reliability Organisation literature. These two approaches show that addressing both workplace behaviours (non-technical skills) and underlying attitudes to operational risks (chronic unease), can help to build protective skills for safety into the professional job repertoire.

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Section: Crm Beyond the Flightdeckmentioning

confidence: 99%

Enhancing Safety Performance: Non-technical Skills and a Modicum of Chronic Unease

Flin

2017

Beyond Safety Training

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“…Being under stress can affect manual performance, and therefore the outcome of the procedure [7]. Stress is also a recognised risk factor for cardiovascular disease [8].…”

Section: Discussionmentioning

confidence: 99%

The Stress of Cataract Surgery

Arif¹

2013

J Clin Exp Ophthalmol

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“…For example, there cannot be a randomized trial of a perioperative checklist in the UK as national guidance requires the application of the WHO Surgical Safety Checklist across all surgical procedures [52]. With the emergent body of quality improvement techniques applicable to surgery [53][54][55][56][57][58] we anticipate quality improvement study designs and methods to appear in the children's surgical literature in the coming years.…”

Section: Study Designsmentioning

confidence: 99%

Patient safety improvement interventions in children's surgery: A systematic review

Macdonald

Sevdalis

2017

Journal of Pediatric Surgery

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The Impact of Nontechnical Skills on Technical Performance in Surgery: A Systematic Review

Cited by 306 publications

References 65 publications

Enhancing Safety Performance: Non-technical Skills and a Modicum of Chronic Unease

Enhancing Safety Performance: Non-technical Skills and a Modicum of Chronic Unease

The Stress of Cataract Surgery

Patient safety improvement interventions in children's surgery: A systematic review

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