2022, Number 1
<< Back Next >>
Rev Mex Anest 2022; 45 (1)
A model for the assessment of non-technical skills in anesthesiology: a literature review
Sánchez-Vásquez U, Espino-Núñez JS, Figueroa-Morales A, Rubio-Martínez R
Language: Spanish
References: 31
Page: 35-39
PDF size: 254.53 Kb.
ABSTRACT
Close to 80% of medical errors are due to human factors (poor communication, inadequate monitoring, failure to check, etc.), which is why training for anaesthetists requires developing essential soft skills for Anaesthesiology. Soft skills are defined as specific cognitive, socio-emotional and interpersonal abilities complementing core skills which contribute to the safe and efficient carrying out of a job-specific task. In 2004, the University of Aberdeen established a first model for defining and evaluating these soft skills. The model consists of 15 elements across four categories: task management, team working, situational awareness and decision-making. The model is a tool employed by postgraduate anaesthesiologists to assess trainees in the operating theatre or through clinical simulation. The validity of this system, as well as its importance for patient safety have been demonstrated in a range of studies.
REFERENCES
Institute of Medicine T. To err is human: building a safer health system. 1999. 3 - to err is human - summary.pdf.
Flin R, Glavin R, Maran N, Patey R. Framework for observing and rating anaesthetists' non-technical skills team task management decision making situation anaesthetists' non-technical skills (ANTS) System Handbook. V1.0. Aberdeen: University of Aberdeen Press (UniPrint); 2012.
Hull L, Arora S, Symons NRA, et al. Training faculty in nontechnical skill assessment. Ann Surg. 2013;258:370-375. doi: 10.1097/SLA.0b013e318279560b.
Reedy GB, Lavelle M, Simpson T, Anderson JE. Development of the human factors skills for healthcare instrument: a valid and reliable tool for assessing interprofessional learning across healthcare practice settings. BMJ STEL. 2017;3:135-141. doi: 10.1136/bmjstel-2016-000159.
Sevdalis N, Hull L, Birnbach DJ. Improving patient safety in the operating theatre and perioperative care: obstacles, interventions, and priorities for accelerating progress. Br J Anaesth. 2012;109:i3-i16. doi: 10.1093/bja/aes391.
Hull L, Arora S, Symons NRA, et al. Training faculty in nontechnical skill assessment: national guidelines on program requirements. Ann Surg. 2013;258:370-375. doi: 10.1097/SLA.0b013e318279560b.
Fletcher GC, McGeorge P, Flin RH, Glavin RJ, Maran NJ. The role of non-technical skills in anaesthesia: a review of current literature. Br J Anaesth. 2002;88:418-429. doi: 10.1093/bja/88.3.418.
Gjeraa K, Jepsen RM, Rewers M, Ostergaard D, Dieckmann P. Exploring the relationship between anaesthesiologists' non-technical and technical skills. Acta Anaesthesiol Scand. 2016;60:36-47. doi: 10.1111/aas.12598.
Flin R, Patey R, Glavin R, Maran N. Anaesthetists' non-technical skills. Br J Anaesth. 2010;105:38-44. doi: 10.1093/bja/aeq134.
Manser T. Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. Acta Anaesthesiol Scand. 2009;53:143-151. doi: 10.1111/j.1399-6576.2008.01717.x.
Dietz AS, Pronovost PJ, Mendez-Tellez PA, et al. A systematic review of teamwork in the intensive care unit: what do we know about teamwork, team tasks, and improvement strategies? J Crit Care. 2014;29:908-914. doi: 10.1016/j.jcrc.2014.05.025.
Weller J, Boyd M. Making a difference through improving teamwork in the operating room: a systematic review of the evidence on what works. Curr Anesthesiol Rep. 2014;4:77-83. doi: 10.1007/s40140-014-0050-0.
Wacker J, Kolbe M. Leadership and teamwork in anesthesia-Making use of human factors to improve clinical performance. Trends Anaesth Crit Care. 2014;4:200-205. doi: 10.1016/j.tacc.2014.09.002.
Flin R, Maran N. Basic concepts for crew resource management and non-technical skills. Best Pract Res Clin Anaesthesiol. 2015;29:27-39. doi: 10.1016/j.bpa.2015.02.002.
Rutherford JS. Monitoring teamwork: a narrative review. Anaesthesia. 2017;72:84-94. doi: 10.1111/anae.13744.
Gordon M, Fell CW, Box H, Farrell M, Stewart A. Learning health "safety" within non-technical skills interprofessional simulation education: a qualitative study. Med Educ Online. 2017;22:1272838. doi:10.1080/10872981.2017.1272838.
Davis DA, Mazmanian PE, Fordis M, Harrison R Van, Thorpe KE, Perrier L. Accuracy of physician self-assessment compared a systematic review. JAMA. 2006;296:1094-1102. doi: 10.1001/jama.296.9.1094.
Watkins SC, Roberts DA, Boulet JR, McEvoy MD, Weinger MB. Evaluation of a simpler tool to assess nontechnical skills during simulated critical events. Simul Healthc. 2017;12:69-75. doi: 10.1097/SIH.0000000000000199.
Schulz CM, Burden A, Posner KL, et al. Frequency and type of situational awareness errors contributing to death and brain damage: A closed claims analysis. Anesthesiology. 2017;127:326-337. doi: 10.1097/ALN.0000000000001661.
Fletcher G, Flin R, McGeorge M, Glavin R, Maran N, Patey R. Anaesthetists' non-technical skills (ANTS): evaluation of a behavioural marker system. Br J Anaesth. 2003;90:580-588. doi: 10.1093/bja/aeg112.
Byrne AJ, Greaves JD. Assessment instruments used during anaesthetic simulation: review of published studies. Br J Anaesth. 2001;86:445-450.
Noveanu J, Amsler F, Ummenhofer W, von Wyl T, Zuercher M. Assessment of simulated emergency scenarios: are trained observers necessary? Prehosp Emerg Care. 2017;21:511-524. doi:10.1080/10903127.2017.1302528.
Gaba DM, Howard SK, Fish KJ, Smith BE, Sowb YA. Simulation-based training in anesthesia crisis resource management (ACRM): a decade of experience. Simul Gaming. 2001;32:175-193. doi: 0.1177/104687810103200206.
Okuda Y, Bryson EO, DeMaria SJ, et al. The utility of simulation in medical education: what is the evidence? Mt Sinai J Med. 2009;76:330-343. doi: 10.1002/msj.20127.
Leblanc VR. Review article: simulation in anesthesia: State of the science and looking forward. Can J Anesth. 2012;59:193-202. doi: 10.1007/s12630-011-9638-8.
Flin R, Maran N. Identifying and training non-technical skills for teams in acute medicine. Qual Saf Heal Care. 2004;13:i80-84. doi: 10.1136/qshc.2004.009993.
Doumouras AG, Hamidi M, Lung K, et al. Non-technical skills of surgeons and anaesthetists in simulated operating theatre crises. Br J Surg. 2017;104:1028-1036. doi: 10.1002/bjs.10526.
Boulet JR, Murray DJ. Simulation-based assessment in anesthesiology. Requirements for practical implementation. Anesthesiology. 2010;112:1041-1052. doi: 10.1097/ALN.0b013e3181cea265.
Weinger MB, Burden AR, Steadman RH, Gaba DM. Misconceptions surrounding the maintenance of certification in anesthesiology simulation course. Anesthesiology. 2014;121:655-659.
Zausig YA, Grube C, Boeker-Blum T, et al. Inefficacy of simulator-based training on anaesthesiologists' non-technical skills. Acta Anaesthesiol Scand. 2009;53:611-619. doi: 10.1111/j.1399-6576.2009.01946.x.
Lewis R, Strachan A, Smith MM. Is high fidelity simulation the most effective method for the development of non-technical skills in nursing? A review of the current evidence. Open Nurs J. 2012;6:82-89.