This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS
Non‐technical skills of surgeons and anaesthetists in simulated operating theatre crises. BJS 2017; 104: 1028-1036.
Published: 4th April 2017
Authors: A. G. Doumouras, M. Hamidi, K. Lung, C. L. Tarola, M. W. Tsao, J. W. Scott et al.
Background
Deficiencies in non‐technical skills (NTS) have been increasingly implicated in avoidable operating theatre errors. Accordingly, this study sought to characterize the impact of surgeon and anaesthetist non‐technical skills on time to crisis resolution in a simulated operating theatre.
Method
Non‐technical skills were assessed during 26 simulated crises (haemorrhage and airway emergency) performed by surgical teams. Teams consisted of surgeons, anaesthetists and nurses. Behaviour was assessed by four trained raters using the Non‐Technical Skills for Surgeons (
Results
Thirteen different surgical teams were assessed. Higher NTS ratings resulted in significantly faster crisis resolution. For anaesthetists, every 1‐point increase in
Conclusion
A higher level of NTS of surgeons and anaesthetists led to quicker crisis resolution in a simulated operating theatre environment.
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