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
Relationship between intraoperative non‐technical performance and technical events in bariatric surgery. BJS 2018; 105: 1044-1050.
Published: 30th March 2018
Authors: A. B. Fecso, S. S. Kuzulugil, C. Babaoglu, A. B. Bener, T. P. Grantcharov
Background
The operating theatre is a unique environment with complex team interactions, where technical and non‐technical performance affect patient outcomes. The correlation between technical and non‐technical performance, however, remains underinvestigated. The purpose of this study was to explore these interactions in the operating theatre.
Method
A prospective single‐centre observational study was conducted at a tertiary academic medical centre. One surgeon and three fellows participated as main operators. All patients who underwent a laparoscopic Roux‐en‐Y gastric bypass and had the procedures captured using the Operating Room Black Box® platform were included. Technical assessment was performed using the Objective Structured Assessment of Technical Skills and Generic Error Rating Tool instruments. For non‐technical assessment, the Non‐Technical Skills for Surgeons (NOTSS) and Scrub Practitioners' List of Intraoperative Non‐Technical Skills (SPLINTS) tools were used. Spearman rank‐order correlation and N‐gram statistics were conducted.
Results
Fifty‐six patients were included in the study and 90 procedural steps (gastrojejunostomy and jejunojejunostomy) were analysed. There was a moderate to strong correlation between technical adverse events (
Conclusion
This study demonstrated that technical and non‐technical performances are related, on both an individual and a team level. Valuable data can be obtained around intraoperative errors, events and rectifications.
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