Nontechnical Skill Assessment of the Collective Surgical Team Using the Non-Technical Skills for Surgeons (NOTSS) System.
Ann Surg
; 272(6): 1158-1163, 2020 12.
Article
en En
| MEDLINE
| ID: mdl-30817354
ABSTRACT
OBJECTIVE:
To validate the Non-Technical Skills for Surgeons (NOTSS) system for assessment of the collective surgical teams' nontechnical skills after observing recordings of actual OR environment.BACKGROUND:
The NOTSS system is a widely accepted tool to measure nontechnical skills of individual surgeons, and has mostly been used in the simulated setting. Surgical procedures are rarely performed by a single surgeon, but by a surgical team of attending surgeons, surgical assistants, and surgical trainees. Therefore, assessment of nontechnical skills may benefit from holistic assessment of the collective surgical teams.METHODS:
Five trained participants assessed surgical team and attending surgeon using the NOTSS system after watching ten 20-minute long videos obtained from live OR. A set of reference ratings was provided by a multidisciplinary expert committee. We performed analyses to assess system sensitivity; examine inter-rater reliability of ratings; investigate concurrent construct validity; and assess feasibility and acceptability of using the NOTSS system to measure surgical team performance.RESULTS:
There was adequate system sensitivity when comparing participants' and reference ratings. Inter-rater reliability among the participants' ratings was good except for decision-making category. The level of inter-rater reliability was similar when rating teams and attending surgeons. There was strong positive correlation between teams' and attending surgeons' NOTSS ratings at category [Pearson coefficient 0.86, 95% confidence interval (CI) 0.82-0.89] and element levels (0.83, 95% CI 0.80-0.85), demonstrating evidence of concurrent construct validity. The participants felt that the use of NOTSS system to measure teams' nontechnical skills was acceptable and feasible to a fair extent.CONCLUSION:
The NOTSS system, although developed for assessment of individual surgeons, is a useful tool for observing and rating surgical teams.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Cirugía General
/
Procedimientos Quirúrgicos Operativos
/
Competencia Clínica
Tipo de estudio:
Observational_studies
/
Prognostic_studies
Idioma:
En
Revista:
Ann Surg
Año:
2020
Tipo del documento:
Article
País de afiliación:
Canadá