Non-Technical Skills for Surgeons (NOTSS): Critical appraisal of its measurement properties

American Journal of Surgery
James J JungTeodor P Grantcharov

Abstract

To critically appraise the development and measurement properties, including sensibility, reliability, and validity of the Non-Technical Skills of Surgeons (NOTSS) system. Articles that described development process of the NOTSS system were identified. Relevant primary studies that presented evidence of reliability and validity were identified through a comprehensive literature review. NOTSS was developed through robust item generation and reduction strategies. It was shown to have good content validity, acceptability, and feasibility. Inter-rater reliability increased with greater expertise and number of assessors. Studies demonstrated evidence of cross-sectional construct validity, in that the tool was able to differentiate known groups of varied non-technical skill levels. Evidence of longitudinal construct validity also existed to demonstrate that NOTSS detected changes in non-technical skills before and after targeted training. In populations and settings presented in our critical appraisal, NOTSS provided reliable and valid measurements of intraoperative non-technical skills of surgeons.

Citations

Jan 22, 2020·Health Information and Libraries Journal·Daniel Froste
Apr 24, 2020·The British Journal of Surgery·J C PradarelliS Yule
Sep 5, 2020·Surgical Endoscopy·Sahil SharmaJames J Jung
Jul 21, 2020·Trauma Surgery & Acute Care Open·Brodie NolanTeodor Grantcharov
Feb 14, 2021·Journal of Surgical Education·Petrut GogalniceanuNizam Mamode
Feb 8, 2021·American Journal of Surgery·Nicholas E AntonDimitrios Stefanidis
Mar 18, 2021·Indian Journal of Ophthalmology·Manikanta DamagatlaSirisha Senthil
Nov 15, 2019·The Annals of Thoracic Surgery·Justin C Y ChanGuy J Maddern
Oct 13, 2020·Journal of Surgical Education·Steven YuleUNKNOWN American College of Surgeons Committee on Non-Technical Skills
May 11, 2021·Medical Decision Making : an International Journal of the Society for Medical Decision Making·David FornerPaul Hong
Jul 9, 2021·Scottish Medical Journal·Eilidh Gm Gunn, Steven Yule

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