Nontechnical Skill Assessment of the Collective Surgical Team Using the Non-Technical Skills for Surgeons (NOTSS) System.

Annals of Surgery
James J JungT P Grantcharov

Abstract

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. 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. 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. There was adequate system sensitivity when comparing participants' and reference ratings. Inter-rater reliability among the participants' ratings was good excep...Continue Reading

References

Feb 4, 2006·Surgery·Caprice K ChristianMeghan M Dierks
Oct 24, 2006·Medical Education·S YuleD Rowley
Feb 1, 2011·Journal of the American College of Surgeons·Louise HullNick Sevdalis
Aug 6, 2016·Journal of Surgical Education·Raghavendra RaoAri D Brooks
Dec 25, 2016·Journal of Surgical Education·Thomas Charles WoodKamran Ahmed
Mar 16, 2017·The British Journal of Surgery·H GostlowG Maddern
Apr 5, 2017·The British Journal of Surgery·A G DoumourasS Yule
Feb 27, 2018·American Journal of Surgery·James J JungTeodor P Grantcharov

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Citations

Feb 2, 2019·The Journal of Laryngology and Otology·E S HoggJ Lancaster
Sep 5, 2020·Surgical Endoscopy·Sahil SharmaJames J Jung
Jan 7, 2020·Anaesthesia·U NilssonP S Myles
Aug 14, 2019·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Ashwin KumariaAlbert J M Yee
Feb 14, 2021·Journal of Surgical Education·Petrut GogalniceanuNizam Mamode
Apr 6, 2021·Surgery·Jason C PradarelliSteven Yule
Apr 17, 2021·International Journal of Surgery·Tuna C HayirliNtuli A Kapologwe
Jul 10, 2021·The Surgical Clinics of North America·Ryland Stucke, Kari M Rosenkranz

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