Learning NOTSS While Tying Knots: Integrating the Nontechnical Skills for Surgeons Course With Technical Surgical Skills Training, A Mixed Methods Study
Objective:. The aims of this study were to describe the process of integrating 2 established training programs, Nontechnical skills for surgeons, and a traditional essential surgical skills course and to measure the impact of this integrated course on the behaviors of interprofessional surgical team...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Health
2022-03-01
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| Series: | Annals of Surgery Open |
| Online Access: | http://journals.lww.com/10.1097/AS9.0000000000000133 |
| _version_ | 1797732827505098752 |
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| author | Egide Abahuje, MBBS, MMED, MS-HPED Andrew Bartuska, BS Roger D. Dias, MD, MBA, PhD Eugène Muneza, MBBS, MMED Isaie Sibomana, MBBS, MSc, MMED Wendy Williams, JD Rachel Koch, MD Jamie M. Robertson, PhD George Ntakiyiruta, MD, MMED Faye Evans, MD Robert Riviello, MD, MPH Steven Yule, PhD |
| author_facet | Egide Abahuje, MBBS, MMED, MS-HPED Andrew Bartuska, BS Roger D. Dias, MD, MBA, PhD Eugène Muneza, MBBS, MMED Isaie Sibomana, MBBS, MSc, MMED Wendy Williams, JD Rachel Koch, MD Jamie M. Robertson, PhD George Ntakiyiruta, MD, MMED Faye Evans, MD Robert Riviello, MD, MPH Steven Yule, PhD |
| author_sort | Egide Abahuje, MBBS, MMED, MS-HPED |
| collection | DOAJ |
| description | Objective:. The aims of this study were to describe the process of integrating 2 established training programs, Nontechnical skills for surgeons, and a traditional essential surgical skills course and to measure the impact of this integrated course on the behaviors of interprofessional surgical teams in Rwandan district hospitals.
Background:. Surgical errors and resulting adverse events are due to variability in both technical and nontechnical surgical skills. Providing technical and nontechnical skills training to the perioperative team may enhance the learning of both of these skills and promote safe intraoperative patient care.
Methods:. A quality improvement framework guided the process of integrating essential surgical skills and nontechnical skills into a single training program for surgical teams. The resulting 2-day training program was delivered to 68-person teams from 17 hospitals. Nontechnical skills for surgeons was taught through didactics and in the operating room, where preoperative briefing, intraoperative interactions, and postoperative debriefing were used as essential and nontechnical skills teaching moments. Postcourse surveys, follow-up interviews, focus groups, and direct observation of participants in the operating room were conducted to assess how participants implemented the knowledge and skills from the training into practice.
Results:. Ninety-seven percent of the participants reported that they were satisfied with the course. Follow-up participant interviews and focus groups reported that the course helped them to improve their preoperative planning, intraoperative communication, decision-making, and postoperative debriefing.
Conclusions:. It is possible to implement an integrated essential surgical skills and nontechnical skills training course. Integrating nontechnical skills into essential surgical skills courses may enhance learning of these skills. |
| first_indexed | 2024-03-12T12:20:09Z |
| format | Article |
| id | doaj.art-ef293d0997f24703a457f43a68c31b8b |
| institution | Directory Open Access Journal |
| issn | 2691-3593 |
| language | English |
| last_indexed | 2024-03-12T12:20:09Z |
| publishDate | 2022-03-01 |
| publisher | Wolters Kluwer Health |
| record_format | Article |
| series | Annals of Surgery Open |
| spelling | doaj.art-ef293d0997f24703a457f43a68c31b8b2023-08-30T06:09:44ZengWolters Kluwer HealthAnnals of Surgery Open2691-35932022-03-0131e13310.1097/AS9.0000000000000133202203000-00028Learning NOTSS While Tying Knots: Integrating the Nontechnical Skills for Surgeons Course With Technical Surgical Skills Training, A Mixed Methods StudyEgide Abahuje, MBBS, MMED, MS-HPED0Andrew Bartuska, BS1Roger D. Dias, MD, MBA, PhD2Eugène Muneza, MBBS, MMED3Isaie Sibomana, MBBS, MSc, MMED4Wendy Williams, JD5Rachel Koch, MD6Jamie M. Robertson, PhD7George Ntakiyiruta, MD, MMED8Faye Evans, MD9Robert Riviello, MD, MPH10Steven Yule, PhD11From the * Surgical Outcome and Quality Improvement Center, Department of Surgical Oncology, Feinberg School of Medicine, Northwestern University, Chicago, IL§ Harvard Medical School, Boston, MA§ Harvard Medical School, Boston, MA¶ Department of Surgery, Rwanda Military Hospital, Kigali, Rwanda# Kibuye Referral Hospital, Gitesi, Rwanda** Center for Surgery and Public Health, Brigham and Women’s Hospital, Boston, MA†† Department of Surgery, School of Medicine, Vanderbilt University, Nashville, TN‡‡ Department of Surgery, Brigham and Women’s Hospital, Boston, MA§§ Ejo Heza Surgical Center, Kigali, Rwanda∥∥ Critical Care and Pain Medicine, Boston Children Hospital, Department of Anesthesia, Boston, MA§ Harvard Medical School, Boston, MA** Center for Surgery and Public Health, Brigham and Women’s Hospital, Boston, MAObjective:. The aims of this study were to describe the process of integrating 2 established training programs, Nontechnical skills for surgeons, and a traditional essential surgical skills course and to measure the impact of this integrated course on the behaviors of interprofessional surgical teams in Rwandan district hospitals. Background:. Surgical errors and resulting adverse events are due to variability in both technical and nontechnical surgical skills. Providing technical and nontechnical skills training to the perioperative team may enhance the learning of both of these skills and promote safe intraoperative patient care. Methods:. A quality improvement framework guided the process of integrating essential surgical skills and nontechnical skills into a single training program for surgical teams. The resulting 2-day training program was delivered to 68-person teams from 17 hospitals. Nontechnical skills for surgeons was taught through didactics and in the operating room, where preoperative briefing, intraoperative interactions, and postoperative debriefing were used as essential and nontechnical skills teaching moments. Postcourse surveys, follow-up interviews, focus groups, and direct observation of participants in the operating room were conducted to assess how participants implemented the knowledge and skills from the training into practice. Results:. Ninety-seven percent of the participants reported that they were satisfied with the course. Follow-up participant interviews and focus groups reported that the course helped them to improve their preoperative planning, intraoperative communication, decision-making, and postoperative debriefing. Conclusions:. It is possible to implement an integrated essential surgical skills and nontechnical skills training course. Integrating nontechnical skills into essential surgical skills courses may enhance learning of these skills.http://journals.lww.com/10.1097/AS9.0000000000000133 |
| spellingShingle | Egide Abahuje, MBBS, MMED, MS-HPED Andrew Bartuska, BS Roger D. Dias, MD, MBA, PhD Eugène Muneza, MBBS, MMED Isaie Sibomana, MBBS, MSc, MMED Wendy Williams, JD Rachel Koch, MD Jamie M. Robertson, PhD George Ntakiyiruta, MD, MMED Faye Evans, MD Robert Riviello, MD, MPH Steven Yule, PhD Learning NOTSS While Tying Knots: Integrating the Nontechnical Skills for Surgeons Course With Technical Surgical Skills Training, A Mixed Methods Study Annals of Surgery Open |
| title | Learning NOTSS While Tying Knots: Integrating the Nontechnical Skills for Surgeons Course With Technical Surgical Skills Training, A Mixed Methods Study |
| title_full | Learning NOTSS While Tying Knots: Integrating the Nontechnical Skills for Surgeons Course With Technical Surgical Skills Training, A Mixed Methods Study |
| title_fullStr | Learning NOTSS While Tying Knots: Integrating the Nontechnical Skills for Surgeons Course With Technical Surgical Skills Training, A Mixed Methods Study |
| title_full_unstemmed | Learning NOTSS While Tying Knots: Integrating the Nontechnical Skills for Surgeons Course With Technical Surgical Skills Training, A Mixed Methods Study |
| title_short | Learning NOTSS While Tying Knots: Integrating the Nontechnical Skills for Surgeons Course With Technical Surgical Skills Training, A Mixed Methods Study |
| title_sort | learning notss while tying knots integrating the nontechnical skills for surgeons course with technical surgical skills training a mixed methods study |
| url | http://journals.lww.com/10.1097/AS9.0000000000000133 |
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