A Ward-Round Non-Technical Skills for Surgery (WANTSS) Taxonomy

被引:10
作者
Klaas, Schuur [1 ]
Kara, Murray [1 ]
Nikki, Maran [2 ]
Rhona, Flin [3 ]
Simon, Paterson-Brown [1 ]
机构
[1] Royal Coll Surg Edinburgh, Edinburgh, Midlothian, Scotland
[2] Royal Infirm Edinburgh NHS Trust, Edinburgh EH16 4SA, Midlothian, Scotland
[3] Robert Gordon Univ, Aberdeen, Scotland
关键词
ward round; nontechnical skills; taxonomy; surgery; SURGICAL ADVERSE EVENTS; QUALITY; PERFORMANCE; OUTCOMES; IMPACT; UTAH;
D O I
10.1016/j.jsurg.2019.09.011
中图分类号
G40 [教育学];
学科分类号
040101 ; 120403 ;
摘要
BACKGROUND: Around half of surgical adverse events occur outside the operating room. However the majority of nontechnical skills (NTS) training programs have been developed for the intraoperative environment. Ward rounds are a crucial part of extraoperative care and to date no specific NTS training manual has been developed targeting emergency general surgical ward rounds. AIM: To develop a NTS taxonomy for emergency general surgical ward rounds that can be used to improve surgical team members' NTS and improve outcomes. METHODS: A literature review of existing NTS taxonomies was conducted, followed by semistructured interviews and observational data collection, to determine good and poor surgical ward-round behaviors. These behaviors were reviewed by a panel of subject matter experts and categorized into a taxonomy, using the Non-Technical Skills for Surgeons taxonomy framework as a guide. RESULTS: The Ward-round Non-Technical Skills for Surgery taxonomy includes examples of good and poor ward-round-specific behaviors, grouped into elements and categories. The taxonomy can be used as both a training and teaching manual for the surgical team. CONCLUSION: Ward rounds are a crucial part of extraoperative surgical care. The Ward-round Non-Technical Skills for Surgery taxonomy provides surgical teams with a manual to help them improve their ward-round NTS. (C) 2019 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.
引用
收藏
页码:369 / 379
页数:11
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