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Non-technical skills

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https://www.readbyqxmd.com/read/29665190/comparison-of-emergency-medicine-malpractice-cases-involving-residents-to-non-resident-cases
#1
Kiersten L Gurley, Shamai A Grossman, Margaret Janes, C Winnie Yu-Moe, Ellen Song, Carrie D Tibbles, Nathan I Shapiro, Carlo L Rosen
BACKGROUND: Data are lacking on how emergency medicine (EM) malpractice cases with resident involvement differs from cases that do not name a resident. OBJECTIVES: To compare malpractice case characteristics in cases where a resident is involved (resident case) to cases that do not involve a resident (non-resident case) and to determine factors that contribute to malpractice cases utilizing EM as a model for malpractice claims across other medical specialties. METHODS: We used data from the Controlled Risk Insurance Company (CRICO) Strategies' division Comparative Benchmarking System (CBS) to analyze open and closed EM cases asserted from 2009-2013...
April 17, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29653248/core-trainee-boot-camp-a-method-for-improving-technical-and-non-technical-skills-of-novice-surgical-trainees-a-before-and-after-study
#2
R Bamford, L Langdon, C A Rodd, S Eastaugh-Waring, J E Coulston
INTRODUCTION: The transition to surgical training can be a stressful time for trainees and is most evident during national handover periods where new graduates start and senior trainees rotate to new programmes. During this time, patient mortality can increase and Hospital efficiency reduces. This influence is compounded by the impact of working time directives. Intensive, simulation rich training programmes or "Boot Camps" have been postulated as a solution. This article highlights the development of a surgical boot camp for novice surgical trainees and the impact this can have on training...
April 10, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29624657/development-and-evaluation-of-a-patient-centred-measurement-tool-for-surgeons-non-technical-skills
#3
J Yule, K Hill, S Yule
BACKGROUND: Non-technical skills are essential for safe and effective surgery. Several tools to assess surgeons' non-technical skills from the clinician's perspective have been developed. However, a reliable measurement tool using a patient-centred approach does not currently exist. The aim of this study was to translate the existing Non-Technical Skills for Surgeons (NOTSS) tool into a patient-centred evaluation tool. METHODS: Data were gathered from four cohorts of patients using an iterative four-stage mixed-methods research design...
April 6, 2018: British Journal of Surgery
https://www.readbyqxmd.com/read/29614349/simulation-for-training-and-assessment-in-hysteroscopy-a-systematic-review
#4
REVIEW
Pietro Gambadauro, Milan Milenkovic, Gergö Hadlaczky
Hysteroscopy simulation complements conventional training on patients, yet evidence-based recommendations about its implementation and use are lacking. This systematic review analyzes and critically discusses hysteroscopy simulation literature published over the last 30 years. Systematic searches on PubMed, Embase, PsychINFO, ERIC, and the Cochrane Library produced 27 original articles published through 2017. Strategies based on different simulation models (eg, vegetables, synthetic uteri, virtual reality) were evaluated by users and appeared to facilitate learning...
March 31, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29611790/factors-that-affect-scrub-practitioner-non-technical-skills-a-literature-review
#5
Guy McClelland
Non-technical skills are the cognitive and interpersonal behaviours that compliment clinical competence in surgery. Effective use of non-technical skills is essential for scrub practice, because they facilitate anticipation of the surgeon's requirements and promote appropriate communication behaviours. This literature review analyses the factors that may influence a scrub practitioner's use of non-technical skills during surgery. Recommendations are made that are intended to improve their use by reducing behavioural variations during surgery...
April 2018: Journal of Perioperative Practice
https://www.readbyqxmd.com/read/29601087/construct-and-criterion-validity-testing-of-the-non-technical-skills-for-surgeons-notss-behaviour-assessment-tool-using-videos-of-simulated-operations
#6
S Yule, A Gupta, D Gazarian, A Geraghty, D S Smink, J Beard, T Sundt, G Youngson, C McIlhenny, S Paterson-Brown
BACKGROUND: Surgeons' non-technical skills are an important part of surgical performance and surgical education. The most widely adopted assessment tool is the Non-Technical Skills for Surgeons (NOTSS) behaviour rating system. Psychometric analysis of this tool to date has focused on inter-rater reliability and feasibility rather than validation. METHODS: NOTSS assessments were collected from two groups of consultant/attending surgeons in the UK and USA, who rated behaviours of the lead surgeon during a video-based simulated crisis scenario after either online or classroom instruction...
March 30, 2018: British Journal of Surgery
https://www.readbyqxmd.com/read/29601079/relationship-between-intraoperative-non-technical-performance-and-technical-events-in-bariatric-surgery
#7
A B Fecso, S S Kuzulugil, C Babaoglu, A B Bener, T P Grantcharov
BACKGROUND: The operating theatre is a unique environment with complex team interactions, where technical and non-technical performance affect patient outcomes. The correlation between technical and non-technical performance, however, remains underinvestigated. The purpose of this study was to explore these interactions in the operating theatre. METHODS: A prospective single-centre observational study was conducted at a tertiary academic medical centre. One surgeon and three fellows participated as main operators...
March 30, 2018: British Journal of Surgery
https://www.readbyqxmd.com/read/29588841/non-technical-skills-and-gastrointestinal-endoscopy-a-review-of-the-literature
#8
REVIEW
Charlotte R Hitchins, Magdalena Metzner, Judy Edworthy, Catherine Ward
Background: Non-technical skills (NTS) have gained increasing recognition in recent years for their role in safe, effective team performance in healthcare. Gastrointestinal endoscopy is a procedure-based specialty with rapidly advancing technology, significant operational pressures and rapidly changing 'teams of experts'. However, to date there has been little focus on the effect of NTS in this field. Objectives: This review aims to examine the existing literature on NTS in gastrointestinal endoscopy and identify areas for further research...
April 2018: Frontline Gastroenterology
https://www.readbyqxmd.com/read/29587730/applying-interprofessional-team-based-learning-in-patient-safety-a-pilot-evaluation-study
#9
Lukas Lochner, Sandra Girardi, Alessandra Pavcovich, Horand Meier, Franco Mantovan, Dietmar Ausserhofer
BACKGROUND: Interprofessional education (IPE) interventions are not always successful in achieving learning outcomes. Team-Based Learning (TBL) would appear to be a suitable pedagogical method for IPE, as it focuses on team performance; however, little is known about interprofessional TBL as an instructional framework for patient safety. In this pilot-study, we aimed to (1) describe participants' reactions to TBL, (2) observe their achievement with respect to interprofessional education learning objectives, and (3) document their attitudinal shifts with regard to patient safety behaviours...
March 27, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29587257/a-network-wide-stroke-team-program-reduces-time-to-treatment-for-endovascular-stroke-therapy-in-a-regional-stroke-network
#10
Ferdinand O Bohmann, Damla Tahtali, Natalia Kurka, Marlies Wagner, Se-Jong You, Richard du Mesnil de Rochemont, Joachim Berkefeld, Ann-Kathrin Hartmetz, Andrea Kuhlmann, Matthias W Lorenz, Ansgar Schütz, Bodo Kress, Christian Henke, Stephanie Tritt, Uta Meyding-Lamadé, Helmuth Steinmetz, Waltraud Pfeilschifter
BACKGROUND AND PURPOSE: Driven by the positive results of randomized, controlled trials of endovascular stroke therapies (EVT) in stroke patients with large vessel occlusion, different approaches to speed up the workflow for EVT candidates are currently being implemented worldwide. We aimed to assess the effect of a simple stroke network-wide workflow improvement project, primarily focusing on i.v. thrombolysis, on process times for patients undergoing EVT. METHODS: In 2015, we conducted a network-wide, peer-to-peer acute stroke workflow improvement program for i...
March 27, 2018: Cerebrovascular Diseases
https://www.readbyqxmd.com/read/29578515/a-bioluminescent-and-fluorescent-orthotopic-syngeneic-murine-model-of-androgen-dependent-and-castration-resistant-prostate-cancer
#11
Jonathan F Anker, Hanlin Mok, Anum F Naseem, Praveen Thumbikat, Sarki A Abdulkadir
Orthotopic tumor modeling is a valuable tool for pre-clinical prostate cancer research, as it has multiple advantages over both subcutaneous and transgenic genetically engineered mouse models. Unlike subcutaneous tumors, orthotopic tumors contain more clinically accurate vasculature, tumor microenvironment, and responses to multiple therapies. In contrast to genetically engineered mouse models, orthotopic models can be performed with lower cost and in less time, involve the use of highly complex and heterogeneous mouse or human cancer cell lines, rather that single genetic alterations, and these cell lines can be genetically modified, such as to express imaging agents...
March 6, 2018: Journal of Visualized Experiments: JoVE
https://www.readbyqxmd.com/read/29577112/a-phenomenological-study-of-business-graduates-employment-experiences-in-the-changing-economy
#12
Throy Alexander Campbell
This study explores the perspectives of business college graduates, how technology has shaped the structures of their jobs, and the role of non-technical skills as they navigate the changing career path. Three overlapping themes emerged from the data analysis: (1) influence of increased technology capabilities on job structures and careers; (2) participation in job-related training and formal education as means of adapting to the new work environment; and (3) the role of non-technical skills in the workplace amidst the intensification of technology change...
2018: Journal for Labour Market Research
https://www.readbyqxmd.com/read/29573429/assessing-nontechnical-skills-in-otolaryngology-emergencies-through-simulation-based-training
#13
Kitty Y Wu, Stephanie Kim, Kevin Fung, Kathryn Roth
OBJECTIVE: Nontechnical skills (NTS) are essential to emergency crisis management. Due to the rarity of true emergencies, they are challenging to teach and assess within a competency-based curriculum. Our purpose is to evaluate the utility of the Non-Technical Skills in Surgery (NOTSS) scale in NTS assessment in simulated otolaryngology and head and neck surgery (OTO-HNS) emergencies and identify common challenges that residents encounter. METHODS: Mixed methods analysis of 15 junior OTO-HNS resident teams in four simulated emergency scenarios...
March 24, 2018: Laryngoscope
https://www.readbyqxmd.com/read/29566090/aerobic-fitness-in-professional-soccer-players-after-anterior-cruciate-ligament-reconstruction
#14
Adriano Marques de Almeida, Paulo Roberto Santos Silva, André Pedrinelli, Arnaldo J Hernandez
Although anterior cruciate ligament (ACL) reconstruction is considered a successful procedure in restoring knee stability, few studies have addressed the issue of aerobic capacity after ACL surgery. Soccer players need technical, tactical and physical skills to succeed, such as good knee function and aerobic capacity. Our purpose is to evaluate aerobic fitness in ACL injured professional football players and six months after ACL reconstruction compared to a control group. Twenty athletes with ACL injury were evaluated and underwent ACL reconstruction with hamstrings autograft, and were compared to twenty healthy professional soccer players...
2018: PloS One
https://www.readbyqxmd.com/read/29548580/-simulation-based-learning-and-internal-medicine-opportunities-and-current-perspectives-for-a-national-harmonized-program
#15
J Galland, S Abbara, B Terrier, M Samson, A Tesnières, J P Fournier, M Braun
Simulation-based learning (SBL) is developing rapidly in France and the question of its use in the teaching of internal medicine (IM) is essential. While HAS encourages its integration into medical education, French Young Internists (AJI) set up a working group to reflect on the added-value of this tool in our specialty. Different sorts of SBL exist: human, synthetic and electronic. It enables student to acquire and evaluate technical skills (strengths, invasive procedures, etc.) and non-technical skills (relational, reasoning…)...
March 13, 2018: La Revue de Médecine Interne
https://www.readbyqxmd.com/read/29546445/-team-training-and-assessment-in-mixed-reality-based-simulated-operating-room-current-state-of-research-in-the-field-of-simulation-in-spine-surgery-exemplified-by-the-atmeos-project
#16
REVIEW
P Stefan, M Pfandler, P Wucherer, S Habert, J Fürmetz, S Weidert, E Euler, U Eck, M Lazarovici, M Weigl, N Navab
Surgical simulators are being increasingly used as an attractive alternative to clinical training in addition to conventional animal models and human specimens. Typically, surgical simulation technology is designed for the purpose of teaching technical surgical skills (so-called task trainers). Simulator training in surgery is therefore in general limited to the individual training of the surgeon and disregards the participation of the rest of the surgical team. The objective of the project Assessment and Training of Medical Experts based on Objective Standards (ATMEOS) is to develop an immersive simulated operating room environment that enables the training and assessment of multidisciplinary surgical teams under various conditions...
March 15, 2018: Der Unfallchirurg
https://www.readbyqxmd.com/read/29544911/the-efficacy-of-an-iterative-sequence-of-prevention-approach-to-injury-prevention-by-a-multidisciplinary-team-in-professional-rugby-union
#17
Jason C Tee, Sheree Bekker, Rob Collins, Jannie Klingbiel, Ivan van Rooyen, David van Wyk, Kevin Till, Ben Jones
OBJECTIVES: Due to the complex systems nature of injuries, the responsibility for injury risk management cannot lie solely within a single domain of professional practice. Interdisciplinary collaboration between technical/tactical coaches, strength and conditioning coaches, team doctors, physical therapists and sport scientists is likely to have a meaningful impact on injury risk. This study describes the application and efficacy of a multidisciplinary approach to reducing team injury risk in professional rugby union...
February 14, 2018: Journal of Science and Medicine in Sport
https://www.readbyqxmd.com/read/29538020/nurses-caring-behaviors-toward-patients-undergoing-chemotherapy-in-greece-a-mixed-methods-study
#18
Chyssoula Karlou, Constantina Papadopoulou, Elizabeth Papathanassoglou, Chryssoula Lemonidou, Fotini Vouzavali, Anna Zafiropoulou-Koutroubas, Stelios Katsaragakis, Elisabeth Patiraki
BACKGROUND: Nurses' caring behaviors are central in the quality of care of patients undergoing sophisticated chemotherapy protocols. However, there is a scarcity of research regarding these behaviors in non-Anglo-Saxon countries. OBJECTIVE: The aim of this study was to explore caring behaviors that nurses perceive as important in caring for patients in Greece receiving chemotherapy. METHODS: We used a mixed-methods design, including a survey in 7 oncology wards in 3 cancer hospitals in Attica, Greece, and a subsequent qualitative focus group investigation...
March 13, 2018: Cancer Nursing
https://www.readbyqxmd.com/read/29523995/the-role-of-simulation-training-in-anesthesiology-resident-education
#19
REVIEW
Kazuma Yunoki, Tetsuro Sakai
An increasing number of reports indicate the efficacy of simulation training in anesthesiology resident education. Simulation education helps learners to acquire clinical skills in a safe learning environment without putting real patients at risk. This useful tool allows anesthesiology residents to obtain medical knowledge and both technical and non-technical skills. For faculty members, simulation-based settings provide the valuable opportunity to evaluate residents' performance in scenarios including airway management and regional, cardiac, and obstetric anesthesiology...
March 9, 2018: Journal of Anesthesia
https://www.readbyqxmd.com/read/29519810/developing-a-novel-international-undergraduate-surgical-masterclass-during-a-financial-crisis-our-4-year-experience
#20
Michail Sideris, John Hanrahan, Georgios Tsoulfas, Iakovos Theodoulou, Fatema Dhaif, Vassilios Papalois, Savvas Papagrigoriadis, George Velmahos, Patricia Turner, Apostolos Papalois
BACKGROUND: Essential Skills in the Management of Surgical Cases (ESMSC) is a novel 3-day international undergraduate surgical masterclass. Its current curriculum (Cores integrated for Research-Ci4R) is built on a tetracore, multiclustered architecture combining high-fidelity and low-fidelity simulation-based learning (SBL), with applied and basic science case-based workshops, and non-technical skills modules. We aimed to report our experience in setting up ESMSC during the global financial crisis...
March 8, 2018: Postgraduate Medical Journal
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