Michinov Estelle, Jamet Eric, Dodeler Virginie, Haegelen Claire, Jannin Pierre
Department of Psychology, CRPCC (E.A. 1285), University of Rennes 2, Rennes, France.
J Eval Clin Pract. 2014 Oct;20(5):582-8. doi: 10.1111/jep.12152. Epub 2014 May 5.
RATIONALE, AIMS AND OBJECTIVES: The management of non-technical skills is a major factor affecting teamwork quality and patient safety. This article presents a behavioural marker system for assessing neurosurgical non-technical skills (BMS-NNTS). We tested the BMS during deep brain stimulation surgery.
We developed the BMS in three stages. First, we drew up a provisional assessment tool based on the literature and observation tools developed for other surgical specialties. We then analysed videos made in an operating room (OR) during deep brain stimulation operations in order to ensure there were no significant omissions from the skills list. Finally, we used five videos of operations to identify the behavioural markers of non-technical skills in verbal communications.
Analyses of more than six hours of observations revealed 3515 behaviours from which we determined the neurosurgeon's non-technical skills behaviour pattern. The neurosurgeon frequently engaged in explicit coordination, situation awareness and leadership behaviours. In addition, the neurosurgeon's behaviours differed according to the stage of the operation and the OR staff members with whom she was communicating.
Our behavioural marker system provides a structured approach to assessing non-technical skills in the field of neurosurgery. It can also be transferred to other surgical specialties and used in surgeon training curricula.
原理、目的和目标：非技术技能的管理是影响团队协作质量和患者安全的主要因素。本文介绍了一种用于评估神经外科非技术技能的行为标记系统（BMS-NNTS）。我们在脑深部电刺激手术期间对该BMS进行了测试。
我们分三个阶段开发了BMS。首先，我们根据文献和为其他外科专业开发的观察工具制定了一个临时评估工具。然后，我们分析了在手术室（OR）进行脑深部电刺激手术期间拍摄的视频，以确保技能清单中没有重大遗漏。最后，我们使用五个手术视频来确定言语交流中非技术技能的行为标记。
对超过六小时的观察分析揭示了3515种行为，据此我们确定了神经外科医生的非技术技能行为模式。神经外科医生经常进行明确的协调、态势感知和领导行为。此外，神经外科医生的行为因手术阶段以及与之交流的手术室工作人员的不同而有所差异。
我们的行为标记系统为评估神经外科领域的非技术技能提供了一种结构化方法。它也可以应用于其他外科专业，并用于外科医生培训课程。
