Centre Hépatobiliaire, Hôpital Paul Brousse, 94800 Villejuif, France.
Département d'Anesthésie-Réanimation, Centre Hospitalier Universitaire Bicêtre, 94275 Le Kremlin Bicêtre, France; Centre de Simulation, LabForSIMS, Faculté de Médecine Paris-Sud, Le Kremlin Bicêtre.
J Visc Surg. 2020 Jun;157(3 Suppl 2):S131-S136. doi: 10.1016/j.jviscsurg.2020.03.001. Epub 2020 Apr 25.
Skills other than technical or clinical competences are also recognized as essential in surgery. Most serious adverse events in health care are related to non-technical skill (NTS) failures. This has fostered interest in teaching surgeons about NTS. Reproducible evaluation scales, inspired by management strategies in the air transportation industry have been created in health care and some have been fashioned and validated specifically for surgeons. The list of NTS varies according to authors but one usually finds the same division into two main categories: social skills (communication, teamwork, leadership) and cognitive competences (situational awareness, decision-making). Stress and fatigue affect the implementation of these skills. Simulation is an efficient manner to teach NTS. The goals and exact modalities of how to teach NTS remains to be defined.
除了技术或临床能力外，其他技能也被认为是外科手术中必不可少的。医疗保健中大多数严重的不良事件都与非技术技能 (NTS) 失败有关。这促使人们对外科医生进行 NTS 教学产生了兴趣。受航空运输业管理策略的启发，在医疗保健领域创建了可重复的评估量表，并且其中一些量表是专门为外科医生设计和验证的。NTS 的清单因作者而异，但通常可以将其分为两大类：社交技能（沟通、团队合作、领导力）和认知能力（态势感知、决策）。压力和疲劳会影响这些技能的实施。模拟是教授 NTS 的有效方法。如何教授 NTS 的目标和确切方式仍有待确定。
