School of Nursing, Xuzhou Medical University, Xuzhou, China.
Department of Nurse Anesthesia, Virginia Commonwealth University, Richmond, Virginia, USA.
BMJ Open. 2024 Mar 20;14(3):e075019. doi: 10.1136/bmjopen-2023-075019.
To comprehensively synthesise evidence regarding the validity and reliability of the Anaesthetists' Non-Technical Skills (ANTS) behavioural marker system and its application as a tool for the training and assessment of non-technical skills to improve patient safety.
Systematic review.
We employed a citation search strategy. The Scopus and Web of Science databases were searched for articles published from 2002 to May 2022.
English-language publications that applied the ANTS system in a meaningful way, including its use to guide data collection, analysis and reporting.
Study screening, data extraction and quality assessment were performed by two independent reviewers. We appraised the quality of included studies using the Joanna Briggs Institute Critical Appraisal Checklists. A framework analysis approach was used to summarise and synthesise the included articles.
54 studies were identified. The ANTS system was applied across a wide variety of study objectives, settings and units of analysis. The methods used in these studies varied and included quantitative (n=42), mixed (n=8) and qualitative (n=4) approaches. Most studies (n=47) used the ANTS system to guide data collection. The most commonly reported reliability statistic was inter-rater reliability (n=35). Validity evidence was reported in 51 (94%) studies. The qualitative application outcomes of the ANTS system provided a reference for the analysis and generation of new theories across disciplines.
Our results suggest that the ANTS system has been used in a wide range of studies. It is an effective tool for assessing non-technical skills. Investigating the methods by which the ANTS system can be evaluated and implemented for training within clinical environments is anticipated to significantly enhance ongoing enhancements in staff performance and patient safety.
CRD42022297773.
全面综合评估麻醉师非技术技能（ANTS）行为标记系统的有效性和可靠性，以及将其作为一种培训和评估非技术技能以提高患者安全的工具的应用。
系统评价。
我们采用了引文搜索策略。从 2002 年到 2022 年 5 月，我们在 Scopus 和 Web of Science 数据库中搜索了发表的英文文章。
以有意义的方式应用 ANTS 系统的英文出版物，包括使用该系统指导数据收集、分析和报告。
由两名独立评审员进行研究筛选、数据提取和质量评估。我们使用 Joanna Briggs 研究所的批判性评价清单评估纳入研究的质量。采用框架分析方法对纳入的文章进行总结和综合。
确定了 54 项研究。ANTS 系统应用于广泛的研究目标、环境和分析单位。这些研究中使用的方法多种多样，包括定量（n=42）、混合（n=8）和定性（n=4）方法。大多数研究（n=47）使用 ANTS 系统来指导数据收集。报告的最常见可靠性统计数据是评分者间可靠性（n=35）。51 项（94%）研究报告了有效性证据。ANTS 系统的定性应用结果为跨学科分析和生成新理论提供了参考。
我们的研究结果表明，ANTS 系统已在广泛的研究中使用。它是评估非技术技能的有效工具。研究评估和实施 ANTS 系统以在临床环境中进行培训的方法，有望显著提高员工绩效和患者安全的持续改进。
CRD42022297773。
