Hostname: page-component-cd9895bd7-gvvz8 Total loading time: 0 Render date: 2024-12-27T21:57:56.000Z Has data issue: false hasContentIssue false
  • English
  • Français

Non-technical skills and otolaryngology: systematic review

Published online by Cambridge University Press:  08 May 2020

R Bannon ,
K E Stewart  and
M Bannister
R Bannon
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Victoria Hospital, Kirkcaldy, Fife, Scotland, UK
K E Stewart
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Victoria Hospital, Kirkcaldy, Fife, Scotland, UK
M Bannister*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Victoria Hospital, Kirkcaldy, Fife, Scotland, UK
*
Author for correspondence: Mr Miles Bannister, Department of Otolaryngology – Head and Neck Surgery, Victoria Hospital, Hayfield Road, Kirkcaldy, Fife KY2 5AH, Scotland, UK Email: miles.bannister@nhs.net
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectives

This study aimed to assess the published literature on non-technical skills in otolaryngology surgery and examine the applicability of any research to others’ practice, and to explore how the published literature can identify areas for further development and guide future research.

Methods

A systematic review was conducted using the following key words: ‘otolaryngology’, ‘otorhinolaryngology’, ‘ENT’, ‘ENT surgery’, ‘ear, nose and throat surgery’, ‘head and neck surgery’, ‘thyroid surgery’, ‘parathyroid surgery’, ‘otology’, ‘rhinology’, ‘laryngology’ ‘skull base surgery’, ‘airway surgery’, ‘non-technical skills’, ‘non technical skills for surgeons’, ‘NOTSS’, ‘behavioural markers’ and ‘behavioural assessment tool’.

Results

Three publications were included in the review – 1 randomised, controlled trial and 2 cohort studies – involving 78 participants. All were simulation-based studies involving training otolaryngology surgeons.

Conclusion

Little research has been undertaken on non-technical skills in otolaryngology. Training surgeons’ non-technical skill levels are similar across every tested aspect. The research already performed can guide further studies, particularly amongst non-training otolaryngology surgeons and in both emergency and elective non-simulated environments.

Keywords

OtolaryngologyOtorhinolaryngologic Surgical ProceduresTeachingTraining SupportCrisis Intervention
Type
Review Article
Information
The Journal of Laryngology & Otology , Volume 134 , Issue 5 , May 2020 , pp. 415 - 418
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Mr M Bannister takes responsibility for the integrity of the content of the paper

References

Vincent, C, Neale, G, Woloshynowych, M. Adverse events in British hospitals: preliminary retrospective record review. BMJ 2001;322:517–19CrossRefGoogle ScholarPubMed
National Services Scotland. Scottish Audit of Surgical Mortality Annual Report 2010. In: https://www.sasm.org.uk/Publications/SASM_Annual_Report_2010.pdf [15 April 2020]Google Scholar
Gawande, AA, Zinner, MJ, Studdert, DM, Brennan, TA. Analysis of errors reported by surgeons at three teaching hospitals. Surgery 2003;133:614–21CrossRefGoogle ScholarPubMed
Wilson, J. A Practical Guide to Risk Management in Surgery: Developing and Planning. Edinburgh: Royal College of Surgeons Symposium, 1999Google Scholar
Yule, S, Flin, R, Paterson-Brown, S, Maran, N, Rowley, D. Development of a rating system for surgeons’ non-technical skills. Med Educ 2006;40:1098–104CrossRefGoogle ScholarPubMed
Fletcher, G, Flin, R, McGeorge, P, Glavin, R, Maran, N, Patey, R. Anaesthetists’ Non-Technical Skills (ANTS): evaluation of a behavioural maker system. Br J Anaesth 2003;90:580–8CrossRefGoogle Scholar
Yule, S, Flin, R, Maran, N, Rowley, D, Youngson, G, Paterson-Brown, S. Surgeons’ non-technical skills in the operating room: reliability testing of the NOTSS behavior rating system. World J Surg 2008;32:548–56CrossRefGoogle ScholarPubMed
Yule, S, Rowley, D, Flin, R, Maran, N, Youngson, G, Duncan, J et al. Experience matters: comparing novice and expert ratings of non-technical skills using the NOTSS system. ANZ J Surg 2009;79:154–6010.1111/j.1445-2197.2008.04833.xCrossRefGoogle ScholarPubMed
Flin, R, Yule, S, Paterson-Brown, S, Maran, N, Rowley, D, Youngson, G. Teaching surgeons about non-technical skills. Surgeon 2007;5:86–9CrossRefGoogle ScholarPubMed
Crossley, J, Marriott, J, Purdie, H, Beard, JD. Prospective observational study to evaluate NOTSS (Non-Technical Skills for Surgeons) for assessing trainees’ non-technical performance in the operating theatre. Br J Surg 2011;98:1010–20CrossRefGoogle ScholarPubMed
Yule, S, Paterson-Brown, S. Surgeons’ non-technical skills. Surg Clin North Am 2012;92:37–50CrossRefGoogle ScholarPubMed
Yule, S, Gupta, A, Gazarian, D, Geraghty, A, Smink, DS, Beard, J et al. Construct and criterion validity testing of the Non-Technical Skills for Surgeons (NOTSS) behavior assessment tool using videos of simulated operations. Br J Surg 2018;105:719–27CrossRefGoogle ScholarPubMed
Heaton, SR, Little, Z, Akhtar, K, Ramachandran, M, Lee, J. Using simulation to train orthopaedic trainees in non-technical skills: a pilot study. World J Orthop 2016;7:475–80CrossRefGoogle ScholarPubMed
de Vries, AH, Schout, BM, van Merriënboer, JJ, Pelger, RC, Koldewijn, EL, Muijtjens, AM et al. High educational impact of a national simulation-based urological curriculum including technical and non-technical skills. Surg Endosc 2017;31:928–36CrossRefGoogle ScholarPubMed
Bierer, J, Memu, E, Leeper, WR, Fortin, D, Fréchette, E, Inculet, R et al. Development of an in situ thoracic crisis simulation focused on nontechnical skill training. Ann Thorac Surg 2018;106:287–92CrossRefGoogle Scholar
Hénaux, PL, Jannin, P, Riffaud, L. Nontechnical skills in neurosurgery: a systematic review of the literature. World Neurosurg 2019;1030:e726–3610.1016/j.wneu.2019.06.204CrossRefGoogle Scholar
Liberati, A, Altman, DG, Tetzlaff, J, Mulrow, C, Gøtzsche, PC, Ioannidis, JP et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ 2009;339:b270010.1136/bmj.b2700CrossRefGoogle ScholarPubMed
Chang, YC, Chou, LT, Lin, HL, Huang, SF, Shih, MC, Wu, MC et al. An interprofessional training program for intrahospital transport of critically ill patients: model build-up and assessment. J Interprof Care 2019;23:1–5CrossRefGoogle Scholar
Sahovaler, A, Eibling, DE, Bruni, I, Duvvuri, U, MacNeil, SD, Nichols, AC et al. Novel minimally invasive transoral bleeding model implemented in a nationwide otolaryngology emergencies bootcamp. J Robot Surg 2019;13:773–8CrossRefGoogle Scholar
Wu, KY, Kim, S, Fung, K, Roth, K. Assessing nontechnical skills in otolaryngology emergencies through simulation-based training. Laryngoscope 2018;128:2301–6CrossRefGoogle ScholarPubMed
Gostlow, H, Marlow, N, Thomas, MJW, Hewett, PJ, Kiermeier, A, Babidge, W et al. Non-technical skills of surgical trainees and experienced surgeons. Br J Surg 2017;104:777–85CrossRefGoogle ScholarPubMed
Amin, MR, Friedmann, DR. Simulation-based training in advanced airway skills in an otolaryngology residency program. Laryngoscope 2013;123:629–34CrossRefGoogle Scholar
Hogg, ES, Kinshuck, AJ, Littley, N, Lau, A, Tandon, S, Lancaster, J. A high-fidelity, fully immersive simulation course to replicate ENT and head and neck emergencies. J Laryngol Otol 2019;133:115–1810.1017/S0022215118002347CrossRefGoogle ScholarPubMed
Nguyen, LHP, Bank, I, Fisher, R, Mascarella, M, Young, M. Managing the airway catastrophe: longitudinal simulation-based curriculum to teach airway management. J Otolaryngol Head Neck Surg 2019;48:1010.1186/s40463-019-0332-0CrossRefGoogle ScholarPubMed
Hall, C, Okhovat, S, Milner, TD, Montgomery, J, Hitchings, A, Kunanandam, T et al. Simulation training in laser safety education: the use of technical and non-technical skills simulation in a comprehensive laser safety course. J Laryngol Otol 2019;133:700–310.1017/S0022215119001506CrossRefGoogle Scholar
Chin, CJ, Chin, CA, Roth, K, Rotenberg, BW, Fung, K. Simulation-based otolaryngology – head and neck surgery boot camp: ‘how I do it’. J Laryngol Otol 2016;130:284–90CrossRefGoogle Scholar
Deutsch, ES, Malloy, KM, Malekzadeh, S. Simulation-based otorhinolaryngology emergencies boot camp. Part 3: complex teamwork scenarios and conclusions. Laryngoscope 2014;124:1570–2CrossRefGoogle ScholarPubMed
Kovatch, KJ, Wertz, AP, Carle, TR, Harvey, RS, Bohm, LA, Thorne, MC et al. Optimal timing of entry-level otolaryngology simulation. OTO Open 2019;3:2473974X19845851CrossRefGoogle ScholarPubMed
Siu, J, Maran, N, Paterson-Brown, S. Observation of behavioural markers of non-technical skills in the operating room and their relationship to intra-operative incidents. Surgeon 2016;14:119–28CrossRefGoogle ScholarPubMed