Enhancing Surgical Performance: A Primer in Non-Technical Skills (Paperback)

SURGICAL PERFORMANCE: RECOGNITION OF THE CHALLENGE

Intraoperative Performance, Non?Technical Skills and Surgical Safety
Introduction
Surgical Skills
Non-Technical Skills
What Non-Technical Skills Are Not
Factors Influencing Surgical Performance
Surgical Error
About this Book

Human Factors: The Science Behind Non?Technical Skills
Introduction
Human Factors Science
Evolution of Non-Technical Skills
Non-Technical Skills for Pilots
NOTECHS: Non-Technical Skills for Pilots
Non-Technical Skills in Other Industries
Non-Technical Skills in Health Care
Summary

Non-Technical Skills for Surgeons: The NOTSS Behaviour Marker System
Overview
NOTSS System
Using NOTSS
Underpinning Theory of Non-Technical Skills
Non-Technical Skills at Work in the Operating Room
New Developments with NOTSS Since the Taxonomy Was Published
Importance of NOTSS for Surgeons and Patients
Conclusion

UNDERPINNING CONCEPTS

Situation Awareness
Introduction
Human Memory System
Model of Situation Awareness
Influencing Factors
Training Situation Awareness
Assessing Situation Awareness
Summary

Decision Making
Introduction
Model of Intra-Operative Decision Making
Decision-Making Methods: What Shall I Do?
Factors Influencing Intra-Operative Decision Making
Training Surgeons’ Intra-Operative Decision Making
Assessing Surgeons’ Intra-Operative Decision-Making Skills
Summary

Teamwork and Communication
Introduction
Exchanging Information
Establishing a Shared Understanding
Co-Ordinating Team Activities
Interventions to Improve Teamworking and Communication
Conclusion

Leadership
Introduction
Leadership in NOTSS
Setting and Maintaining Standards
Supporting Others
Coping with Pressure
Surgeons’ Leadership Inventory
Conclusion

Performance-Shaping Factors
Introduction
Stress in Surgery
Fatigue
Conclusion

IMPLEMENTATION AND IMPROVEMENT

Training Methods For Non-Technical Skills
Introduction
Training Design and Development for Non-Technical Skills
Evaluation
Integrating Non-Technical Skills Training into Surgical Training
Training Modalities
Practical Matters and Future Possibilities

Assessing Non-Technical Skills in the Operating Room
Introduction
Emergence of Non-Technical Skills Assessment
Principles of Assessment
Behavioural Marker Systems
Practical Issues and Problems with Behavioural Marker Systems
Current Methods for Assessing Surgeons
Summary

What Next? Development of Non?Technical Skills
Acquisition: Education in Patient Safety and Non-Technical Skills
Using, Developing and Enhancing Non-Technical Skills
Coaching and Debriefing Using Non-Technical Skills for Surgeons
Non-Technical Skills and Quality Improvement
Safety Management Systems
Safety Culture and Non-Technical Skills
Liability, Indemnity and Non-Technical Skills
Adverse Event Analysis and Non-Technical Skills
Demonstrating and Retaining Competence in Non-Technical Skills
Limits and Boundaries
Conclusions