scholarly journals Ameliyathane Cerrahi Ekibinin Teknik Olmayan Becerilere İlişkin Tutumlarının Belirlenmesi - Determinatoin of Operating Room Surgical Team Attitudes Related To Non-Technical Skills

2016 ◽  
Vol 8 (15) ◽  
pp. 66
Author(s):  
İzzet AYDEMİR ◽  
Türkan YILDIRIM
Keyword(s):  
Operating Room ◽  
Technical Skills ◽  
Surgical Team

scholarly journals Non-technical Skill Assessment Tools for Surgical Team Members in the Operating Room: A Critical Review

2020 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Peigham Heidarpoor ◽  
Shahram Yazdani ◽  
Leila Sadati
Keyword(s):  
Operating Room ◽  
Critical Review ◽  
Technical Skills ◽  
Technical Skill ◽  
Assessment Tools ◽  
Skill Assessment ◽  
Surgical Team ◽  
Team Members ◽  
Technical Performance ◽  
Surgical Teams

Context: The operating room is a unique environment in which learning happens through interactions with others and facing complex situations. The results of studies show that non-technical skills play a key role in successful technical performance in critical situations. Therefore, the identification and assessment of them are very valuable. This review study was performed to identify and critique non-technical skill assessment tools for surgical team members. Evidence Acquisition: The Carnwell and Daly critical review method was used for the study design. Articles and documents were searched in databases of PubMed, Google Scholar, Scopus, and ScienceDirect from 1999 to 2019. Results: This literature review yielded 13 assessment tools of non-technical skills in the operating room, including ANTS, AS-NTS, N-ANTS, ANTS-AP for the anesthesia team, OTAS, Oxford NOTEHS, Oxford NOTECHS II, and Revised NOTECHS for the surgical team, SPINTS for scrub nurses, and OSANTS, NOTSS, SDM-RS, and SLI for surgeons. Conclusions: Since the development of the tools depends entirely on the context and task analysis of any member of the surgical team, all countries must customize the available tools and develop similar tools for other members of surgical teams.

Debriefing Surgeons on Non-Technical Skills in the Operating Room - Results from a Pilot Study

2007 ◽  
Vol 51 (11) ◽  
pp. 663-667
Author(s):  
S. Yule ◽  
R. Flin ◽  
N. Maran ◽  
D. Rowley ◽  
G. Youngson ◽  
...  
Keyword(s):  
Operating Room ◽  
Cognitive Skills ◽  
Technical Skills ◽  
Assessment Tools ◽  
Valuable Adjunct ◽  
Surgical Trainees ◽  
Operative Surgery ◽  
Enhance Patient Safety ◽  
Behaviour Rating ◽  
Current Assessment

Briefing and debriefing are common practices for safety in high risk industries but are not systematically done in surgery. Regular debriefing of performance after operative surgery can greatly assist surgical trainees' development and help optimize learning from the limited time they spend in the Operating Room (OR). We developed and tested the NOTSS (Non-Technical Skills for Surgeons) behaviour rating system with subject matter experts. It allows surgeons to observe trainees' behaviour in the OR and provide them with structured feedback for improvement. This paper describes process of debriefing and the results of a pilot usability trial. The majority of participants reported that the NOTSS system was useful for debriefing trainees, provided a common language to discuss non-technical skills, and was a valuable adjunct to current assessment tools. Some surgeons found interpersonal skills more difficult to rate than cognitive skills. 73% felt that routine use of the system would enhance patient safety.

scholarly journals Variability in Anesthesia Models of Care in Cardiac Surgery

Surgeries ◽  
2021 ◽  
Vol 2 (1) ◽  
pp. 1-8
Author(s):  
Dianne McCallister ◽  
Bethany Malone ◽  
Jennifer Hanna ◽  
Michael S. Firstenberg
Keyword(s):  
Cardiac Surgery ◽  
Best Practices ◽  
Operating Room ◽  
Models Of Care ◽  
Surgical Team ◽  
Cardiac Anesthesia ◽  
Complex Environment ◽  
Surgical Case ◽  
Cardiac Procedures ◽  
Cardiac Operations

The operating room in a cardiothoracic surgical case is a complex environment, with multiple handoffs often required by staffing changes, and can be variable from program to program. This study was done to characterize what types of practitioners provide anesthesia during cardiac operations to determine the variability in this aspect of care. A survey was sent out via a list serve of members of the cardiac surgical team. Responses from 40 programs from a variety of countries showed variability across every dimension requested of the cardiac anesthesia team. Given that anesthesia is proven to have an influence on the outcome of cardiac procedures, this study indicates the opportunity to further study how this variability influences outcomes and to identify best practices.

Perioperative considerations in the management of cold agglutinin disease in laparoscopic surgery

2021 ◽  
Vol 14 (5) ◽  
pp. e241294
Author(s):  
Yisi D Ji ◽  
Paul M Cavallaro ◽  
Britlyn D Orgill
Keyword(s):  
Case Report ◽  
Laparoscopic Surgery ◽  
Acute Cholecystitis ◽  
Operating Room ◽  
Patient Outcomes ◽  
Cold Agglutinin ◽  
Surgical Team ◽  
Cold Agglutinin Disease ◽  
Disease Exacerbation ◽  
Multidisciplinary Collaboration

An 80-year-old man with idiopathic cold agglutinin disease presented with acute cholecystitis. We describe operating room and anaesthetic considerations for patients with cold agglutinin disease and measures that can be taken to prevent disease exacerbation in this case report. Multidisciplinary collaboration and planning between the operative room staff, anaesthesia team and surgical team are needed to ensure safe surgery and optimal patient outcomes.

scholarly journals Comprehensive Training Curricula for Minimally Invasive Surgery

2011 ◽  
Vol 3 (3) ◽  
pp. 293-298 ◽  
Author(s):  
Vanessa N Palter
Keyword(s):  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Operating Room ◽  
Invasive Surgery ◽  
Simulation Training ◽  
Technical Skills ◽  
Laboratory Simulation ◽  
Viable Systems ◽  
Skills Laboratory ◽  
Comprehensive Curriculum

Abstract Background The unique skill set required for minimally invasive surgery has in part contributed to a certain portion of surgical residency training transitioning from the operating room to the surgical skills laboratory. Simulation lends itself well as a method to shorten the learning curve for minimally invasive surgery by allowing trainees to practice the unique motor skills required for this type of surgery in a safe, structured environment. Although a significant amount of important work has been done to validate simulators as viable systems for teaching technical skills outside the operating room, the next step is to integrate simulation training into a comprehensive curriculum. Objectives This narrative review aims to synthesize the evidence and educational theories underlining curricula development for technical skills both in a broad context and specifically as it pertains to minimally invasive surgery. Findings The review highlights the critical aspects of simulation training, such as the effective provision of feedback, deliberate practice, training to proficiency, the opportunity to practice at varying levels of difficulty, and the inclusion of both cognitive teaching and hands-on training. In addition, frameworks for integrating simulation training into a comprehensive curriculum are described. Finally, existing curricula on both laparoscopic box trainers and virtual reality simulators are critically evaluated.

scholarly journals Factors Predicting Operating Room Time in Ureteroscopy and Ureterorenoscopy

2018 ◽  
Vol 12 (4) ◽  
pp. 195-200
Author(s):  
Ioannis KatafigiotisItay ◽  
Itay M. Sabler ◽  
Eliyahu M. Heifetz ◽  
Ayman Isid ◽  
Stavros Sfoungaristos ◽  
...  
Keyword(s):  
Operating Room ◽  
Renal Stones ◽  
Demographic Parameters ◽  
Surgical Team ◽  
X Ray ◽  
Multiple Parameters ◽  
Surgeon Experience ◽  
Regression Test ◽  
Room Time ◽  
Operating Room Time

Backgrounds/Aims: Operation room (OR) time is of great value affecting surgical outcome, complications and the daily surgical program with financial implications. Methods: We retrospectively evaluated 570 consecutive patients submitted to ureteroscopy or ureterorenoscopy for the treatment of ureteral or renal stones. Demographic parameters, patient's stones characteristics, type of ureteroscope, surgeon experience and surgical theater characteristics were analyzed. OR time was calculated from the initiation of anesthesia to patient extubation. Multivariate analysis was conducted using a linear regression test with multiple parameters to identify predictors of OR time. Results: Eight factors were identified as significant. These include total stones volume, ureteroscope used, stone number, nurses experience, radio-opacity of the stone on kidney-ureter-bladder X-ray, main surgeon experience, operating room type, and having a nephrostomy tube prior to surgery. Conclusions: The surgical team experience and familiarity with endourological procedure, and the surgical room characteristics has a crucial impact on OR time and effectiveness.

Novel use of electronic whiteboard in the operating room increases surgical team compliance with pre-incision safety practices

Surgery ◽  
2012 ◽  
Vol 151 (5) ◽  
pp. 660-666 ◽  
Author(s):  
Rajshri Mainthia ◽  
Timothy Lockney ◽  
Alexandr Zotov ◽  
Daniel J. France ◽  
Marc Bennett ◽  
...  
Keyword(s):  
Operating Room ◽  
Surgical Team ◽  
Safety Practices ◽  
Electronic Whiteboard

scholarly journals Sources of staphylococcal infection in surgical wound sepsis

1963 ◽  
Vol 61 (1) ◽  
pp. 83-94 ◽  
Author(s):  
H. F. M. Bassett ◽  
W. G. Ferguson ◽  
E. Hoffman ◽  
M. Walton ◽  
Robert Blowers ◽  
...  
Keyword(s):  
Operating Room ◽  
Nasal Carriage ◽  
Staphylococcal Infection ◽  
Surgical Team ◽  
Equal Frequency ◽  
Hospital Workers ◽  
Wound Sepsis ◽  
Skin Preparation ◽  
Staph Aureus ◽  
Different Types

1. In two hospitals, post-operative staphylococcal wound sepsis occurred with equal frequency in patients who were and in those who were not nasal carriers of Staph. aureus.2. Nasal carriage of Staph. aureus was not always associated with skin carriage at the site of operation, but even patients who were skin carriers suffered no more sepsis than non-carriers.3. Self-infection was a less frequent cause of sepsis than was cross-infection. Other investigations of this type have revealed conflicting findings on the frequency of self-infection. These may be due to differences in the epidemiological properties of staphylococci infesting the hospitals; to different methods of preoperative skin preparation; and to the different types of operation concerned.4. In one of the hospitals, 31% of probable operating-room infections were with organisms similar to those carried by some member of the surgical team. In infections thought to have occurred in the ward, only 10% showed this similarity. In 11 of 35 presumed operating-room infections, the source may have been a member of the surgical team.For help and co-operation we are grateful to Mr G. A. Mason, Senior Surgeon, Newcastle Regional Thoracic Surgery Service; and Dr Joan Millar, Miss G. Jones, Miss E. Smith, Mrs Jean Best, Miss Winifred Mahon, Dr K. Hodgkin, Dr W. Stewart, Mr S. Griffin, Mr W. C. Barnsley, Mr R. Dobson, Mr W. H. Bound, and many nurses and other hospital workers. Our especial thanks are due to Professor R. E. O. Williams, who phage-typed many of the staphylococci, and then taught us to do this for ourselves.

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