S-TEAMS: A Truly Multiprofessional Course Focusing on Nontechnical Skills to Improve Patient Safety in the Operating Theater

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• 作者：Emma Stewart-Parker ; MRCS (Eng) ; MA (Cantab) ; BM^* ; ^{e.p.stewart-parker@doctors.org.uk} ; Robert Galloway ; FCEM ; MRCP ; BSc ; MBBS^&dagger ; ; Stella Vig ; FRCS (Eng) ; MCh ; MBBCh ; BSc^*
• 关键词：nontechnical skills ; human factors ; multiprofessional training ; simulation ; patient safety
• 刊名：Journal of Surgical Education
• 出版年：2017
• 出版时间：January-February 2017
• 年：2017
• 卷：74
• 期：1
• 页码：137-144
• 全文大小：539 K
• 卷排序：74

文摘

Possessing adequate nontechnical skills (NTS) in operating theaters is of increasing interest to health care professionals, yet these are rarely formally taught. Teams make human errors despite technical expertise and knowledge, compromising patient safety. We designed a 1-day, multiprofessional, multidisciplinary course to teach, practice, and apply these skills through simulation.MethodsThe course, “S-TEAMS,” comprised a morning of lectures, case studies, and interactive teamworking exercises. The afternoon divided the group into multiprofessional teams to rotate around simulated scenarios. During the scenarios, teams were encouraged to focus on NTS, including communication strategies, situational awareness, and prompts such as checklists. A thorough debrief with experienced clinician observers followed. Data was collected through self-assessments, immediate and 6-month feedback to assess whether skills continued to be used and their effect on safety.FindingsIn total, 68 health care professionals have completed the course thus far. All participants felt the course had a clear structure and that learning objectives were explicit. Overall, 95% felt the scenarios had good or excellent relevance to clinical practice. Self-assessments revealed a 55% increase in confidence for “speaking up” in difficult situations. Long-term data revealed 97% of the participants continued to use the skills, with 88% feeling the course had prevented them from making errors. Moreover, 94% felt the course had directly improved patient safety.ConclusionsThere is a real demand and enthusiasm for developing NTS within the modern theater team. The simple and easily reproducible format of S-TEAMS is sustainable and inclusive, and crucially, the skills taught continue to be used in long term to improve patient safety and teamworking.