The online version of this article (doi:10.1186/s12884-017-1274-z) contains supplementary material, which is available to authorized users.
Simulation in healthcare has proved to be a useful method in improving skills and increasing the safety of clinical operations. The debriefing session, after the simulated scenario, is the core of the simulation, since it allows participants to integrate the experience with the theoretical frameworks and the procedural guidelines. There is consistent evidence for the relevance of non-technical skills (NTS) for the safe and efficient accomplishment of operations. However, the observation, assessment and feedback on these skills is particularly complex, because the process needs expert observers and the feedback is often provided in judgmental and ineffective ways. The aim of this study was therefore to develop and test a set of observation and rating forms for the NTS behavioural markers of multi-professional teams involved in delivery room emergency simulations (MINTS-DR, Multi-professional Inventory for Non-Technical Skills in the Delivery Room).
The MINTS-DR was developed by adapting the existing tools and, when needed, by designing new tools according to the literature. We followed a bottom-up process accompanied by interviews and co-design between practitioners and psychology experts. The forms were specific for anaesthetists, gynaecologists, nurses/midwives, assistants, plus a global team assessment tool. We administered the tools in five editions of a simulation training course that involved 48 practitioners. Ratings on usability and usefulness were collected.
The mean ratings of the usability and usefulness of the tools were not statistically different to or higher than 4 on a 5-point rating scale. In either case no significant differences were found across professional categories.
The MINTS-DR is quick and easy to administer. It is judged to be a useful asset in maximising the learning experience that is provided by the simulation.
Additional file 1: NTS Team Behavioural markers observation form for the team performance in the delivery room. (PDF 170 kb)12884_2017_1274_MOESM1_ESM.pdf
Flin R, O’Connor P, Crichton M. Safety at the sharp end. A guide to non-technical skills. Aldershot: Ashgate; 2008.
Joint Commission on Accreditation of Healthcare Organizations. Sentinel event data root causes by event type 2004 - 2Q 2014: Joint Commission. [updated 10 January 2014; 7 November 2014] [downloaded 30 September 2015] Available from: http://www.tsigconsulting.com/tolcam/wp-content/uploads/2015/04/TJC-Sentinel-Event-Root_Causes_by_Event_Type_2004-2014.pdf. Accessed 15 Mar 2017.
White AA, Pichert JW, Bledsoe SH, Irwin C, Entman SS. Cause and effect analysis of closed claims in obstetrics and gynecology. Obstet Gynecol. 2005;105:1031Y1038. CrossRef
Cook DA, Hatala R, Brydges R, et al. Technology-enhanced simulation for health professions education: a systematic review and meta-analysis. JAMA. 2011;306:978–88. PubMed
Strachan B, Crofts J, James M, et al. Proof of principle study of the effect of individual and team drill on the ability of labour ward staff to manage acute obstetric emergencies. Birmingham: PSRP, Department of Health, Public Health, Epidemiology and Biostatistics, University of Birmingham; 2008.
Barelli A, Biasucci DG, Barelli R. Is simulation efficient to improve anaesthetists’ performance and patient outcome? Minerva Anestesiol. 2012;78(5):628. PubMed
Bressan F, Cabrini L. Simulation and non-technical skills: the way is correct but more accurate researches are mandatory. Minerva Anestesiol. 2012;78(11):1306. PubMed
Jackson KS, Hayes K, Hinshaw K. The relevance of non-technical skills in obstetrics and gynaecology. Obstet Gynaecol. 2013;15(4):269–74. CrossRef
Jepsen RMHG, Østergaard D, Dieckmann P. Development of instruments for assessment of individuals’ and teams’ non-technical skills in healthcare: A critical review. Cogn Technol Work. 2014;17(1):63–77. CrossRef
Rosson MB, Carroll JM. Usability engineering. Scenario-based development of human-computer interaction. San Francisco: Morgan Kaufmann Publishers; 2001.
Gaba DM, Howard SK, Flanagan B, et al. Assessment of clinical performance during simulated crises using both technical and behavioral ratings. Anaesthesiology. 1998;89:8–18. CrossRef
- Adaptation of non-technical skills behavioural markers for delivery room simulation
Gabriele De Tonetti
- BioMed Central
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