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dc.contributor.authorGillespie, Brigid
dc.contributor.authorHarbeck, Emma
dc.contributor.authorKang, Evelyn
dc.contributor.authorSteel, Catherine
dc.contributor.authorFairweather, Nicole
dc.contributor.authorChaboyer, Wendy
dc.date.accessioned2017-06-09T02:59:59Z
dc.date.available2017-06-09T02:59:59Z
dc.date.issued2017
dc.identifier.issn2044-6055en_US
dc.identifier.doi10.1136/bmjopen-2016-014480en_US
dc.identifier.urihttp://hdl.handle.net/10072/339419
dc.description.abstractBackground: Communication and teamwork failures have frequently been identified as the root cause of adverse events and complications in surgery. Few studies have examined contextual factors that influence teams’ non-technical skills (NTS) in surgery. The purpose of this prospective study was to identify and describe correlates of NTS. Methods: We assessed NTS of teams and professional role at 2 hospitals using the revised 23-item Non-TECHnical Skills (NOTECHS) and its subscales (communication, situational awareness, team skills, leadership and decision-making). Over 6 months, 2 trained observers evaluated teams’ NTS using a structured form. Interobserver agreement across hospitals ranged from 86% to 95%. Multiple regression models were developed to describe associations between operative time, team membership, miscommunications, interruptions, and total NOTECHS and subscale scores. Results: We observed 161 surgical procedures across 8 teams. The total amount of explained variance in NOTECHS and its 5 subscales ranged from 14% (adjusted R2 0.12, p<0.001) to 24% (adjusted R2 0.22, p<0.001). In all models, inverse relationships between the total number of miscommunications and total number of interruptions and teams’ NTS were observed. Conclusions: Miscommunications and interruptions impact on team NTS performance.en_US
dc.description.peerreviewedYesen_US
dc.languageEnglishen_US
dc.publisherBMJ Publishing Groupen_US
dc.relation.ispartofpagefrome014480-1en_US
dc.relation.ispartofpagetoe014480-9en_US
dc.relation.ispartofissue1en_US
dc.relation.ispartofjournalBMJ Openen_US
dc.relation.ispartofvolume7en_US
dc.subject.fieldofresearchClinical Sciences not elsewhere classifieden_US
dc.subject.fieldofresearchcode110399en_US
dc.titleCorrelates of non-technical skills in surgery: a prospective studyen_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Peer Reviewed (HERDC)en_US
dc.type.codeC - Journal Articlesen_US
dcterms.licensehttp://creativecommons.org/licenses/by-nc/4.0/en_US
gro.facultyGriffith Health, School of Nursing and Midwiferyen_US
gro.rights.copyright© The Author(s) 2017. Published by the BMJ Publishing Group Limited. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/en_US
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