Reliable assessment of general surgeons' non-technical skills based on video-recordings of patient simulated scenarios

20 Citations (Scopus)

Abstract

Background Nontechnical skills are essential for safe and efficient surgery. The aim of this study was to evaluate the reliability of an assessment tool for surgeons' nontechnical skills, Non-Technical Skills for Surgeons dk (NOTSSdk), and the effect of rater training. Methods A 1-day course was conducted for 15 general surgeons in which they rated surgeons' nontechnical skills in 9 video recordings of scenarios simulating real intraoperative situations. Data were gathered from 2 sessions separated by a 4-hour training session. Results Interrater reliability was high for both pretraining ratings (Cronbach's α =.97) and posttraining ratings (Cronbach's α =.98). There was no statistically significant development in assessment skills. The D study showed that 2 untrained raters or 1 trained rater was needed to obtain generalizability coefficients >.80. Conclusions The high pretraining interrater reliability indicates that videos were easy to rate and Non-Technical Skills for Surgeons dk easy to use. This implies that Non-Technical Skills for Surgeons dk (NOTSSdk) could be an important tool in surgical training, potentially improving safety and quality for surgical patients.

Original languageEnglish
JournalAmerican Journal of Surgery
Volume206
Issue number5
Pages (from-to)810-817
Number of pages8
ISSN0002-9610
DOIs
Publication statusPublished - Nov 2013

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