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 language | English |
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Journal | American Journal of Surgery |
Volume | 206 |
Issue number | 5 |
Pages (from-to) | 810-817 |
Number of pages | 8 |
ISSN | 0002-9610 |
DOIs | |
Publication status | Published - Nov 2013 |