Development of a prototype behavioural marker system for anaesthetists non-technical skills

Georgina Fletcher, Rhona Flin, Peter McGeorge, R. Glavin, N. Maran, Rona Elizabeth Patey

Research output: Contribution to journalArticle

Abstract

Studies of performance in medicine are often based on observation. Videotape provides a valuable tool for recording events from both real environments and simulators. When analysing observational data it is important that robust tools are used, particularly when investigating non-technical (cognitive and social) skills. This paper describes the method used to identify the key non-technical skills required in anaesthesia and to develop a behavioural marker system for their measurement. A prototype taxonomy was designed on the basis of a literature review; an examination of existing marker systems; cognitive task analysis interviews; an iterative development process involving workshops; and cross-checking in theatre. The resulting anaesthetists non-technical skills (ANTS) system comprises four skill categories (task management, team working, situation awareness, and decision making) that divide into 15 elements, each with example behaviours. Preliminary evaluation using ratings of videotaped scenarios indicated that the skills were observable and could be rated with reasonable agreement.
Original languageEnglish
Pages (from-to)165-171
Number of pages7
JournalCognition, Technology & Work
Volume6
Issue number3
DOIs
Publication statusPublished - 2004

Fingerprint

Theaters
Taxonomies
Medicine
Simulators
Decision making
Prototype
Taxonomy
Decision Making
Scenarios
Evaluation
Simulator
Social Skills
Anesthesia
Rating
Literature Review

Keywords

  • non-technical skills
  • behavioural marker system
  • anaesthesia
  • performance assessment
  • cognitive task analysis

Cite this

Development of a prototype behavioural marker system for anaesthetists non-technical skills. / Fletcher, Georgina; Flin, Rhona; McGeorge, Peter; Glavin, R.; Maran, N.; Patey, Rona Elizabeth.

In: Cognition, Technology & Work, Vol. 6, No. 3, 2004, p. 165-171.

Research output: Contribution to journalArticle

@article{dbe601c60ab64650ae252dad6bd47f4e,
title = "Development of a prototype behavioural marker system for anaesthetists non-technical skills",
abstract = "Studies of performance in medicine are often based on observation. Videotape provides a valuable tool for recording events from both real environments and simulators. When analysing observational data it is important that robust tools are used, particularly when investigating non-technical (cognitive and social) skills. This paper describes the method used to identify the key non-technical skills required in anaesthesia and to develop a behavioural marker system for their measurement. A prototype taxonomy was designed on the basis of a literature review; an examination of existing marker systems; cognitive task analysis interviews; an iterative development process involving workshops; and cross-checking in theatre. The resulting anaesthetists non-technical skills (ANTS) system comprises four skill categories (task management, team working, situation awareness, and decision making) that divide into 15 elements, each with example behaviours. Preliminary evaluation using ratings of videotaped scenarios indicated that the skills were observable and could be rated with reasonable agreement.",
keywords = "non-technical skills, behavioural marker system, anaesthesia, performance assessment, cognitive task analysis",
author = "Georgina Fletcher and Rhona Flin and Peter McGeorge and R. Glavin and N. Maran and Patey, {Rona Elizabeth}",
year = "2004",
doi = "10.1007/s10111-004-0158-y",
language = "English",
volume = "6",
pages = "165--171",
journal = "Cognition, Technology & Work",
issn = "1435-5558",
publisher = "Springer London",
number = "3",

}

TY - JOUR

T1 - Development of a prototype behavioural marker system for anaesthetists non-technical skills

AU - Fletcher, Georgina

AU - Flin, Rhona

AU - McGeorge, Peter

AU - Glavin, R.

AU - Maran, N.

AU - Patey, Rona Elizabeth

PY - 2004

Y1 - 2004

N2 - Studies of performance in medicine are often based on observation. Videotape provides a valuable tool for recording events from both real environments and simulators. When analysing observational data it is important that robust tools are used, particularly when investigating non-technical (cognitive and social) skills. This paper describes the method used to identify the key non-technical skills required in anaesthesia and to develop a behavioural marker system for their measurement. A prototype taxonomy was designed on the basis of a literature review; an examination of existing marker systems; cognitive task analysis interviews; an iterative development process involving workshops; and cross-checking in theatre. The resulting anaesthetists non-technical skills (ANTS) system comprises four skill categories (task management, team working, situation awareness, and decision making) that divide into 15 elements, each with example behaviours. Preliminary evaluation using ratings of videotaped scenarios indicated that the skills were observable and could be rated with reasonable agreement.

AB - Studies of performance in medicine are often based on observation. Videotape provides a valuable tool for recording events from both real environments and simulators. When analysing observational data it is important that robust tools are used, particularly when investigating non-technical (cognitive and social) skills. This paper describes the method used to identify the key non-technical skills required in anaesthesia and to develop a behavioural marker system for their measurement. A prototype taxonomy was designed on the basis of a literature review; an examination of existing marker systems; cognitive task analysis interviews; an iterative development process involving workshops; and cross-checking in theatre. The resulting anaesthetists non-technical skills (ANTS) system comprises four skill categories (task management, team working, situation awareness, and decision making) that divide into 15 elements, each with example behaviours. Preliminary evaluation using ratings of videotaped scenarios indicated that the skills were observable and could be rated with reasonable agreement.

KW - non-technical skills

KW - behavioural marker system

KW - anaesthesia

KW - performance assessment

KW - cognitive task analysis

U2 - 10.1007/s10111-004-0158-y

DO - 10.1007/s10111-004-0158-y

M3 - Article

VL - 6

SP - 165

EP - 171

JO - Cognition, Technology & Work

JF - Cognition, Technology & Work

SN - 1435-5558

IS - 3

ER -