Safe Eye Surgery

Non-technical aspects

A Azuara-Blanco, Jill Wilkinson, Rhona Flin, A. Reddy

Research output: Contribution to journalArticle

8 Citations (Scopus)
4 Downloads (Pure)

Abstract

The traditional training of surgeons focused exclusively on developing knowledge, clinical expertise, and technical (surgical) skills. However, analyses of the reasons for adverse events in surgery have revealed that many underlying causes originate from behavioural or non-technical aspects of performance (eg, poor communication among members of the surgical team) rather than from a lack of surgical (ie, technical) skills. Therefore, technical skills appear to be necessary but not sufficient to ensure patient safety. Paying attention to non-technical skills, such as team working, leadership, situation awareness, decision making, and communication, will increase the likelihood of maintaining high levels of error-free performance. Identification and training of non-technical skills has been developed for high-risk careers, such as civil aviation and nuclear power. Only recently, training in non-technical skills has been adopted by the surgical world and anaesthetists. Non-technical skills need to be tailored to the environment where they are used, and eye surgery has some substantial differences compared with other surgical areas, for example, high volume of surgery, use of local anaesthetics, and very sophisticated equipment. This review highlights the need for identification of the non-technical skills relevant to eye surgeons and promotion of their use in the training of eye surgeons.

Original languageEnglish
Pages (from-to)1109-1111
Number of pages3
JournalEye
Volume25
DOIs
Publication statusPublished - Sep 2011

Fingerprint

Communication
Professional Competence
Aviation
Patient Safety
Local Anesthetics
Decision Making
Equipment and Supplies
Surgeons
Identification (Psychology)
Anesthetists

Cite this

Azuara-Blanco, A., Wilkinson, J., Flin, R., & Reddy, A. (2011). Safe Eye Surgery: Non-technical aspects. Eye, 25, 1109-1111. https://doi.org/10.1038/eye.2011.127

Safe Eye Surgery : Non-technical aspects. / Azuara-Blanco, A; Wilkinson, Jill; Flin, Rhona; Reddy, A.

In: Eye, Vol. 25, 09.2011, p. 1109-1111.

Research output: Contribution to journalArticle

Azuara-Blanco, A, Wilkinson, J, Flin, R & Reddy, A 2011, 'Safe Eye Surgery: Non-technical aspects', Eye, vol. 25, pp. 1109-1111. https://doi.org/10.1038/eye.2011.127
Azuara-Blanco A, Wilkinson J, Flin R, Reddy A. Safe Eye Surgery: Non-technical aspects. Eye. 2011 Sep;25:1109-1111. https://doi.org/10.1038/eye.2011.127
Azuara-Blanco, A ; Wilkinson, Jill ; Flin, Rhona ; Reddy, A. / Safe Eye Surgery : Non-technical aspects. In: Eye. 2011 ; Vol. 25. pp. 1109-1111.
@article{c8561db3e16d4d649e61711fba3668f4,
title = "Safe Eye Surgery: Non-technical aspects",
abstract = "The traditional training of surgeons focused exclusively on developing knowledge, clinical expertise, and technical (surgical) skills. However, analyses of the reasons for adverse events in surgery have revealed that many underlying causes originate from behavioural or non-technical aspects of performance (eg, poor communication among members of the surgical team) rather than from a lack of surgical (ie, technical) skills. Therefore, technical skills appear to be necessary but not sufficient to ensure patient safety. Paying attention to non-technical skills, such as team working, leadership, situation awareness, decision making, and communication, will increase the likelihood of maintaining high levels of error-free performance. Identification and training of non-technical skills has been developed for high-risk careers, such as civil aviation and nuclear power. Only recently, training in non-technical skills has been adopted by the surgical world and anaesthetists. Non-technical skills need to be tailored to the environment where they are used, and eye surgery has some substantial differences compared with other surgical areas, for example, high volume of surgery, use of local anaesthetics, and very sophisticated equipment. This review highlights the need for identification of the non-technical skills relevant to eye surgeons and promotion of their use in the training of eye surgeons.",
author = "A Azuara-Blanco and Jill Wilkinson and Rhona Flin and A. Reddy",
year = "2011",
month = "9",
doi = "10.1038/eye.2011.127",
language = "English",
volume = "25",
pages = "1109--1111",
journal = "Eye",
issn = "0950-222X",
publisher = "Nature Publishing Group",

}

TY - JOUR

T1 - Safe Eye Surgery

T2 - Non-technical aspects

AU - Azuara-Blanco, A

AU - Wilkinson, Jill

AU - Flin, Rhona

AU - Reddy, A.

PY - 2011/9

Y1 - 2011/9

N2 - The traditional training of surgeons focused exclusively on developing knowledge, clinical expertise, and technical (surgical) skills. However, analyses of the reasons for adverse events in surgery have revealed that many underlying causes originate from behavioural or non-technical aspects of performance (eg, poor communication among members of the surgical team) rather than from a lack of surgical (ie, technical) skills. Therefore, technical skills appear to be necessary but not sufficient to ensure patient safety. Paying attention to non-technical skills, such as team working, leadership, situation awareness, decision making, and communication, will increase the likelihood of maintaining high levels of error-free performance. Identification and training of non-technical skills has been developed for high-risk careers, such as civil aviation and nuclear power. Only recently, training in non-technical skills has been adopted by the surgical world and anaesthetists. Non-technical skills need to be tailored to the environment where they are used, and eye surgery has some substantial differences compared with other surgical areas, for example, high volume of surgery, use of local anaesthetics, and very sophisticated equipment. This review highlights the need for identification of the non-technical skills relevant to eye surgeons and promotion of their use in the training of eye surgeons.

AB - The traditional training of surgeons focused exclusively on developing knowledge, clinical expertise, and technical (surgical) skills. However, analyses of the reasons for adverse events in surgery have revealed that many underlying causes originate from behavioural or non-technical aspects of performance (eg, poor communication among members of the surgical team) rather than from a lack of surgical (ie, technical) skills. Therefore, technical skills appear to be necessary but not sufficient to ensure patient safety. Paying attention to non-technical skills, such as team working, leadership, situation awareness, decision making, and communication, will increase the likelihood of maintaining high levels of error-free performance. Identification and training of non-technical skills has been developed for high-risk careers, such as civil aviation and nuclear power. Only recently, training in non-technical skills has been adopted by the surgical world and anaesthetists. Non-technical skills need to be tailored to the environment where they are used, and eye surgery has some substantial differences compared with other surgical areas, for example, high volume of surgery, use of local anaesthetics, and very sophisticated equipment. This review highlights the need for identification of the non-technical skills relevant to eye surgeons and promotion of their use in the training of eye surgeons.

U2 - 10.1038/eye.2011.127

DO - 10.1038/eye.2011.127

M3 - Article

VL - 25

SP - 1109

EP - 1111

JO - Eye

JF - Eye

SN - 0950-222X

ER -