A method for measuring threats and errors in surgery

K. R. Catchpole, A. E B Giddings, G. Hirst, T. Dale, Giles J. Peek, M. R. De Leval

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

We examined the measurement of non-technical skills for surgical teams using a framework derived from aviation. Twenty four paediatric cardiac surgical and 20 orthopaedic operations were studied by a single observer. Predefined intraoperative failures were recorded, from which it was possible to derive measures of technical errors, threats, and non-technical errors (NTEs). A second non-technical scoring (NTS) method was used which required the observer to give a score from 1 to 4 on the four dimensions of the scale for three stages of each operation. There was a significant positive relationship between NTEs and operative duration in orthopaedic surgery (p < 0.01). In paediatric cardiac surgery, the ranked NTS measures correlated positively with the number of threats (p < 0.005) and with operative duration (p < 0.005). Non-technical skills measures (ranked NTS and NTEs) were also significantly positively correlated (p < 0.01). This suggests that it is possible to evaluate non-technical skills in operating theatre teams, but further work is needed to improve the reliability and accuracy of the measurement methods.

Original languageEnglish (US)
Pages (from-to)295-304
Number of pages10
JournalCognition, Technology and Work
Volume10
Issue number4
DOIs
StatePublished - Oct 2008
Externally publishedYes

Fingerprint

Surgery
Pediatrics
Orthopedics
Theaters
Aviation
Threat
Scoring
Observer

Keywords

  • Error
  • Non-technical skills
  • Safety
  • Surgery
  • Teamwork

ASJC Scopus subject areas

  • Computer Science Applications
  • Human-Computer Interaction

Cite this

Catchpole, K. R., Giddings, A. E. B., Hirst, G., Dale, T., Peek, G. J., & De Leval, M. R. (2008). A method for measuring threats and errors in surgery. Cognition, Technology and Work, 10(4), 295-304. https://doi.org/10.1007/s10111-007-0093-9

A method for measuring threats and errors in surgery. / Catchpole, K. R.; Giddings, A. E B; Hirst, G.; Dale, T.; Peek, Giles J.; De Leval, M. R.

In: Cognition, Technology and Work, Vol. 10, No. 4, 10.2008, p. 295-304.

Research output: Contribution to journalArticle

Catchpole, KR, Giddings, AEB, Hirst, G, Dale, T, Peek, GJ & De Leval, MR 2008, 'A method for measuring threats and errors in surgery', Cognition, Technology and Work, vol. 10, no. 4, pp. 295-304. https://doi.org/10.1007/s10111-007-0093-9
Catchpole, K. R. ; Giddings, A. E B ; Hirst, G. ; Dale, T. ; Peek, Giles J. ; De Leval, M. R. / A method for measuring threats and errors in surgery. In: Cognition, Technology and Work. 2008 ; Vol. 10, No. 4. pp. 295-304.
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