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Human Factors, Nontechnical Skills, and Surgical Training

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Simulation Training in Laparoscopy and Robotic Surgery

Abstract

The performance of professionals in the health-care or any other industry is subject to human error. The acknowledgment of human error as ubiquitous and inevitable is the key premise for understanding the importance of human factors. Nontechnical skills (NTS) can improve performance, and attempts have been made to quantify this ambiguous quality. The implementation of NTS into training is possible as experience from flight crew training and aircraft maintenance personnel show. A number of factors that influence human performance negatively have been identified. For instance, stress and fatigue have a negative impact on the performance of surgeons, although this effect to a large extent is neglected among surgeons. Simulation training can facilitate NTS training by integrating elements of, e.g., stress in a simulated environment and thereby prepare surgeons for challenges in patient care and improve surgical training.

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References

  1. Dupont G. The dirty dozen errors in aviation maintenance. In: Meeting proceedings eleventh Federal Aviation Administration meeting on human factors issues in aircraft maintenance and inspection: human error in aviation maintenance, Washington, D.C.; 1997. p. 45–9.

    Google Scholar 

  2. Human Factors, OSD, Safety Regulation Group, Civil Aviation Authority UK, Aviation Maintenance Human Factors (JAA JAR145). 2002, Documedia Solutions Ltd, 37 Windsor Street, Cheltenham, Glos., GL52 2DG.

    Google Scholar 

  3. Helmreich RL, Merritt AC, Wilhelm JA. The evolution of Crew Resource Management training in commercial aviation. Int J Aviat Psychol. 1999;9(1):19–32.

    Article  PubMed  CAS  Google Scholar 

  4. Mishra A, Catchpole K, McCulloch P. The Oxford NOTECHS System: reliability and validity of a tool for measuring teamwork behavior in the operating theatre. Qual Saf Health Care. 2009;18(2):104–8.

    Article  PubMed  CAS  Google Scholar 

  5. Flin R, Patey R, Glavin R, Maran N. Anaesthetists’ non-technical skills. Br J Anaesth. 2010;105(1):38–44.

    Article  PubMed  CAS  Google Scholar 

  6. Aggarwal R, Crochet P, Dias A, Misra A, Ziprin P, Darzi A. Development of a virtual reality training curriculum for laparoscopic cholecystectomy. Br J Surg. 2009;96:1086–93.

    Article  PubMed  CAS  Google Scholar 

  7. Sexton JB, Thomas EJ, Helmreich RL. Error, stress, and teamwork in medicine and aviation: cross sectional surveys. BMJ. 2000;320(7237):745–9.

    Article  PubMed  CAS  Google Scholar 

  8. Gaba DM, Howard SK. Patient safety: fatigue among clinicians and the safety of patients. N Engl J Med. 2002;347(16):1249–55.

    Article  PubMed  Google Scholar 

  9. Arora S, Sevdalis N, Nestel D, Woloshynowych M, Drazi A, Kneebone R. The impact of stress on surgical performance: a systematic review of the literature. Surgery. 2010;147(3):318–30, 330 e1–6.

    Article  PubMed  Google Scholar 

  10. Arora S, Sevdalis N, Aggarwal R, Srimanna P, Darzi A, Kneebone R. Stress impairs psychomotor performance in novice laparoscopic surgeons. Surg Endosc. 2010;24(10):2588–93.

    Article  PubMed  Google Scholar 

  11. Andreatta PB, Hillard M, Krain LP. The impact of stress factors in simulation-based ­laparoscopic training. Surgery. 2010;147(5):631–9.

    Article  PubMed  Google Scholar 

  12. Wetzel CM, Black SA, Hanna GB, Athanasiou T, Kneebone RL, et al. The effects of stress and coping on surgical performance during simulations. Ann Surg. 2010;251(1):171–6.

    Article  PubMed  Google Scholar 

  13. Stolzenburg JU, Rabenalt R, Do M, Horn LC, Liatsikos EN. Modular training for residents with no prior experience with open pelvic surgery in endoscopic extraperitoneal radical prostatectomy. Eur Urol. 2006;49(3):491–8.

    Article  PubMed  Google Scholar 

  14. Ganzer R, Rabenalt R, Truss MC, Papadoukakis S, Do M, et al. Evaluation of complications in endoscopic extraperitoneal radical prostatectomy in a modular training programme: a multicentre experience. World J Urol. 2008;26(6):587–93.

    Article  PubMed  Google Scholar 

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Correspondence to Hitendra R. H. Patel MD, PhD .

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© 2012 Springer-Verlag London

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Müller, S., Al-Singary, W., Patel, H.R.H. (2012). Human Factors, Nontechnical Skills, and Surgical Training. In: Patel, H., Joseph, J. (eds) Simulation Training in Laparoscopy and Robotic Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-2930-1_2

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  • DOI: https://doi.org/10.1007/978-1-4471-2930-1_2

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-2929-5

  • Online ISBN: 978-1-4471-2930-1

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