A ward-round non-technical skills for surgery (WANTSS) taxonomy.

Klaas, Schuur; Kara, Murray; Nikki, Maran; Rhona, Flin; Simon, Paterson-Brown

Abstract

Background: Around half of surgical adverse events occur outside the operating room. However the majority of non-technical skills (NTS) training programs have been developed for the intra-operative environment. Ward rounds are a crucial part of extra-operative care and to date no specific NTS training manual has been developed targeting emergency general surgical ward rounds. Aim: To develop a NTS taxonomy for emergency general surgical ward rounds that can be used to improve surgical team members’ NTS and improve outcomes. Methods: A literature review of existing NTS taxonomies was conducted, followed by semi-structured interviews and observational data collection, to determine good and poor surgical ward round behaviours. These behaviours were reviewed by a panel of subject matter experts and categorised into a taxonomy, using the Non-Technical Skills for Surgeons (NOTSS) taxonomy framework as a guide. Results: The Ward-round Non-Technical Skills for Surgery (WANTSS) taxonomy includes examples of good and poor ward round specific behaviours, grouped into elements and categories. The taxonomy can be used as both a training and teaching manual for the surgical team. Conclusion: Ward rounds are a crucial part of extra-operative surgical care. The WANTSS taxonomy provides surgical teams with a manual to help them improve their ward round NTS.

Citation

SCHUUR, K., MURRAY, K., MARAN, N., FLIN, R. and PATERSON-BROWN, S. 2020. A ward-round non-technical skills for surgery (WANTSS) taxonomy. Journal of surgical education [online], 77(2), pages 369-379. Available from: https://doi.org/10.1016/j.jsurg.2019.09.011

• Journal Article Type: Article
• Acceptance Date: Sep 16, 2019
• Online Publication Date: Oct 5, 2019
• Publication Date: Apr 30, 2020
• Deposit Date: Sep 19, 2019
• Publicly Available Date: Oct 6, 2020
• Journal: Journal of surgical education
• Print ISSN: 1931-7204
• Electronic ISSN: 1878-7452
• Publisher: Elsevier
• Peer Reviewed: Peer Reviewed
• Volume: 77
• Issue: 2
• Pages: 369-379
• DOI: https://doi.org/10.1016/j.jsurg.2019.09.011
• Keywords: Non-technical skills (NTS); Taxonomy; Surgery; Ward rounds; Surgical care
• Public URL: https://rgu-repository.worktribe.com/output/581766