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Making Surgery as Safe as It Should Be: A Qualitative Study

Existing literature supports the view that adverse outcomes from surgical interventions are more likely to be the result of degraded nontechnical skills (NTS) rather than the technical skills of surgeons. In the present context, NTS comprise the behaviors and cognitions deployed by surgeons to make...

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Detalles Bibliográficos
Autores principales: Robinson, David, Beaumont, Graham
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10484182/
https://www.ncbi.nlm.nih.gov/pubmed/37503856
http://dx.doi.org/10.1097/JMQ.0000000000000139
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author Robinson, David
Beaumont, Graham
author_facet Robinson, David
Beaumont, Graham
author_sort Robinson, David
collection PubMed
description Existing literature supports the view that adverse outcomes from surgical interventions are more likely to be the result of degraded nontechnical skills (NTS) rather than the technical skills of surgeons. In the present context, NTS comprise the behaviors and cognitions deployed by surgeons to make decisions, maintain awareness of the operating environment, communicate with and lead supporting personnel. A contemporary safety thesis suggests that focusing on what makes things go right (eg, NTS) is far more productive than retrospective analysis (learning from mistakes). The present qualitative research explored how surgeons deploy NTS to facilitate safe and effective outcomes from surgical interventions. The thematic analysis revealed that this surgical cohort engaged specific self-regulated NTS along an intervention construct consisting of planning, implementation, monitoring progress, and deliberate learning through reflection during the preoperative, operative, and postoperative phases of care. Behaviors supporting these contentions were identified in the data and used to amplify use of the construct.
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spelling pubmed-104841822023-09-08 Making Surgery as Safe as It Should Be: A Qualitative Study Robinson, David Beaumont, Graham Am J Med Qual Article Existing literature supports the view that adverse outcomes from surgical interventions are more likely to be the result of degraded nontechnical skills (NTS) rather than the technical skills of surgeons. In the present context, NTS comprise the behaviors and cognitions deployed by surgeons to make decisions, maintain awareness of the operating environment, communicate with and lead supporting personnel. A contemporary safety thesis suggests that focusing on what makes things go right (eg, NTS) is far more productive than retrospective analysis (learning from mistakes). The present qualitative research explored how surgeons deploy NTS to facilitate safe and effective outcomes from surgical interventions. The thematic analysis revealed that this surgical cohort engaged specific self-regulated NTS along an intervention construct consisting of planning, implementation, monitoring progress, and deliberate learning through reflection during the preoperative, operative, and postoperative phases of care. Behaviors supporting these contentions were identified in the data and used to amplify use of the construct. Lippincott Williams & Wilkins 2023-07-27 2023 /pmc/articles/PMC10484182/ /pubmed/37503856 http://dx.doi.org/10.1097/JMQ.0000000000000139 Text en Copyright © The Authors 2023. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Article
Robinson, David
Beaumont, Graham
Making Surgery as Safe as It Should Be: A Qualitative Study
title Making Surgery as Safe as It Should Be: A Qualitative Study
title_full Making Surgery as Safe as It Should Be: A Qualitative Study
title_fullStr Making Surgery as Safe as It Should Be: A Qualitative Study
title_full_unstemmed Making Surgery as Safe as It Should Be: A Qualitative Study
title_short Making Surgery as Safe as It Should Be: A Qualitative Study
title_sort making surgery as safe as it should be: a qualitative study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10484182/
https://www.ncbi.nlm.nih.gov/pubmed/37503856
http://dx.doi.org/10.1097/JMQ.0000000000000139
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