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Title: Development of a behavioural marker system for anaesthetists' non-technical skills
Author: Fletcher, Georgina C. L.
ISNI:       0000 0001 3469 5523
Awarding Body: University of Aberdeen
Current Institution: University of Aberdeen
Date of Award: 2006
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While conventional training and assessment of anaesthetists has placed great emphasis on the necessary clinical knowledge and practical skills to ensure competent practice, the non-technical aspects of performance such as team co-ordination and decision making that are essential for the safe and effective practice of anaesthesia have not been formally addressed. The aim of this thesis was to identify the non-technical skills used by anaesthetists in the operating theatre environment and to develop a behavioural marker system for observing and assessing these skills. Adapting research techniques used in aviation, four stages of research were conducted: 1) Anaesthetists' non-technical skills were identified through interviews using cognitive task analysis techniques with 29 consultant anaesthetists. 2) A team of anaesthetists and psychologists developed a prototype behavioural marker system. 3) This prototype was evaluated in an experimental study to investigate aspects of its validity, reliability and usability. 4) Finally, user trials were conducted in theatre to investigate practical use of the tool in a real environment; initial user guidance was developed. The result of the research was an empirically based behavioural marker system, called the Anaesthetists' Non-Technical Skills (ANTS) System, which with training can be used for observation, assessment and discussion of anaesthetists' non-technical skills. While the ANTS System has been recognised by the anaesthetic community as filing an important gap, from a research perspective, it is still in a relatively early stage of its development, and needs testing further in a broader range of environments.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available