Non-technical skills in oral and maxillofacial and head and neck surgery: systematic review. 2021

R Bannon, and K E Stewart, and M Bannister
Department of Otolaryngology-Head & Neck Surgery, Victoria Hospital, Hayfield Road, Kirkcaldy, Fife KY2 5AH, United Kingdom.

The importance of teams' and individuals' non-technical skills in reducing adverse events is well-recognised. We undertook a systematic review of the published literature to assess the research undertaken to date on non-technical skills and behaviours within oral and maxillofacial, and head and neck (OMFS-H&N) surgery. The aim was to assess the applicability of published studies to current practice, to look at how these studies could guide future research, and look for areas that could be developed further. The search terms included 'non technical skills', 'nontechnical skills', 'NOTSS', 'non-technical skills for surgeons', 'oral surgery', 'oral maxillofacial surgery', 'OMFS', 'maxillofacial surgery', 'head and neck surgery', 'microsurgery', 'behavioural markers', 'behavioural assessment tool', and 'behavioural ratings system'. Three publications were included, involving 83 participants. Participants consistently achieved the highest scores in the 'situational awareness' category and showed a tendency to achieve lower mean scores in the 'communication and teamwork' and 'decision-making' categories. The majority of research into surgeons' non-technical skills has occurred in simulated environments and not in the genuine environments in which actual surgery is being performed on patients. Research involving 'real' patients has been done in the field of OMFS-H&N and this places the specialty in a stronger position than many other surgical specialties.

UI MeSH Term Description Entries
D002983 Clinical Competence The capability to perform acceptably those duties directly related to patient care. Clinical Skills,Competence, Clinical,Clinical Competency,Clinical Skill,Competency, Clinical,Skill, Clinical,Skills, Clinical,Clinical Competencies,Competencies, Clinical
D003142 Communication The exchange or transmission of ideas, attitudes, or beliefs between individuals or groups. Miscommunication,Misinformation,Social Communication,Communication Programs,Communications Personnel,Personal Communication,Communication Program,Communication, Personal,Communication, Social,Communications, Social,Miscommunications,Misinformations,Personnel, Communications,Program, Communication,Programs, Communication,Social Communications
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001364 Awareness The act of "taking account" of an object or state of affairs. It does not imply assessment of, nor attention to the qualities or nature of the object. Situation Awareness,Situational Awareness,Awareness, Situation,Awareness, Situational,Awarenesses,Awarenesses, Situation,Awarenesses, Situational,Situation Awarenesses,Situational Awarenesses
D013043 Specialties, Surgical Various branches of surgical practice limited to specialized areas. Surgical Specialties
D013502 General Surgery A specialty in which manual or operative procedures are used in the treatment of disease, injuries, or deformities. Surgery,Surgery, General
D066231 Surgeons Medical practitioners qualified to practice surgery.

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