Habilidades no técnicas en cirugía: una revisión de la literatura

Autores/as

  • Miguel Vassallo-Palermo Cátedra de Clínica y Terapéutica Quirúrgica “B”, Universidad Central de Venezuela, Caracas, Distrito Capital, Venezuela. https://orcid.org/0000-0001-9295-7835
  • José Leonardo Morao-Pompili Cátedra de Clínica y Terapéutica Quirúrgica “B”, Universidad Central de Venezuela, Caracas, Distrito Capital, Venezuela. https://orcid.org/0009-0009-2444-1058
  • Argelis Sofía Linares-Medina Cátedra de Clínica y Terapéutica Quirúrgica “B”, Universidad Central de Venezuela, Caracas, Distrito Capital, Venezuela. https://orcid.org/0009-0009-8125-737X

DOI:

https://doi.org/10.30944/20117582.2603

Palabras clave:

cirugía general, educación de postgrado en medicina, internado y residencia, habilidades, liderazgo, recursos en salud

Resumen

Introducción. Las habilidades no técnicas (“Non-Technical Skills” o NOTS) constituyen un grupo de habilidades cognitivas sintetizadas a través del sistema NOTS, las cuales optimizan la seguridad del paciente durante un procedimiento quirúrgico.

Métodos. Se realizó una revisión bibliográfica en diferentes bases de datos, como PubMed y Cochrane, utilizando como término de búsqueda “non-technical skills for surgeon”, y Google Académico, utilizando “habilidades no técnicas en cirugía”. Se incluyeron las publicaciones a partir de 2018.

Resultados. Se obtuvieron 232 artículos. De estos, con base en los criterios de inclusión y exclusión, se tomaron 35 artículos que incluyen revisiones de la literatura, investigaciones sobre programas de entrenamiento, cuestionarios, entrevistas y estudios de cohorte relacionados con NOTS.

Conclusión. Mediante el planteamiento de esta serie de cualidades, nuestra intención es impulsar su desarrollo desde la formación académica en los postgrados de Cirugía general, para proporcionar una atención segura y satisfactoria a los pacientes.

Descargas

Los datos de descargas todavía no están disponibles.

Biografía del autor/a

Miguel Vassallo-Palermo, Cátedra de Clínica y Terapéutica Quirúrgica “B”, Universidad Central de Venezuela, Caracas, Distrito Capital, Venezuela.

Hospital Universitario de Caracas.

José Leonardo Morao-Pompili, Cátedra de Clínica y Terapéutica Quirúrgica “B”, Universidad Central de Venezuela, Caracas, Distrito Capital, Venezuela.

Programa de especialización en Cirugía general, Hospital Universitario de Caracas.

Argelis Sofía Linares-Medina, Cátedra de Clínica y Terapéutica Quirúrgica “B”, Universidad Central de Venezuela, Caracas, Distrito Capital, Venezuela.

Programa de especialización en Cirugía general, Hospital Universitario de Caracas.

Referencias bibliográficas

Geraghty A, Paterson-Brown S, McGregor RJ. Non-technical skills for surgeons (NOTSS). Surgery (Oxford). 2023;41:474-8. https://doi.org/10.1016/j.mpsur.2023.05.006

Darzi A, Mackay S. Assessment of surgical competence. Qual Health Care. 2001;10(Suppl 2):ii64-9.

Vergis A, Hardy K. Cognitive and technical skill assessment in surgical education: A changing horizon. Indian J Surg. 2017;79:153-7. https://doi.org/10.1007/s12262-017-1603-5

Rosendal AA, Sloth SB, Rölfing JD, Bie M, Jensen RD. Technical, non-technical, or both? A scoping review of skills in simulation-based surgical training. J Surg Educ. 2023;80:731-49. https://doi.org/10.1016/j.jsurg.2023.02.011

Gawande AA, Zinner MJ, Studdert DM, Brennan TA. Analysis of errors reported by surgeons at three teaching hospitals. Surgery. 2003;133:614-21. https://doi.org/10.1067/msy.2003.169

Cha JS, Yu D. Objective measures of surgeon non-technical skills in surgery: A scoping review. Hum Factors. 2022;64:42-73. https://doi.org/10.1177/0018720821995319

Yule S, Paterson-Brown S, Youngson GG, McIlhenny C, Maran N, Flin R. The non-technical skills for surgeons (NOTSS). System Handbook v2.0. The Royal College of Surgeons of Edinburgh; 2019. 20 p. Disponible en: https://www.rcsed.ac.uk/media/682516/notss-system-handbook-v20.pdf

Allard MA, Blanié A, Brouquet A, Benhamou D. Learning non-technical skills in surgery. J Visc Surg. 2020;157(3 Suppl 2):S131-S136. https://doi.org/10.1016/j.jviscsurg.2020.03.001

Yule S, Flin R, Paterson-Brown S, Maran N. Non-technical skills for surgeons in the operating room: a review of the literature. Surgery. 2006;139:140-9. https://doi.org/10.1016/j.surg.2005.06.017

Ragonese M, Di GIanfrancesco L, Bassi P, Sacco E. Psychological aptitude for surgery: The importance of non-technical skills. Urologia. 2019;86:45-51. https://doi.org/10.1177/0391560319840523

Klaas S, Kara M, Nikki M, Rhona F, Simon PB. A wardround non-technical skills for surgery (WANTSS) taxonomy. J Surg Educ. 2020;77:369-79. https://doi.org/10.1016/j.jsurg.2019.09.011

Lynch A. Simulation-based acquisition of non-technical skills to improve patient safety. Semin Pediatr Surg. 2020;29:150906. https://doi.org/10.1016/j.sempedsurg.2020.150906

Leuschner S, Leuschner M, Kropf S, Niederbichler AD. Non-technical skills training in the operating theatre: A meta-analysis of patient outcomes. Surgeon. 2019;17:233-43. https://doi.org/10.1016/j.surge.2018.07.001

McClelland G. Factors that affect scrub practitioner non-technical skills: A literature review. J Perioper Pract. 2018;28:75-82. https://doi.org/10.1177/1750458918762315

Ounounou E, Aydin A, Brunckhorst O, Khan MS, Dasgupta P, Ahmed K. Nontechnical skills in surgery: A systematic review of current training modalities. J Surg Educ. 2019;76:14-24. https://doi.org/10.1016/j.jsurg.2018.05.017

Sharp G, Bourke L, Rickard MJFX. Review of emotional intelligence in health care: An introduction to emotional intelligence for surgeons. ANZ J Surg. 2020;90:433- 40. https://doi.org/10.1111/ans.15671

McMullan RD, Urwin R, Sunderland N, Westbrook J. Observational tools that quantify nontechnical skills in the operating room: A systematic review. J Surg Res. 2020;247:306-22. https://doi.org/10.1016/j.jss.2019.10.012

Lin Y, Scott JW, Yi S, Taylor KK, Ntakiyiruta G, Ntirenganya F, et al. Improving surgical safety and nontechnical skills in variable-resource contexts: A novel educational curriculum. J Surg Educ. 2018;75:1014-21. https://doi.org/10.1016/j.jsurg.2017.09.014

Jung JJ, Borkhoff CM, Jüni P, Grantcharov TP. Non-Technical Skills for Surgeons (NOTSS): Critical appraisal of its measurement properties. Am J Surg. 2018;216:990- 7. https://doi.org/10.1016/j.amjsurg.2018.02.021

Navarro F, González S, Gabrielli M. Evaluación de las habilidades no técnicas en cirugía. Rev Cir. 2019; 71:359-65. http://dx.doi.org/10.4067/S2452-45492019000400359

Pico-Camacho AJ, Vega-Peña NV, Segnini-Rodríguez FJ. Habilidades no técnicas en la educación en cirugía. Una revisión panorámica de la literatura. Educ Méd. 2024;25:100952. https://doi.org/10.1016/j.edumed.2024.100952

Nazim SM, Riaz Q. Simulation based team training in surgery - A review. J Pak Med Assoc. 2021;71(Suppl 1):S77-S82.

Pradarelli JC, Gupta A, Lipsitz S, Blair PG, Sachdeva AK, Smink DS, et al. Assessment of the Non-Technical Skills for Surgeons (NOTSS) framework in the USA. Br J Surg. 2020;107:1137-44. https://doi.org/10.1002/bjs.11607

Jung JJ, Yule S, Boet S, Szasz P, Schulthess P, Grantcharov T. Nontechnical skill assessment of the collective surgical team using the Non-Technical Skills for Surgeons (NOTSS) system. Ann Surg. 2020;272:1158-63. https://doi.org/10.1097/SLA.0000000000003250

Yamane M, Sugimoto S, Suzuki E, Aokage K, Okazaki M, Soh J, et al. Continuing surgical education of non-technical skills. Ann Med Surg (Lond). 2020;58:177-86. https://doi.org/10.1016/j.amsu.2020.07.062

Stewart-Parker E, Allan H, Vig S. BEST of surgical training: The pan-London Core Surgical Training induction programme: “There’s no I in team, but there is a me”. Surgeon. 2022;20:e69-e77. https://doi.org/10.1016/j.surge.2021.06.002

Limardo A, Blanco L, Menendez J, Ortega A. Competencias médicas: Evaluación de habilidades no técnicas en cirugía en el proceso de formación contínua profesional en un hospital público durante el periodo de un año. Revista Argentina de Educación Médica. 2020;9:30-43.

Lindegger DJ, Abahuje E, Ruzindana K, Mwachiro E, Karonkano GR, Williams W, et al. Strategies for improving quality and safety in global health: Lessons from nontechnical skills for surgery implementation in Rwanda. Glob Health Sci Pract. 2021;9:481-6. https://doi.org/10.9745/GHSP-D-21-00042

Abahuje E, Bartuska A, Koch R, Youngson G, Ntakiyiruta G, Williams W, et al. Understanding barriers and facilitators to behavior change after implementation of an interdisciplinary surgical non-technical skills training program in Rwanda. J Surg Educ. 2021;78:1618-28. https://doi.org/10.1016/j.jsurg.2021.01.011

Oves-Suarez B, García-Marín JA, Aguayo-Albasini Jl, Soria-Aledo V. Unveilling the hidden skillset: Exploring non-technical skills in surgical education across spanish medical universities. BMC Med Educ. 2024;24:376. https://doi.org/10.1186/s12909-024-05362-w

Yule J, Hill K, Yule S. Development and evaluation of a patient-centred measurement tool for surgeons’ non-technical skills. Br J Surg. 2018;105:876-84. https://doi.org/10.1002/bjs.10800

Casali G, Lock G, Novoa NM. Teaching non-technical skills: The patient centered approach. J Thorac Dis. 2021;13:2044-53. https://doi.org/10.21037/jtd.2019.01.48

Gostlow H, Marlow N, Thomas MJW, Hewett PJ, Kiermeier A, Babidge W, et al. Non-technical skills of surgical trainees and experienced surgeons. Br J Surg. 2017;104:777-85. https://doi.org/10.1002/bjs.10493

Elek RN, Haidegger T. Non-technical skill assessment and mental load evaluation in robot-assisted minimally invasive surgery. Sensors (Basel). 2021;21:2666. https://doi.org/10.3390/s21082666

Anton NE, Athanasiadis DI, Karipidis T, Keen AY, Karim A, Cha J, et al. Surgeon stress negatively affects their non-technical skills in the operating room. Am J Surg. 2021;222:1154-7. https://doi.org/10.1016/j.amjsurg.2021.01.035

Pradarelli JC, Gupta A, Hermosura AH, Murayama KM, Delman KA, Shabahang MM, et al. Non-technical skill assessments across levels of US surgical training. Surgery. 2021;170:713-8. https://doi.org/10.1016/j.surg.2021.02.058

Walker KG, Blackhall VI, Hogg ME, Watson AJM. Eight years of Scottish surgical boot camps: How we do it now. J Surg Educ. 2020;77:235-41. https://doi.org/10.1016/j.jsurg.2019.11.001

Skråmm SH, Jacobsen ILS, Hanssen I. Communication as a non-technical skill in the operating room: A qualitative study. Nurs Open. 2021;8:1822-8. https://doi.org/10.1002/nop2.830

Yule S, Gupta A, Blair PG, Sachdeva AK, Smink DS; American College of Surgeons Committee on Non-Technical Skills. Gathering validity evidence to adapt the Non-technical Skills for Surgeons (NOTSS) assessment tool to the United States context. J Surg Educ. 2021;78:955-66. https://doi.org/10.1016/j.jsurg.2020.09.010

Ameryoun A, Pakpour AH, Nikoobakht M, Saffari M, Yaseri M, O’Garo KGN, et al. Effectiveness of an in-service education program to improve patient safety directed at surgical residents: A randomized controlled trial. J Surg Educ. 2019;76:1309-18. https://doi.org/10.1016/j.jsurg.2019.03.002

Mitchell T. Adapting for the future: Flexibility of UK postgraduate training. Surgery (Oxf). 2020;38:670-4. https://doi.org/10.1016/j.mpsur.2020.07.004

Bejarano M. Los cirujanos y el trabajo en equipo. Rev Colomb Cir. 2019;34:112-3. https://doi.org/10.30944/20117582.104

Ramírez AT. La cirugía como una sinfonía. Un proyecto para el trabajo en equipo y coordinado. Rev Colomb Cir. 2020;35:550-2. https://doi.org/10.30944/20117582.673

Sharma S, Grantcharov T, Jung JJ. Non-technical skills and device-related interruptions in minimally invasive surgery. Surg Endosc. 2021;35:4494-500. https://doi.org/10.1007/s00464-020-07962-1

Descargas

Publicado

2025-01-28

Cómo citar

(1)
Vassallo-Palermo, M.; Morao-Pompili, J. L.; Linares-Medina, A. S. Habilidades No técnicas En cirugía: Una revisión De La Literatura. Rev Colomb Cir 2025, 40, 226-233.

Número

Sección

Ética y Educación

Métricas

Estadísticas de artículo
Vistas de resúmenes
Vistas de PDF
Descargas de PDF
Vistas de HTML
Otras vistas
Escanea para compartir
QR Code

Algunos artículos similares: