Development and applications of the anaesthetists’ non-technical skills behavioural marker system: protocol for a systematic review

Introduction The high incidence of unsafe anaesthetic care leads to adverse events and increases the burden on patient safety. An important reason for unsafe anaesthesia care is the lack of non-technical skills (NTS), which are defined as personal cognitive, social or interpersonal skills, among ana...

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Main Authors: Jiale Hu, Fang Zhou, Jiamin Kang, Chunji Yan, Xueyan Xing, Shumin Tu
Format: Article
Language:English
Published: BMJ Publishing Group 2022-12-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/12/e065519.full
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author Jiale Hu
Fang Zhou
Jiamin Kang
Chunji Yan
Xueyan Xing
Shumin Tu
author_facet Jiale Hu
Fang Zhou
Jiamin Kang
Chunji Yan
Xueyan Xing
Shumin Tu
author_sort Jiale Hu
collection DOAJ
description Introduction The high incidence of unsafe anaesthetic care leads to adverse events and increases the burden on patient safety. An important reason for unsafe anaesthesia care is the lack of non-technical skills (NTS), which are defined as personal cognitive, social or interpersonal skills, among anaesthetists. The anaesthetists’ NTS (ANTS) behavioural marker system has been widely used to evaluate and improve anaesthetists’ behavioural performance to ensure patient safety. This protocol describes a planned systematic review aiming to determine the validity and reliability of the ANTS behavioural marker system and its application as a tool for the training and assessment of ANTS and for improving patient safety.Methods and analysis This systematic review follows the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocol. Studies that applied the ANTS behavioural marker system in a meaningful way, including using the ANTS behavioural marker system to guide data collection, analysis, coding, measurement, and/or reporting, which have been published in peer-reviewed journals, will be eligible. A citation search strategy will be employed. We will search Scopus and Web of Science for publications from 2002 to May 2022, which cite the three original ANTS behavioural marker system publications by Fletcher et al. We will also search the references of the relevant reviews for additional eligible studies. For each study, two authors will independently screen papers to determine eligibility and will extract the data. The quality of the included studies will be assessed using the Joanna Briggs Institute (JBI) Critical Appraisal Checklists. A framework analysis approach that consists of five steps—familiarisation, identifying a thematic data extraction framework, indexing, charting, mapping and interpretation—will be used to synthesise and report the data.Ethics and dissemination Ethics approval is not required for this study. The findings will be disseminated primarily through peer-reviewed publications and conference presentations.PROSPERO registration number CRD42022297773.
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spelling doaj-art-2f374fb1c7c048b183c02c187b2f0d342025-08-20T03:11:26ZengBMJ Publishing GroupBMJ Open2044-60552022-12-01121210.1136/bmjopen-2022-065519Development and applications of the anaesthetists’ non-technical skills behavioural marker system: protocol for a systematic reviewJiale Hu0Fang Zhou1Jiamin Kang2Chunji Yan3Xueyan Xing4Shumin Tu5Virginia Commonwealth University, Richmond, Virginia, USASchool of Nursing, Xuzhou Medical University, Xuzhou, ChinaTianjin Research Institute of Anesthesiology, Tianjin, ChinaSchool of Nursing, Xuzhou Medical University, Xuzhou, ChinaSchool of Clinical Medicine, Tsinghua University Affiliated Beijing Tsinghua Changgung Hospital, Beijing, ChinaDepartment of Anesthesiology and Perioperative Medicine, Zhengzhou Central Hospital Affiliated to Zhengzhou University, Zhengzhou, ChinaIntroduction The high incidence of unsafe anaesthetic care leads to adverse events and increases the burden on patient safety. An important reason for unsafe anaesthesia care is the lack of non-technical skills (NTS), which are defined as personal cognitive, social or interpersonal skills, among anaesthetists. The anaesthetists’ NTS (ANTS) behavioural marker system has been widely used to evaluate and improve anaesthetists’ behavioural performance to ensure patient safety. This protocol describes a planned systematic review aiming to determine the validity and reliability of the ANTS behavioural marker system and its application as a tool for the training and assessment of ANTS and for improving patient safety.Methods and analysis This systematic review follows the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocol. Studies that applied the ANTS behavioural marker system in a meaningful way, including using the ANTS behavioural marker system to guide data collection, analysis, coding, measurement, and/or reporting, which have been published in peer-reviewed journals, will be eligible. A citation search strategy will be employed. We will search Scopus and Web of Science for publications from 2002 to May 2022, which cite the three original ANTS behavioural marker system publications by Fletcher et al. We will also search the references of the relevant reviews for additional eligible studies. For each study, two authors will independently screen papers to determine eligibility and will extract the data. The quality of the included studies will be assessed using the Joanna Briggs Institute (JBI) Critical Appraisal Checklists. A framework analysis approach that consists of five steps—familiarisation, identifying a thematic data extraction framework, indexing, charting, mapping and interpretation—will be used to synthesise and report the data.Ethics and dissemination Ethics approval is not required for this study. The findings will be disseminated primarily through peer-reviewed publications and conference presentations.PROSPERO registration number CRD42022297773.https://bmjopen.bmj.com/content/12/12/e065519.full
spellingShingle Jiale Hu
Fang Zhou
Jiamin Kang
Chunji Yan
Xueyan Xing
Shumin Tu
Development and applications of the anaesthetists’ non-technical skills behavioural marker system: protocol for a systematic review
BMJ Open
title Development and applications of the anaesthetists’ non-technical skills behavioural marker system: protocol for a systematic review
title_full Development and applications of the anaesthetists’ non-technical skills behavioural marker system: protocol for a systematic review
title_fullStr Development and applications of the anaesthetists’ non-technical skills behavioural marker system: protocol for a systematic review
title_full_unstemmed Development and applications of the anaesthetists’ non-technical skills behavioural marker system: protocol for a systematic review
title_short Development and applications of the anaesthetists’ non-technical skills behavioural marker system: protocol for a systematic review
title_sort development and applications of the anaesthetists non technical skills behavioural marker system protocol for a systematic review
url https://bmjopen.bmj.com/content/12/12/e065519.full
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