Habilidades no técnicas en el manejo de la vía aérea difícil: Una revisión narrativa.
DOI:
https://doi.org/10.30445/rear.v15i4.1055Palabras clave:
habilidades no técnicas, manejo avanzado de vía aérea, factor humano, error medicoResumen
Las habilidades no técnicas (HNT) son recursos cognitivos, sociales y personales que complementan las habilidades técnicas y contribuyen a la ejecución segura y eficiente de las tareas. Se presenta un resumen sobre su impacto en el manejo avanzado de la vía aérea, las posibles dimensiones que las componen, escalas de medición, y estrategias de entrenamiento. Se realizó una revisión narrativa basada en búsqueda en las bases de datos PUBMED, EMBASE, CENTRAL.
Citas
Flin, R., P. O’Connor and M. Crichton (2008). Safety and the Sharp End. A Guide to Non-Technical Skills. 2008. Eds Rhona Flin, Paul O’Connor, Margaret Crichton. Farnham, Ashgate
LaGrone LN, McIntyre L, Riggle A, Robinson BRH, Maier RV, Bulger E, Cuschieri J. Changes in error patterns in unanticipated trauma deaths during 20 years: In pursuit of zero preventable deaths. J Trauma Acute Care Surg. 2020 Dec;89(6):1046-1053. doi: 10.1097/TA.0000000000002902. PMID: 32773673.
Cook TM, Woodall N, Frerk C; Fourth National Audit Project. Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 1: anaesthesia. Br J Anaesth. 2011 May;106(5):617-31. doi: 10.1093/bja/aer058. Epub 2011 Mar 29. PMID: 21447488.
Aaron M. Joffe, Michael F. Aziz, Karen L. Posner, Laura V. Duggan, Shawn L. Mincer, Karen B. Domino; Management of Difficult Tracheal Intubation: A Closed Claims Analysis. Anesthesiology 2019; 131:818–829 doi: https://doi.org/10.1097/ALN.0000000000002815
Mishra A, Catchpole K, Dale T, McCulloch P. The influence of non-technical performance on technical outcome in laparoscopic cholecystectomy. Surg Endosc. 2008 Jan;22(1):68-73. doi: 10.1007/s00464-007-9346-1. Epub 2007 May 4. PMID: 17479324.
Uramatsu M, Fujisawa Y, Mizuno S, Souma T, Komatsubara A, Miki T. Do failures in non-technical skills contribute to fatal medical accidents in Japan? A review of the 2010-2013 national accident reports. BMJ Open. 2017 Feb 16;7(2):e013678. doi: 10.1136/bmjopen-2016-013678. PMID: 28209605; PMCID: PMC5318576.
Herzberg S, Hansen M, Schoonover A, Skarica B, McNulty J, Harrod T, Snowden JM, Lambert W, Guise JM. Association between measured teamwork and medical errors: an observational study of prehospital care in the USA. BMJ Open. 2019 Oct 31;9(10):e025314. doi: 10.1136/bmjopen-2018-025314. PMID: 31676639; PMCID: PMC6830602.
Endsley MR. Toward a Theory of Situation Awareness in Dynamic Systems. Human Factors. 1995;37(1):32-64. doi:10.1518/001872095779049543
Jones CPL, Fawker-Corbett J, Groom P, Morton B, Lister C, Mercer SJ. Human factors in preventing complications in anaesthesia: a systematic review. Anaesthesia. 2018 Jan;73 Suppl 1:12-24. doi: 10.1111/anae.14136. PMID: 29313908.
Schulz CM, Endsley MR, Kochs EF, Gelb AW, Wagner KJ. Situation awareness in anesthesia: concept and research. Anesthesiology. 2013 Mar;118(3):729-42. doi: 10.1097/ALN.0b013e318280a40f. PMID: 23291626.
Carvalho PV, Gomes JO, Huber GJ, Vidal MC (2009). Normal people working in normal organizations with normal equipment: system safety and cognition in a mid-air collision. Appl Ergon 40: 325–340.
Green B, Parry D, Oeppen RS, Plint S, Dale T, Brennan PA. Situational awareness - what it means for clinicians, its recognition and importance in patient safety. Oral Dis. 2017 Sep;23(6):721-725. doi: 10.1111/odi.12547. Epub 2016 Aug 8. PMID: 27447437.
Endsley MR, Jones WM: A model of inter- and intrateam situation awareness: Implications for design, training and measurement, New Trends in Cooperative Activities: Understanding System Dynamics in Complex Environments. Edited by McNeese M, Salas E, Endsley MR. Santa Monica, Human Factors and Ergonomics Society, 2001, pp 46–67
Stanton NA, Stewart R, Harris D, Houghton RJ, Baber C, McMaster R, Salmon P, Hoyle G, Walker G, Young MS, Linsell M, Dymott R, Green D. Distributed situation awareness in dynamic systems: theoretical development and application of an ergonomics methodology. Ergonomics. 2006 Oct 10-22;49(12-13):1288-311. doi: 10.1080/00140130600612762. PMID: 17008257.
Alhaider AA, Lau N, Davenport PB, Morris MK. Distributed situation awareness:a health-system approach to assessing and designing patient flow management.Ergonomics. 2020 Jun;63(6):682-709. doi: 10.1080/00140139.2020.1755061. Epub 2020 May 13. PMID: 32279607.
Fioratou E, Flin R, Glavin R, Patey R. Beyond monitoring: distributed situation awareness in anaesthesia. Br J Anaesth. 2010 Jul;105(1):83-90. doi: 10.1093/bja/aeq137. PMID: 20551029.
Endsley MR. A Systematic Review and Meta-Analysis of Direct Objective Measures of Situation Awareness: A Comparison of SAGAT and SPAM. Hum Factors. 2021 Feb;63(1):124-150. doi: 10.1177/0018720819875376. Epub 2019 Sep 27. PMID: 31560575.
Healey AN, Sevdalis N, Vincent CA. Measuring intra-operative interference from distraction and interruption observed in the operating theatre. Ergonomics. 2006 Apr 15-May 15;49(5-6):589-604. doi: 10.1080/00140130600568899. PMID: 16717011.
Broom MA, Capek AL, Carachi P, Akeroyd MA, Hilditch G. Critical phase distractions in anaesthesia and the sterile cockpit concept. Anaesthesia. 2011 Mar;66(3):175-9. doi: 10.1111/j.1365-2044.2011.06623.x. PMID: 21320085.
Roussel L. Leadership's Impact on Quality, Outcomes, and Costs. Crit Care Nurs Clin North Am. 2019 Jun;31(2):153-163. doi: 10.1016/j.cnc.2019.02.003. Epub 2019 Apr 8. PMID: 31047090.
Brennan PA, Holden C, Shaw G, Morris S, Oeppen RS. Leading article: What can we do to improve individual and team situational awareness to benefit patient safety? Br J Oral Maxillofac Surg. 2020 May;58(4):404-408. doi: 10.1016/j.bjoms.2020.01.030. Epub 2020 Feb 27. PMID: 32115301.
Zapata-Ospina JP, Zamudio-Burbano M A. Razonamiento clínico en medicina II: . Iatreia [Internet]. 11 de marzo de 2021 [citado 5 de julio de 2021];1(1). Disponible en: https://revistas.udea.edu.co/index.php/iatreia/article/view/342886
Zapata-Ospina JP, Zamudio-Burbano MA. Razonamiento clínico en medicina I: . Iatreia [Internet]. 11 de marzo de 2021 [citado 5 de julio de 2021];34(3):232-40. Disponible en: https://revistas.udea.edu.co/index.php/iatreia/article/view/343200
ErdenizB, Done J. Common and Distinct Functional Brain Networks for Intuitive and Deliberate Decision Making. Brain Sci.2019;9:174. DOI 10.3390/brainsci9070174
Jenkins, M. M., & Youngstrom, E. A. (2016). A randomized controlled trial of cognitive debiasing improves assessment and treatment selection for pediatric bipolar disorder. Journal of consulting and clinical psychology, 84(4), 323–333. https://doi.org/10.1037/ccp0000070
Hess BJ, Lipner RS, Thompson V, Holmboe ES, Graber ML. Blink or think: can further reflection improve initial diagnostic impressions? Acad Med. 2015 Jan;90(1):112-8. doi: 10.1097/ACM.0000000000000550. PMID: 25374040.
Chew, K. S., Durning, S. J., & van Merriënboer, J. J. (2016). Teaching metacognition in clinical decision-making using a novel mnemonic checklist: an exploratory study. Singapore medical journal, 57(12), 694–700. https://doi.org/10.11622/smedj.2016015
Arriaga AF, Bader AM, Wong JM, Lipsitz SR, Berry WR, Ziewacz JE, Hepner DL, Boorman DJ, Pozner CN, Smink DS, Gawande AA. Simulation-based trial of surgical-crisis checklists. N Engl J Med. 2013 Jan 17;368(3):246-53. doi: 10.1056/NEJMsa1204720. PMID: 23323901.
Douglas RN, Stephens LS, Posner KL, Davies JM, Mincer SL, Burden AR, Domino KB. Communication failures contributing to patient injury in anaesthesia malpractice claims☆. Br J Anaesth. 2021 Jul 5:S0007-0912(21)00349-4. doi: 10.1016/j.bja.2021.05.030. Epub ahead of print. PMID: 34238547.
Woodhall LJ, Vertacnik L, McLaughlin M. Implementation of the SBAR communication technique in a tertiary center. J Emerg Nurs. 2008 Aug;34(4):314-7. doi: 10.1016/j.jen.2007.07.007. PMID: 18640411.
Randmaa M, Mårtensson G, Leo Swenne C, Engström M. SBAR improves communication and safety climate and decreases incident reports due to communication errors in an anaesthetic clinic: a prospective intervention study. BMJ Open. 2014 Jan 21;4(1):e004268. doi: 10.1136/bmjopen-2013-004268. PMID: 24448849; PMCID: PMC3902348.
Raurell-Torredà M, Rascón-Hernán C, Malagón-Aguilera C, Bonmatí-Tomás A, Bosch-Farré C, Gelabert-Vilella S, Romero-Collado A. Effectiveness of a training intervention to improve communication between/awareness of team roles: A randomized clinical trial. J Prof Nurs. 2021 Mar-Apr;37(2):479-487. doi: 10.1016/j.profnurs.2020.11.003. Epub 2020 Dec 15. PMID: 33867108.
Shahid, S., Thomas, S. Situation, Background, Assessment, Recommendation (SBAR) Communication Tool for Handoff in Health Care – A Narrative Review. Saf Health 4, 7 (2018). https://doi.org/10.1186/s40886-018-0073-1
Jackson SH. The role of stress in anaesthetists' health and well-being. Acta Anaesthesiol Scand. 1999 Jul;43(6):583-602. doi: 10.1034/j.1399-6576.1999.430601.x. PMID: 10408811.
McEwen BS, Lasley EN. The End of Stress as We Know It. Washington, DC, US: Joseph Henry Press; 2002.
Flin R, Maran N. Basic concepts for crew resource management and non-technical skills. Best Pract Res Clin Anaesthesiol. 2015 Mar;29(1):27-39. doi: 10.1016/j.bpa.2015.02.002. Epub 2015 Feb 20. PMID: 25902464.
Maslach C, Jackson SE. The measurement of experienced Burnout. J Occupational Behavior 1981; 2: 99-113
LeBlanc VR. The effects of acute stress on performance: implications for health professions education. Acad Med. 2009 Oct;84(10 Suppl):S25-33. doi: 10.1097/ACM.0b013e3181b37b8f. PMID: 19907380.
Krage R, Zwaan L, Tjon Soei Len L, Kolenbrander MW, van Groeningen D, Loer SA, Wagner C, Schober P. Relationship between non-technical skills and technical performance during cardiopulmonary resuscitation: does stress have an influence? Emerg Med J. 2017 Nov;34(11):728-733. doi: 10.1136/emermed-2016-205754. Epub 2017 Aug 26. PMID: 28844039; PMCID: PMC5750366.
Gouin A, Damm C, Wood G, Cartier S, Borel M, Villette-Baron K, Boet S, Compère V, Dureuil B. Evolution of stress in anaesthesia registrars with repeated simulated courses: An observational study. Anaesth Crit Care Pain Med. 2017 Feb;36(1):21-26. doi: 10.1016/j.accpm.2016.02.008. Epub 2016 Jun 23. PMID: 27338521.
Lazarus,R.-Folkman,S. Stress, appraisal and Coping. (1984), Springer, New York.
Carver, C.S., Scheier, M.f. and Weintraub, J.K. (1989) assessing coping strategies:a theoretically based approach. Journal of Personality and Social Psychology, 56, 267–283
Neuschwander A, Job A, Younes A, Mignon A, Delgoulet C, Cabon P, Mantz J, Tesniere A. Impact of sleep deprivation on anaesthesia residents' non-technical skills: a pilot simulation-based prospective randomized trial. Br J Anaesth. 2017 Jul 1;119(1):125-131. doi: 10.1093/bja/aex155. PMID: 28974071
Fletcher G, Flin R, Glavin RJ, Maran N. Framework for Observing and Rating Anaesthetists’ NonTechnical Skills. Anaesthetists’ NonTechnical Skills (ANTS) System Handbook v1.0 . Aberdeen, Scottland: University of Aberdeen; 2012.
Schmutz JB, Meier LL, Manser T. How effective is teamwork really? The relationship between teamwork and performance in healthcare teams: a systematic review and meta-analysis. BMJ Open. 2019 Sep 12;9(9):e028280. doi: 10.1136/bmjopen-2018-028280. PMID: 31515415; PMCID: PMC6747874.
Robertson JM, Dias RD, Yule S, Smink DS. Operating Room Team Training with Simulation: A Systematic Review. J Laparoendosc Adv Surg Tech A. 2017 May;27(5):475-480. doi: 10.1089/lap.2017.0043. Epub 2017 Mar 15. PMID: 28294695.
Weller, J., Boyd, M. Making a Difference Through Improving Teamwork in the Operating Room: A Systematic Review of the Evidence on What Works. Curr Anesthesiol Rep 4, 77–83 (2014). https://doi.org/10.1007/s40140-014-0050-0
Abbott TEF, Ahmad T, Phull MK, Fowler AJ, Hewson R, Biccard BM, Chew MS, Gillies M, Pearse RM; International Surgical Outcomes Study (ISOS) group. The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review and meta-analysis. Br J Anaesth. 2018 Jan;120(1):146-155. doi: 10.1016/j.bja.2017.08.002. Epub 2017 Nov 23. PMID: 29397122.
Stepaniak PS, Heij C, Buise MP, Mannaerts GH, Smulders JF, Nienhuijs SW. Bariatric surgery with operating room teams that stayed fixed during the day: a multicenter study analyzing the effects on patient outcomes, teamwork and safety climate, and procedure duration. Anesth Analg. 2012 Dec;115(6):1384-92. doi: 10.1213/ANE.0b013e31826c7fa6. Epub 2012 Nov 9. PMID: 23144431.
Salas, e., Burke, C.S. and Stagl, K.C. (2004) developing teams and team leaders: Strategies and principles. in d. day, S. Zaccaro and S.M. halpin (eds.) Leader Development for Transforming Organizations. Growing Leaders for Tomorrow. Mahwah, NJ: lawrence erlbaum.
Larsson J, Holmström IK. How excellent anaesthetists perform in the operating theatre: a qualitative study on non-technical skills. Br J Anaesth. 2013 Jan;110(1):115-21. doi: 10.1093/bja/aes359. Epub 2012 Oct 9. PMID: 23048067.
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 Mar;247:306-322. doi: 10.1016/j.jss.2019.10.012. Epub 2019 Nov 7. PMID: 31706538.
Boet S, Larrigan S, Martin L, Liu H, Sullivan KJ, Etherington N. Measuring non-technical skills of anaesthesiologists in the operating room: a systematic review of assessment tools and their measurement properties. Br J Anaesth. 2018 Dec;121(6):1218-1226. doi: 10.1016/j.bja.2018.07.028. Epub 2018 Sep 6. PMID: 30442248.
López LD, Gonzalez D, Zamudio MA, Casas, FD. Validación en castellano de la escala de Ottawa para habilidades no técnicas en personal de salud en situación de crisis. En prensa http://hdl.handle.net/10495/15478
Flin R, Patey R, Glavin R, Maran N. Anaesthetists' non-technical skills. Br J Anaesth. 2010 Jul;105(1):38-44. doi: 10.1093/bja/aeq134. Epub 2010 Jun 3. PMID: 20522911.
Clarke S, Horeczko T, Carlisle M, Barton JD, Ng V, Al-Somali S, Bair AE. Emergency medicine resident crisis resource management ability: a simulation-based longitudinal study. Med Educ Online. 2014 Dec 9;19:25771. doi: 10.3402/meo.v19.25771. PMID: 25499769; PMCID: PMC4262767.
McCulloch P, Mishra A, Handa A, Dale T, Hirst G, Catchpole K. The effects of aviation-style non-technical skills training on technical performance and outcome in the operating theatre. Qual Saf Health Care. 2009 Apr;18(2):109-15. doi: 10.1136/qshc.2008.032045. PMID: 19342524.
Yee B, Naik VN, Joo HS, Savoldelli GL, Chung DY, Houston PL, Karatzoglou BJ, Hamstra SJ. Nontechnical skills in anesthesia crisis management with repeated exposure to simulation-based education. Anesthesiology. 2005 Aug;103(2):241-8. doi: 10.1097/00000542-200508000-00006. PMID: 16052105.
Bogne Kamdem V, Daelemans C, Englert Y, Morin F, Sansregret A. Using simulation team training with human's factors components in obstetrics to improve patient outcome: A review of the literature. Eur J Obstet Gynecol Reprod Biol. 2021 May;260:159-165. doi: 10.1016/j.ejogrb.2021.03.015. Epub 2021 Mar 20. PMID: 33784580.
Nielsen RP, Nikolajsen L, Paltved C, Aagaard R. Effect of simulation-based team training in airway management: a systematic review. Anaesthesia. 2021 Jan 26. doi: 10.1111/anae.15375. Epub ahead of print. PMID: 33497486.
Buljac-Samardzic M, Dekker-van Doorn CM, van Wijngaarden JD, van Wijk KP. Interventions to improve team effectiveness: a systematic review. Health Policy. 2010 Mar;94(3):183-95. doi: 10.1016/j.healthpol.2009.09.015. Epub 2009 Oct 25. PMID: 19857910.
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor 2023 Revista Electrónica AnestesiaR
Esta obra está bajo una licencia internacional Creative Commons Atribución-CompartirIgual 4.0.
Envío y derechos de autor
Revista Electrónica AnestesiaR by 