Do Good Non-Technical Skills Correlate With Good Clinical Outcomes in Endoscopy?

NCT05110378 | Completed DMC

• 1 other identifier: 15/P/101
• Study Type: observational
• Target: 326
• Locations: 0 countries
• Sites: N/A

Brief Summary

Failures in non-technical skills (NTS) contribute to adverse events in healthcare. Previous research has explored the assessment and training of these skills, and yet there is a lack of evidence for their impact on clinical outcomes. Gastrointestinal endoscopy is a high-pressure specialty, but to date there is little on the role of NTS in this area, or a method for their assessment. This MD project aims to measure NTS in endoscopy, explore their relationship with clinical outcomes, and identify those specific to this area of healthcare. Methods An observational study of endoscopy teams in real time, using the Oxford NOTECHS II assessment tool. Comparison of NTS performance with procedure outcomes and patient satisfaction. A qualitative interview study with staff members to establish the NTS specifically relevant to working in gastrointestinal endoscopy.

Conditions

Bowel Cancer

Keywords

non-technical skills; gastrointestinal endoscopy; qualitative research; training; assessment

Outcome Measures

Primary Outcomes (1)

• Oxford NOTECHS II

  A Modified Theatre Team Non-Technical Skills Scoring System

  100 endoscopic procedures over a period of 4-5 weeks

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Endoscopy staff (medical and non-medical) at Plymouth Hospitals NHS Trust and Torbay and South Devon NHS Foundation Trust. Patients attending the Endoscopy department during the study period were provided with written information explaining the study and inviting them to take part.

You may qualify if:

• Staff
• Endoscopy staff consenting to take part in the study
• Staff work in Endoscopy as their main NHS job Patients
• Patients consenting to be observed and complete a patient satisfaction survey
• Male or Female, aged 18 years or above
• Able (in the investigator's opinion) and wiling to comply with all study requirements

You may not qualify if:

• Staff • Endoscopy staff not consenting to take part in the study
• Patients
• Patients not consenting to take part in the study
• Patients unable to understand the information provided or give consent to participate
• o This was determined by the researcher who in her role as surgical doctor has been trained to assess patients' capacity to give informed consent.
• Aged less than 18 years

Sponsors & Collaborators

• University Hospital Plymouth NHS Trust: lead
• Torbay and South Devon NHS Foundation Trust: collaborator
• Plymouth University Peninsula Schools of Medicine & Dentistry: collaborator

Related Publications (1)

• Hitchins CR, Metzner M, Edworthy J, Ward C. Non-technical skills and gastrointestinal endoscopy: a review of the literature. Frontline Gastroenterol. 2018 Apr;9(2):129-134. doi: 10.1136/flgastro-2016-100800. Epub 2017 Mar 29.

  PMID: 29588841 BACKGROUND

MeSH Terms

Conditions

Intestinal Neoplasms

Condition Hierarchy (Ancestors)

Gastrointestinal Neoplasms; Digestive System Neoplasms; Neoplasms by Site; Neoplasms; Digestive System Diseases; Gastrointestinal Diseases; Intestinal Diseases

Study Officials

• Catherine Ward, BSc, MBBS, FRCA, PGCME

  University Hospitals Plymouth NHS Trust

  STUDY CHAIR

• Charlotte Hitchins, BMedSci, BMBS, MRCS

  University Hospitals Plymouth NHS Trust

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Target Duration: 1 Day
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 18, 2018
• First Posted: November 5, 2021
• Study Start: October 1, 2015
• Primary Completion: October 4, 2017
• Study Completion: January 24, 2018
• Last Updated: May 3, 2023

Record last verified: 2023-05

Data Sharing

• IPD Sharing: Will not share