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Building a theoretically grounded model to support the design of effective non-technical skills training in healthcare: The SECTORS model

Morris Gordon.

Cited by (6)

Abstract
Patient safety is an increasingly prominent issue in healthcare. Despite much work investigating human factors system based approaches to reduce avoidable errors, there has been minimal work investigating education in this area. Education to enhance non-technical skills and support behaviour that reduces human factor sources of error is in its infancy. Published works describing interventions are heterogeneous in content and teaching methods, as well as limited in their underpinning or pedagogy. There is no well-recognised model or framework to guide educators in designing such interventions, which further compounds the problem.

In this manuscript, the SECTORS model is proposed, a theoretically-grounded framework to aid understanding of how learning in non-technical skills occurs within healthcare. SECTORS combines three key elements: - The generic Knowledge and skills in core areas that contribute to and support learning in non-technical skills (Systems and technology use, Error awareness, Communication, Teamworking), a situated cognition approach to formal and experiential learning that develops these skills (Observation and simulation) and developments in analytical skills that can integrate these and support decision making (Risk assessment and situational awareness). Further work is now needed to investigate the appropriateness of this model and its utility and effectiveness in supporting design of such education.

Key words: Patient safety; non-technical skills; human factors; adverse events


 
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REFERENCES
1. Kohn LT, Corrigan JM, Donaldson MS. To err is human: building a safer health system. Institute of Medicine National Academies Press, Washington, DC, 1999.
2. Department of health. Organization with a memory. The Stationery Office, London, 2000.
3. Reason J. Human error: models and management. BMJ. 2000;320:768-70. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
4. National Patient Safety Agency [Internet]. London: NPSA; [updated 2011 Nov 29; cited 2012 Mar 8]. Available via http://www.nrls.npsa.nhs.uk/resources/collections/quarterly-data-summaries/ (Accessed December 23 2012).
5. Lerner S, Magrane D, Friedman E. Teaching teamwork in medical education. Mt Sinai J Med. 2009;76:318-29. [DOI via Crossref]    [Pubmed]   
6. Weiner EL, Nagel D. Human Factors in Aviation. Academic Press, New York, 1988.
7. Gordon M, Darbyshire D, Baker P. Non-technical skills training to enhance patient safety: a systematic review. Med Educ. 2012 Nov;46(11):1042-54. [DOI via Crossref]    [DOI via Crossref]   
8. Bordage G. Conceptual frameworks to illuminate and magnify. Med Educ 2009;43:312-9 [DOI via Crossref]    [Pubmed]   
9. Gordon M, Findley R. Educational interventions to improve handover in health care: a systematic review. Med Educ. 2011 Nov;45(11):1081-9. [DOI via Crossref]    [DOI via Crossref]   
10. Gordon M, Bose-Haider B. A novel system of prescribing feedback to reduce errors: A pilot study. Int J Risk Saf Med. 2012 Jan 1;24(4):207-14. [DOI via Crossref]   
11. Gordon M, Uppal E, Holt K, Lythgoe J, Mitchell A, Hollins-Martin C. Application of the team objective structured clinical encounter (TOSCE) for continuing professional development amongst postgraduate health professionals. J Interprof Care. 2012 Oct 3. [DOI via Crossref]    [DOI via Crossref]   
12. Gordon M. Non-technical skills training to enhance patient safety. Accepted. Clinical Teacher
13. Darbyshire D, Gordon M, Baker P. Teaching handover of care to medical students. Accepted. Clinical Teacher
14. McGaghie WC, Bordage G, Shea JA. Problem statement, conceptual framework, and research question. Acad Med 2001;76:923-4. [DOI via Crossref]   
15. Wong ICK, Wong IYI, Cranswick NE. 2009. Minimising medication errors in children. Arch. Dis. Child 94:161-4. [DOI via Crossref]    [Pubmed]   
16. Reisenberg LA, Jaeger J, Padmore JS. Residents’ and attending physicians’ hand-offs: a systematic review of the literature. Acad Med 2009;84:1775-87. [DOI via Crossref]    [Pubmed]   
17. Reason, J. Managing the risks of organisational accidents. Aldershot: Ashgate Publishing Ltd, London, 1997. [PMC Free Fulltext]   
18. R McDonald, J Waring, S Harrison, K Walshe, R Boaden. Rules and guidelines in clinical practice: a qualitative study in operating theatres of doctors’ and nurses’ views. Qual Saf Health Care 2005;14:290-294. [DOI via Crossref]    [DOI via Crossref]   
19. Gordon M. Handover education in UK medical schools: Current practices and implications for educators. Med Teach. 2012;34(1):84. [DOI via Crossref]    [Pubmed]   
20. Orlick T. Mental readiness and its link to performance in excellence in surgery. University of Ottowa, Ottawa, 1994.
21. Conroy-smith E, Herring R, Caldwell G. Learning safe prescribing during post-take ward rounds. Clinical Teacher 2011;8:75-8. [DOI via Crossref]    [Pubmed]   
22. Chang VY, Arora VM, Lev-Ari S, D’Arcy M, Keysar B. Interns overestimate the effectiveness of their hand-off communication. Pediatrics 2010;125:491-6. [DOI via Crossref]    [Pubmed]   
23. Barrow. Information richness theory. 2010. Available via http://blog.timebarrow.com/2010/11/information-richness/ time barrow 2010 (Accessed December 23 2012).
24. Darley J M, Latané B. Bystander intervention in emergencies: Diffusion of responsibility. Journal of Personality and Social Psychology 1968;8:377-383 [DOI via Crossref]    [Pubmed]   
25. Wilson BB, Myers KkM. Situated Cognition in Theoretical and Practical Context. In Jonassen D, Land S. (Eds.) Theoretical Foundations of Learning Environments. Lawrence Erlbaum Associates, Mahway, NJ, pp. 57-88, 2000.
26. Brown J S, Collins A, Duguid P. Situated cognition and the culture of learning. Educational Researcher 1989;18(1):32-42. [DOI via Crossref]   
27. Cognition and Technology Group at Vanderbilt (1990). "Anchored instruction and its relationship to situated cognition". Educational Research 1990;19(6):2-10.
28. Sundar E, Sundar S, Pawloski J. Crew resource management and team training. Aneasthesiol clin. 2007;25:283-300 [DOI via Crossref]    [Pubmed]   
29. Reason J. Beyond the organisational accident: the need for ‘error wisdom’ on the frontline. Qual saf Health Care 2004;13(Supp 2):28-33 [DOI via Crossref]    [PMC Free Fulltext]   

This Article Cited By the following articles

Learning health ‘safety’ within non-technical skills interprofessional simulation education: a qualitative study
Medical Education Online 2017; 22(1): 1272838.

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Drugs Ther Perspect 2017; 33(8): 387.

2
 
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Perspect Med Educ 2017; 6(5): 331.

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Devising a consensus definition and framework for non-technical skills in healthcare to support educational design: A modified Delphi study
Medical Teacher 2015; 37(6): 572-577.

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Non-technical skills learning in healthcare through simulation education: integrating the SECTORS learning model and complexity theory
BMJ STEL 2015; 1(2): 67.

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Enhancing health care non-technical skills: the TINSELS programme
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How to Cite this Article
Pubmed Style

Morris Gordon. Building a theoretically grounded model to support the design of effective non-technical skills training in healthcare: The SECTORS model. J Contemp Med Edu. 2013; 1(2): 77-82. doi:10.5455/jcme.20121217125557


Web Style

Morris Gordon. Building a theoretically grounded model to support the design of effective non-technical skills training in healthcare: The SECTORS model. http://www.jcmedu.org/?mno=28875 [Access: December 16, 2018]. doi:10.5455/jcme.20121217125557


AMA (American Medical Association) Style

Morris Gordon. Building a theoretically grounded model to support the design of effective non-technical skills training in healthcare: The SECTORS model. J Contemp Med Edu. 2013; 1(2): 77-82. doi:10.5455/jcme.20121217125557



Vancouver/ICMJE Style

Morris Gordon. Building a theoretically grounded model to support the design of effective non-technical skills training in healthcare: The SECTORS model. J Contemp Med Edu. (2013), [cited December 16, 2018]; 1(2): 77-82. doi:10.5455/jcme.20121217125557



Harvard Style

Morris Gordon (2013) Building a theoretically grounded model to support the design of effective non-technical skills training in healthcare: The SECTORS model. J Contemp Med Edu, 1 (2), 77-82. doi:10.5455/jcme.20121217125557



Turabian Style

Morris Gordon. 2013. Building a theoretically grounded model to support the design of effective non-technical skills training in healthcare: The SECTORS model. Journal of Contemporary Medical Education, 1 (2), 77-82. doi:10.5455/jcme.20121217125557



Chicago Style

Morris Gordon. "Building a theoretically grounded model to support the design of effective non-technical skills training in healthcare: The SECTORS model." Journal of Contemporary Medical Education 1 (2013), 77-82. doi:10.5455/jcme.20121217125557



MLA (The Modern Language Association) Style

Morris Gordon. "Building a theoretically grounded model to support the design of effective non-technical skills training in healthcare: The SECTORS model." Journal of Contemporary Medical Education 1.2 (2013), 77-82. Print. doi:10.5455/jcme.20121217125557



APA (American Psychological Association) Style

Morris Gordon (2013) Building a theoretically grounded model to support the design of effective non-technical skills training in healthcare: The SECTORS model. Journal of Contemporary Medical Education, 1 (2), 77-82. doi:10.5455/jcme.20121217125557





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