Background: The Scrub Practitioners’ List of Intraoperative Non-Technical Skills (SPLINTS) system is anew tool for training and assessing scrub practitioner behaviours during surgical operations. Method: Experiencedscrub practitioners (n=34) attended a single day session where they received background trainingin human factors and non-technical skills and were trained to use the SPLINTS system. They then ratedthe scrub practitioners’ non-technical skill performance in seven video-recorded simulated scenarios andcompleted a post-training questionnaire. Results: Within-group agreement for all three skill categories,and for six of the nine elements, was acceptable (r_(wg)>.70). Participants could use SPLINTS to accuratelyscore performance compared with expert ratings and were within one scale point of expert ratings in > 90%of skill categories and elements. There was good internal consistency between elements and their categories(M<.2 of a scale point) and participants reported that the system was complete. Conclusion: TheSPLINTS system was deemed adequately reliable, for rating scrub practitioners’ non-technical skills, usingstandardized filmed scenarios. Usability of the SPLINTS system in the real operating theatre environmentis still to be assessed.
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