ABSTRACT

The reliability of Anaesthetists’ Non-Technical Skills (ANTS) has been investigated using videos of simulated conduct of anaesthesia, with the assessed raters being anaesthetists involved in either training or assessment of anaesthesia trainees. While different forms of assessment have been used for many years, assessment in the workplace is thought to be the most meaningful. The challenge is to create and test tools that will be robust enough to perform high stakes assessments. During the initial evaluation of ANTS by the Scottish team, feedback from experts and calibration were deliberately excluded from rater training to isolate the impact of these on inter-rater agreement. The audio-visual department made a number of posters which were displayed in the clinic where patients undergo pre-operative assessment. Video production commenced in January 2007 and took seven months. The videos were produced by the audio-visual department at Sir Charles Gairdner Hospital. The video taken was of anaesthetists’ real-time performance.