Free Papers

Development of the human factors in intraoperative ophthalmic emergencies scoring system (HUFOES) for nontechnical skills in cataract surgery

Free Paper Details

First Author: S.Maqsood UK

Co Author(s):    T. Wood   S. Zoutewelle   M. Nanavaty   S. Rajak           

Abstract Details

Purpose:

We aimed to develop the HUman Factors in intraoperative Ophthalmic Emergencies Scoring System (HUFOES); a non-technical skills (NTS) assessment system for posterior capsule rupture (PCR) during cataract surgery with expert consensus, as NTS are a fundamental component of successful management of intraoperative complications

Setting:

Sussex Eye Hospital

Methods:

A focus group of experienced cataract surgery trainers and a literature review elicited that NTS is considered important for the management of intraoperative cataract surgery complications. Through these resources, a novel taxonomy of NTS specific for PCR management was generated. Questionnaires were distributed to UK ophthalmologists in one UK training region. Delphi methodology was used to develop a final HUFOES draft, whilst a further questionnaire was used to gain feasibility, educational impact and validity data.

Results:

All HUFOES components achieved a mean importance rating of >8/10 and achieved high interrater agreement ratings (α=0.953). Interrater agreement scores for HUFOES categories were; Teamwork and Communication (α=0.819), Leadership (α=0.859) Decision Making (α=0.752), Situational Awareness (α=0.840) and Professionalism (α=0.890). 92.8% rated HUFOES as specific for use. 92.3% agreed it contains appropriate assessment measures. 92.3% agreed that training with HUFOES would enhance preparation for PCR management. 76.9% declared HUFOES as the preferable training system for NTS in intraoperative ophthalmic emergencies by when compared to the current gold standard.

Conclusions:

HUFOES has been developed and validated as a tool for the training and assessment of NTS in PCR. NTS training programme should be considered with integration of HUFOES in order to enhance surgical NTS for managing intraoperative complications, and improve performance and outcomes following PCR.

Financial Disclosure:

-