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Qual Saf Health Care 18:104-108 doi:10.1136/qshc.2007.024760
  • Original research

The Oxford NOTECHS System: reliability and validity of a tool for measuring teamwork behaviour in the operating theatre

Table 4 Reliability and validity of the Oxford Non-Technical Skills (NOTECHS) tool
Reliability/validity Measurement
Inter-rater reliability Rwg statistics very high for total score, and most dimensions and subteam scores
Test–retest reliability ANOVA analysis found no differences in the mean NOTECHS scores during the three preintervention periods or three postoperative periods
Face and content validity Not quantitatively assessed, but qualitatively consistent with OTAS,13 NOTSS15 and ANTS14
Predictive validity Theoretical improvement in teamwork behaviour supported by increased NOTECHS performance
Concurrent validity Correlation between overall NOTECHS and technical error, and between surgical subteam NOTECHS and technical error; increase in SAQ scores post-training concurrent with an increase in NOTECHS scores
Convergent validity Agreement between OTAS and NOTECHS
  • ANTS, Anaesthetists’ Non-Technical Skills; OTAS, Observational Teamwork Assessment for Surgery; SAQ, Safety Attitudes Questionnaire.

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