Safer Surgery part 15. There have been few research investigations into how highly trained doctors and nurses work together to achieve safe and efficient anaesthesia and surgery. While there have been major advances in surgical and anaesthetic procedures, there are still significant risks for patients during operations and adverse events are not unknown. Due to rising concern about patient safety, surgeons and anaesthetists have looked for ways of minimising adverse events. | 114 Safer Surgery detail while being practical inexpensive and easy to use and that describe more closely the relationship between teamwork performance safety and quality. Acknowledgements This work was generously funded by the BUPA foundation with our earlier reported work supported by the Patient Safety Research Programme. Thanks also to the rest of the Great Ormond Street project team and especially Professor Marc de Leval and Mr Tony Giddings. References Avermaete . and van Kruijsen . 1998 NOTECHS. The Evaluation of Non-technical Skills of Multi-pilot Aircrew in Relation to the JAR-FCL Requirements. Amsterdam EC NOTECHS Project final. Catchpole K. Godden . Giddings . Hirst G. Dale T. Utley M. Gallivan S. and de Leval M. 2005 Identifying and Reducing Errors in the Operating Theatre Rep. No. PS012 . Patient Safety Research Programme. Available at http publichealth psrp documents last accessed February 2009 . Catchpole . Giddings . de Leval . Peek . Godden . Utley M. Gallivan S. Hirst G. and Dale T 2006 Identification of systems failures in successful paediatric cardiac surgery. Ergonomics 49 567-88. Catchpole K. Giddings . Wilkinson M. Dale T. Hirst G. and de Leval . 2007 Improving patient safety by identifying latent failures in successful operations. Surgery 142 102-110. de Leval . Carthey J. Wright . and Reason . 2000 Human factors and cardiac surgery A multicenter study. Journal of Thoracic and Cardiovascular Surgery 119 661-72. Fletcher . Flin . Glavin R J. Maran . and Patey R. 2004 Rating non-technical skills Developing a behavioural marker system for use in anaesthesia. Cognition Technology and Work 6 165-71. Fletcher . Flin . Glavin . Maran . and Patey R. 2003 Anaesthetists Non-Technical Skills ANTS Evaluation of a behavioural marker system. British Journal of Anaesthesia 90 580-8. Flin R. Martin L. Goeters K. Hoermann J. Amalberti
