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Do technical skills correlate with non-technical skills in crisis resource management: a simulation study

BACKGROUND: Both technical skills (TS) and non-technical skills (NTS) are key to ensuring patient safety in acute care practice and effective crisis management. These skills are often taught and assessed separately. We hypothesized that TS and NTS are not independent of each other, and we aimed to e...

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Autores principales: Riem, N., Boet, S., Bould, M. D., Tavares, W., Naik, V. N.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3470444/
https://www.ncbi.nlm.nih.gov/pubmed/22850221
http://dx.doi.org/10.1093/bja/aes256
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author Riem, N.
Boet, S.
Bould, M. D.
Tavares, W.
Naik, V. N.
author_facet Riem, N.
Boet, S.
Bould, M. D.
Tavares, W.
Naik, V. N.
author_sort Riem, N.
collection PubMed
description BACKGROUND: Both technical skills (TS) and non-technical skills (NTS) are key to ensuring patient safety in acute care practice and effective crisis management. These skills are often taught and assessed separately. We hypothesized that TS and NTS are not independent of each other, and we aimed to evaluate the relationship between TS and NTS during a simulated intraoperative crisis scenario. METHODS: This study was a retrospective analysis of performances from a previously published work. After institutional ethics approval, 50 anaesthesiology residents managed a simulated crisis scenario of an intraoperative cardiac arrest secondary to a malignant arrhythmia. We used a modified Delphi approach to design a TS checklist, specific for the management of a malignant arrhythmia requiring defibrillation. All scenarios were recorded. Each performance was analysed by four independent experts. For each performance, two experts independently rated the technical performance using the TS checklist, and two other experts independently rated NTS using the Anaesthetists' Non-Technical Skills score. RESULTS: TS and NTS were significantly correlated to each other (r=0.45, P<0.05). CONCLUSIONS: During a simulated 5 min resuscitation requiring crisis resource management, our results indicate that TS and NTS are related to one another. This research provides the basis for future studies evaluating the nature of this relationship, the influence of NTS training on the performance of TS, and to determine whether NTS are generic and transferrable between crises that require different TS.
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spelling pubmed-34704442012-10-15 Do technical skills correlate with non-technical skills in crisis resource management: a simulation study Riem, N. Boet, S. Bould, M. D. Tavares, W. Naik, V. N. Br J Anaesth Clinical Practice BACKGROUND: Both technical skills (TS) and non-technical skills (NTS) are key to ensuring patient safety in acute care practice and effective crisis management. These skills are often taught and assessed separately. We hypothesized that TS and NTS are not independent of each other, and we aimed to evaluate the relationship between TS and NTS during a simulated intraoperative crisis scenario. METHODS: This study was a retrospective analysis of performances from a previously published work. After institutional ethics approval, 50 anaesthesiology residents managed a simulated crisis scenario of an intraoperative cardiac arrest secondary to a malignant arrhythmia. We used a modified Delphi approach to design a TS checklist, specific for the management of a malignant arrhythmia requiring defibrillation. All scenarios were recorded. Each performance was analysed by four independent experts. For each performance, two experts independently rated the technical performance using the TS checklist, and two other experts independently rated NTS using the Anaesthetists' Non-Technical Skills score. RESULTS: TS and NTS were significantly correlated to each other (r=0.45, P<0.05). CONCLUSIONS: During a simulated 5 min resuscitation requiring crisis resource management, our results indicate that TS and NTS are related to one another. This research provides the basis for future studies evaluating the nature of this relationship, the influence of NTS training on the performance of TS, and to determine whether NTS are generic and transferrable between crises that require different TS. Oxford University Press 2012-11 2012-07-31 /pmc/articles/PMC3470444/ /pubmed/22850221 http://dx.doi.org/10.1093/bja/aes256 Text en © The Author [2012]. Published by Oxford University Press on behalf of the British Journal of Anaesthesia. All rights reserved. For Permissions, please email: journals.permissions@oup.com http://creativecommons.org/licenses/by-nc/2.5/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/2.5/uk/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Practice
Riem, N.
Boet, S.
Bould, M. D.
Tavares, W.
Naik, V. N.
Do technical skills correlate with non-technical skills in crisis resource management: a simulation study
title Do technical skills correlate with non-technical skills in crisis resource management: a simulation study
title_full Do technical skills correlate with non-technical skills in crisis resource management: a simulation study
title_fullStr Do technical skills correlate with non-technical skills in crisis resource management: a simulation study
title_full_unstemmed Do technical skills correlate with non-technical skills in crisis resource management: a simulation study
title_short Do technical skills correlate with non-technical skills in crisis resource management: a simulation study
title_sort do technical skills correlate with non-technical skills in crisis resource management: a simulation study
topic Clinical Practice
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3470444/
https://www.ncbi.nlm.nih.gov/pubmed/22850221
http://dx.doi.org/10.1093/bja/aes256
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