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British Journal of Anaesthesia
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British Journal of Anaesthesia
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Survey of Anesthesiology
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Do technical skills correlate with non-technical skills in crisis resource management: a simulation study

A Simulation Study
Authors: Riem, N; Boet, Sylvain; Bould, M D; Tavares, W; Naik, V N;

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

Abstract

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.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.TS and NTS were significantly correlated to each other (r=0.45, P<0.05).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.

Countries
Switzerland, Canada, Canada
Keywords

Male, 650, cardiopulmonary resuscitation, Resource Allocation, Arrhythmias, Cardiac / complications, Clinical Practice, Anesthesiology, Resource Allocation / organization & administration, Humans, Cardiopulmonary Resuscitation / methods, Intraoperative Complications, Retrospective Studies, Observer Variation, Intraoperative Complications / therapy, Heart Arrest / therapy, Arrhythmias, Cardiac, Heart Arrest / etiology, patient simulation, Cardiopulmonary Resuscitation, Heart Arrest, Patient Simulation, Models, Organizational, Female, Clinical Competence, Patient Safety, Emergencies, medical education, Anesthesiology / methods, Clinical Competence / statistics & numerical data, Patient Safety / statistics & numerical data, clinical competence

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    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Top 10%
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 10%
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
99
Top 10%
Top 10%
Top 10%
Green
hybrid