Impact of surgical non-technical skills on clinical outcomes: systematic review

作者：Joel Norton, Allison M. Janda, Emma Howie, Nicole M. Pohl, Egide Abahuje, Steven D. Harrington, Vitaliy Popov, Tyler Bauer, Paulo Borges, Gabriela Querejeta Roca, Michael R. Mathis, Raymond J. Strobel, Austin E. Airhart, Nicole Pham, Ryan Harari, Jake Awtry, Françis D. Pagani, Roger D Dias, Donald S. Likosky, Steven Yule, the Video Assessment of CaRdiac Surgery QualITY (VARSITY) Surgery Group, T Epperson, S Krein, M Manojlovich, M Rafferty, P Ariyo, R Sirihoracha, B Wojcik · 发表于：British journal of surgery · 年份：2025 · DOI：10.1093/bjs/znaf271 · 被引用次数：10 · 研究领域：Surgical Simulation and Training、Patient Safety and Medication Errors、Simulation-Based Education in Healthcare

BACKGROUND: Deficiencies in non-technical skills (NTS) such as leadership and communication can lead to intraoperative inefficiency and error. However, the relationship between these skills and patient-level outcomes has yet to be synthesized. The aim of this study was to systematically review the evidence examining the relationship between intraoperative NTS and clinical outcomes. METHODS: The PubMed, Embase, CENTRAL, CINAHL, and PsycINFO databases were searched for relevant studies published between inception and 1 November 2024. Eligible studies assessed NTS of operating room personnel, were conducted in non-simulated environments, and reported clinical outcomes. NTS were categorized into five core domains including leadership and communication. Patient-level outcomes comprised eight clinical measures including mortality and postoperative complications. RESULTS: Of 6313 screened studies, 21 met the inclusion criteria. Included studies represented 8536 participants performing 251 180 procedures across 13 specialties. Eleven observational studies assessed NTS of surgical personnel via study participants or observers. Ten interventional studies introduced NTS team training initiatives. Twelve of 21 studies (57%) incorporating 247 036 of all procedures (98.4%) reported significant improvements in clinical outcomes. Nine of 11 observational studies (82%) reported significant improvement in clinical outcomes compared with 3 of 10 interventional studies (30%). No studies demonstr...