ArticleEmergency medicine journal : EMJ2017
Relationship between non-technical skills and technical performance during cardiopulmonary resuscitation: does stress have an influence?
Article in Emergency medicine journal : EMJ, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
47 citing papers in PubMed, 1 synthesis or guideline pooled it, 123 citations in OpenAlex.
- Evaluation of video review tools for assessing non-technical skills in emergency department resuscitation teams: a systematic review.BMC emergency medicine · 2023Pooled it
- Augmented Reality-Guided Decision Support in Simulated Pediatric Cardiac Arrest: A Randomized Clinical Trial.JAMA network open · 2026Trial
- Effects of relaxing breathing paired with cardiac biofeedback on performance and relaxation during critical simulated situations: a prospective randomized controlled trial.BMC medical education · 2022Trial
- Impact of a Mobile App on Paramedics' Perceived and Physiologic Stress Response During Simulated Prehospital Pediatric Cardiopulmonary Resuscitation: Study Nested Within a Multicenter Randomized Controlled Trial.JMIR mHealth and uHealth · 2021Trial
- Effects of post-scenario debriefing versus stop-and-go debriefing in medical simulation training on skill acquisition and learning experience: a randomized controlled trial.BMC medical education · 2019Trial
- The effect of combined basic CPR training on knowledge, attitude, and bystander intervention: A pilot study to address obstacles in CPR education.Journal of education and health promotion · 2026Article
- Nontechnical Skills (NTS) and the Quality of Conducting Prehospital Advanced Cardiopulmonary Resuscitation Among Paramedics.Emergency medicine international · 2026Article
- In situ Simulation as a Training Tool in a Tertiary Pediatric Emergency Department in Italy: Enhancing Preparedness Where it Matters.Advances in medical education and practice · 2026Article
- Effect of tele-support on attention levels of emergency medical technicians during simulated out-of-hospital cardiac arrest.Scientific reports · 2025Article
- Nurses' knowledge and self-reported adherence to advanced life support guidelines during in-hospital cardiac arrest in a referral hospital in Ghana.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2025Article
- Elucidating cognitive processes in cardiac arrest team leaders: a virtual reality-based cued-recall study of experts and novices.Annals of medicine · 2025Article
- The impact of additional special emergency medical service units on non-traumatic adult out-of-hospital cardiac arrest outcomes in a high-resource metropolitan area.Resuscitation plus · 2025Article
- Enhancing Immersion in Virtual Reality-Based Advanced Life Support Training: Randomized Controlled Trial.JMIR serious games · 2025Article
- Article
- Approaches to neonatal intubation training: A scoping review.Resuscitation plus · 2024Article
- Comparing Learning Outcomes of Machine-Guided Virtual Reality-Based Training With Educator-Guided Training in a Metaverse Environment: Randomized Controlled Trial.JMIR serious games · 2024Article
- The Real Experience of Lay Responders Performing Cardiopulmonary Resuscitation: A Synthesis of Qualitative Evidence.Public health reviews · 2024Review
- Comparing the Outcomes of Virtual Reality-Based Serious Gaming and Lecture-Based Training for Advanced Life Support Training: Randomized Controlled Trial.JMIR serious games · 2023Article
- Exploring the characteristics of successful prehospital trauma care teams: Insights from military trauma care simulations.The journal of trauma and acute care surgery · 2023Article
- Effect of mini-course training in communication and teamwork on non-technical skills score in emergency residents: a prospective experimental study.BMC medical education · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNon-technical skills, such as task management, leadership, situational awareness, communication and decision-making refer to cognitive, behavioural and social skills that contribute to safe and efficient team performance. The importance of these skills during cardiopulmonary resuscitation (CPR) is increasingly emphasised. Nonetheless, the relationship between non-technical skills and technical performance is poorly understood. We hypothesise that non-technical skills become increasingly important under stressful conditions when individuals are distracted from their tasks, and investigated the relationship between non-technical and technical skills under control conditions and when external stressors are present.
methodsIn this simulator-based randomised cross-over study, 30 anaesthesiologists and anaesthesia residents from the VU University Medical Center, Amsterdam, the Netherlands, participated in two different CPR scenarios in random order. In one scenario, external stressors (radio noise and a distractive scripted family member) were added, while the other scenario without stressors served as control condition. Non-technical performance of the team leader and technical performance of the team were measured using the 'Anaesthetists' Non-technical Skill' score and a recently developed technical skills score. Analysis of variance and Pearson correlation coefficients were used for statistical analyses.
resultsNon-technical performance declined when external stressors were present (adjusted mean difference 3.9 points, 95% CI 2.4 to 5.5 points). A significant correlation between non-technical and technical performance scores was observed when external stressors were present (r=0.67, 95% CI 0.40 to 0.83, p<0.001), while no evidence for such a relationship was observed under control conditions (r=0.15, 95% CI -0.22 to 0.49, p=0.42). This was equally true for all individual domains of the non-technical performance score (task management, team working, situation awareness, decision-making).
conclusionsDuring CPR with external stressors, the team's technical performance is related to the non-technical skills of the team leader. This may have important implications for training of CPR teams.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.