Evidence map›Paper›PMID 35526061›Full record

ArticleAdvances in simulation (London, England)2022

The effectiveness of improving healthcare teams' human factor skills using simulation-based training: a systematic review.

Lotte Abildgren, Malte Lebahn-Hadidi, Christian Backer Mogensen, Palle Toft, Anders Bo Nielsen, Tove Faber Frandsen, Sune Vork Steffensen, Lise Hounsgaard

Abstract read
In one paragraph

Article in Advances in simulation (London, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Exploring tools used in the assessment of Trauma Team Leadership using video review: a systematic review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026
    Pooled it
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  15. Learning gain of an ATLSEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Lotte AbildgrenAnesthesiology and Intensive Care Unit, Odense University Hospital, Odense, Denmark. lotte.abildgren@rsyd.dk.ORCID http://orcid.org/0000-0001-9299-2358
Malte Lebahn-HadidiEmergency Research Unit, Hospital Sønderjylland, University Hospital of Southern Denmark, Odense, Denmark.
Christian Backer MogensenEmergency Research Unit, Hospital Sønderjylland, University Hospital of Southern Denmark, Odense, Denmark.
Palle ToftAnesthesiology and Intensive Care Unit, Odense University Hospital, Odense, Denmark.
Anders Bo NielsenOPEN, Open Patient data Explorative Network, Odense University Hospital/Department of Clinical Research, University of Southern Denmark, Odense, Denmark.
Tove Faber FrandsenDepartment of Design and Communication, University of Southern Denmark, Kolding, Denmark.
Sune Vork SteffensenCentre for Human Interactivity, Department of Language and Communication, University of Southern Denmark, Odense, Denmark.
Lise HounsgaardOPEN, Open Patient data Explorative Network, Odense University Hospital/Department of Clinical Research, University of Southern Denmark, Odense, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSimulation-based training used to train healthcare teams' skills and improve clinical practice has evolved in recent decades. While it is evident that technical skills training is beneficial, the potential of human factor training has not been described to the same extent. Research on human factor training has been limited to marginal and acute care scenarios and often to validate instruments. This systematic review aimed to investigate the effectiveness of simulation-based training in improving in-hospital qualified healthcare teams' human factor skills.

methodA review protocol outlining the study was registered in PROSPERO. Using the PRISMA guidelines, the systematic search was conducted on September 28th, 2021, in eight major scientific databases. Three independent reviewers assessed title and abstract screening; full texts were evaluated by one reviewer. Content analysis was used to evaluate the evidence from the included studies.

resultsThe search yielded 19,767 studies, of which 72 were included. The included studies were published between 2004 and 2021 and covered research from seven different in-hospital medical specialisms. Studies applied a wide range of assessment tools, which made it challenging to compare the effectiveness of human factor skills training across studies. The content analysis identified evidence for the effectiveness. Four recurring themes were identified: (1) Training human factor skills in qualified healthcare teams; (2) assessment of human factor skills; (3) combined teaching methods, and (4) retention and transfer of human factor skills. Unfortunately, the human factor skills assessments are variable in the literature, affecting the power of the result.

conclusionSimulation-based training is a successful learning tool to improve qualified healthcare teams' human factor skills. Human factor skills are not innate and appear to be trainable similar to technical skills, based on the findings of this review. Moreover, research on retention and transfer is insufficient. Further, research on the retention and transfer of human factor skills from simulation-based training to clinical practice is essential to gain knowledge of the effect on patient safety.

Indexed as

Adverse eventsCrisis resource management (CRM)Human factor skillsIn-hospitalMedical simulationNon-technical skills (NTS)Qualified healthcare teamSimulation-based trainingSystematic reviewTeamwork

Identifiers

PMID35526061
PMCPMC9077986

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.