Evidence map›Paper›PMID 40556840›Full record

ArticleFrontiers in health services2025

The effects of temporary staff on observable teamwork outcomes within operating rooms.

Logan Butler, Andrew Kozlow, Cody Mitchell, Rebecca S Cintron, Caprice Greenberg, Lawrence B Marks, Jin H Ra, Lukasz Mazur

Abstract read
In one paragraph

Article in Frontiers in health services, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Logan ButlerDivision of Healthcare Engineering, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Andrew KozlowDivision of Healthcare Engineering, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Cody MitchellDivision of Healthcare Engineering, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Rebecca S CintronDepartment of Surgery, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Caprice GreenbergDepartment of Surgery, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Lawrence B MarksDepartment of Radiation Oncology, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Jin H RaDivision of Acute Care Surgery, Department of Surgery, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Lukasz MazurDivision of Healthcare Engineering, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The use of temporary nursing and operating room staff has increased, particularly following the COVID-19 pandemic. Despite this, limited research examines how temporary staffing impacts communication and teamwork behaviors in the operating room. Materials and methods: Surgical case safety behaviors were assessed using the Teamwork Evaluation of Non-Technical Skills (TENTS) tool at a large academic hospital. Mean scores for the 20 TENTS metrics were calculated for cases involving temporary staff and compared to cases with only permanent staff using two-sample Results: Data from 100 surgical cases indicated that all TENTS safety behavior scores averaged above 2, suggesting acceptable behavior levels. Statistical analyses revealed no significant differences ( Discussion: Standardized evaluations of teamwork behaviors revealed no significant differences between cases involving permanent and temporary operating room staff. This suggests that teams maintain communication and safety standards regardless of staff composition, potentially due to effective leadership, standardized protocols, and a strong institutional safety culture. Further research must explore the long-term effects of temporary staffing on patient safety and clinical outcomes, and to identify best practices for integrating temporary personnel into surgical teams.

Indexed as

communicationsurgeryTeamSTEPPSteamwork observationstemporary staff

Identifiers

PMID40556840
PMCPMC12185396

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.