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Background And Objectives: The treatment of chronic illnesses requires health care professionals (HCPs) to master several nontechnical skills to meet patient care needs. This article aims to describe the rationale and the inductive process through which a self-assessment tool for the nontechnical skills of hemophilia teams was conceived, developed, and tested.
Methods: Starting from an explorative analysis of hemophilia HCP work experiences, the process followed 3 phases: an in-depth analysis of hemophilia HCP skills; the questionnaire development; and a pilot study.
Results: Using the voice of HCPs as a starting point, the tool proved to be able to identify precise cross-professional and intercultural challenges as well as related required and/or acquired skills in the hemophilia field.
Conclusion: The proposed tool may contribute to providing HCPs with strategic knowledge to successfully perform everyday practices, to improve the effectiveness of hemophilia teams and the care model adopted by their centers, and to implement intercultural research in this field. It may be used to propose ad hoc training courses targeted by challenge, in order to fill the major gaps reported by the teams, or targeted by medical specialty or country (and therefore health care system) specificity.
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http://dx.doi.org/10.1097/QMH.0000000000000275 | DOI Listing |
Br J Oral Maxillofac Surg
August 2025
Department of Oral and Maxillofacial Surgery, John Radcliffe Hospital, Oxford University Hospitals NHS Trust, Oxford, UK.
Leadership is increasingly recognised as an essential non-technical skill for effective surgical practice, particularly in oral and maxillofacial surgery (OMFS) due to its multidisciplinary nature and clinical scope. The aim of this review is to identify current leadership development opportunities available to UK OMFS specialty trainees, evaluate their sufficiency, and propose areas for improvement. A comprehensive search of published and grey literature was conducted, screening 2796 articles, with 18 meeting the inclusion criteria.
View Article and Find Full Text PDFIISE Trans Occup Ergon Hum Factors
September 2025
Department of Industrial Engineering, Clemson University, Clemson, SC, USA.
Occupational ApplicationsThe analysis of communication, attention, and cognitive engagement relative to leadership and non-technical skills (NTS) is important for understanding the team dynamic within clinical settings. We found negative correlations between passive communication (receiving information instead of dictating information) and leadership scores, suggesting that passive leadership traits lead to weaker technical leadership performance. Additionally, continuously sharing goals and providing affirmations to patients had positive relationships with leadership scores.
View Article and Find Full Text PDFNeurosurgery
July 2025
Office of the Dean, School of Medicine, Oregon Health & Science University, Portland, Oregon, USA.
Background And Objectives: The Accreditation Council for Graduate Medical Education Neurosurgery Milestones were implemented to advance competency-based training in neurosurgery; however, research on milestones in neurosurgery has been more limited, and there has been no comprehensive study on the milestone ratings and the comparability of Milestones 1.0 and 2.0.
View Article and Find Full Text PDFAm J Emerg Med
August 2025
London School of Hygiene & Tropical Medicine, Keppel Street, London WC1E 7HT, United Kingdom.
Background: Non-traumatic cardiac arrest is a critical condition, and errors and safety incidents during resuscitation reduce patient survival rates. Systematic investigations of patient safety incidents during resuscitation are limited. This systematic review aimed to examine the characteristics and nature of patient safety incidents during real and simulated resuscitation.
View Article and Find Full Text PDFPatient Saf Surg
September 2025
Student Research Committee, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Background: In the high-stakes environment of the operating room (OR), patient safety depends not only on technical expertise but also on seamless communication, clear roles, and coordinated teamwork. Traditional approaches often overlook the relational and performative dimensions of surgical care.
Methods: This narrative article proposes a metaphorical framework that compares surgical practice to live theater, where each team member plays a rehearsed role, and protocols act as scripts.