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Studies of performance in medicine are often based on observation. Videotape provides a valuable tool for recording events from both real environments and simulators. When analysing observational data it is important that robust tools are used, particularly when investigating non-technical (cognitive and social) skills. This paper describes the method used(More)
BACKGROUND Analyses of adverse events in surgery reveal that many underlying causes are behavioural, such as communication failure, rather than technical. Non-technical (i.e. cognitive and interpersonal) skills are not addressed explicitly in surgical training. However, surgeons need to demonstrate these skills, which underpin their technical excellence, to(More)
A total of 128 children from each of two age groups (6-7 years and 10-11 years) took part individually in a simulated health check procedure. This involved direct confrontation between the child and an adult stranger in which the child was touched and an article of clothing (shoes) removed. One week later children took part in a series of tests which(More)
Developments in crew resource management (CRM) have progressed from the introduction of training programs to the evaluation of CRM skills, particularly for multicrew cockpits. European regulators responsible for flight operations and flight crew licensing (Joint Aviation Authorities, 1996, 1997) are introducing requirements for the training and assessment(More)
BACKGROUND Patient safety research has shown poor communication among intensive care unit (ICU) nurses and doctors to be a common causal factor underlying critical incidents in intensive care. This study examines whether ICU doctors and nurses have a shared perception of interdisciplinary communication in the UK ICU. METHODS Cross-sectional survey of ICU(More)
INTRODUCTION There are numerous diverse papers that have addressed issues within maritime safety; to date there has been no comprehensive review of this literature to aggregate the causal factors within accidents in shipping and surmise current knowledge. METHODS This paper reviewed the literature on safety in three key areas: common themes of accidents,(More)
In high-risk industries such as aviation, the skills not related directly to technical expertise, but crucial for maintaining safety (e.g. teamwork), have been categorized as non-technical skills. Recently, research in anaesthesia has identified and developed a taxonomy of the non-technical skills requisite for safety in the operating theatre. Although many(More)
83 Patient safety problems occur across healthcare but there are particular risks in surgery and surgical patients are involved in as many as 45% of medical adverse events. Estimates of adverse events in surgery that occur while the patient is in the operating room range from 35% to 66%. Studies of safety in other high-risk industries show that adverse(More)