Non-technical skills in pre-hospital care in the Czech Republic: a prospective multicentric observational study (NTS study)

Abstract

Background Non-technical skills (NTS) are important for the proper functioning of emergency medical ambulance crews but have hardly been researched in the conditions of clinical pre-hospital care. The primary objective of this study, therefore, is to describe the use of NTS in practice. The secondary objective is to compare if the performance of NTS varies according to the type of case. Methods In this multicentric observational study the modified Team Emergency Assessment Measure (TEAM) score was used to assess the performed NTS of two or more crews on site. The evaluation consisted of leadership, teamwork and task management, rated by a field supervisor. The study observations took place in real clinical pre-hospital emergency medical cases when two or more crews were dispatched between October 2019 and August 2020. The sample size was determined by researchers prior to the study to at least 100 evaluated events per each of the three participating emergency medical services. The results are presented as median and interquartile range. The internal reliability, consistency and validity of test items and results were evaluated. The Kruskal–Wallis test and the post hoc Mann-Whitney U test with Bonferroni correction were used for multiple comparisons of three groups. Results A total of 359 events were evaluated. Surprisingly, the median value for all eight items was as high as 3.0 with a similar interquartile range of 1.0. There were no differences observed by case type (CPR vs. TRAUMA vs. MEDICAL) except from item 1. A post hoc analysis revealed that this difference is in favour of a higher rated performance of non-technical skills in CPR. Conclusions The overall result of the performance of non-technical skills can be regarded as very good and can serve for further evaluations. The crews achieved better parameters of NTS in leadership in resuscitation situations in comparison with general medical events. Trial Registration The study is registered at Clinical Trials under the ID: NCT04503369.

Identification of the Gap in Pre-hospital Knowledge and Skills of the Red Crescent Society Rescuers of the Islamic Republic of Iran

“…This study identified and introduced the gap between the two mentioned types of knowledge and skills. One of the non-technical gaps identified in this study was the gap in teamwork skills, which was emphasized in the study conducted by Peran et al in 2022 under the headings of teamwork and leadership, team morale, adaptation, anticipation priorities, and tasks skill (22).…”

“…The necessary knowledge and skills for pre-hospital service providers consist of technical and nontechnical types, with the second type being very critical in providing the mentioned services (22). This study identified and introduced the gap between the two mentioned types of knowledge and skills.…”

Methylenedioxy Piperamide-Derived Compound D5 Regulates Inflammatory Cytokine Secretion in a Culture of Human Glial Cells

“…A one-way ANOVA followed by post hoc analysis (Bonferroni Correction)using the Excel tool of Microsoft office 2007 (Microsoft, Redmond, WA, USA) [ 42 ], at a confidence level of 95% (α = 0.05), was used to compare groups, and the results were presented as the means ± S.D. A two-tailed t -test analysis was used to compare the efficacies of D5 and D4 at a confidence level of 95% (α = 0.05).…”