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5.Comparing Non-Technical Skills in Neonatal Resuscitation Teams: Performance Across Medical Specialization

Hina Khan1, Muhammad Yousaf Raza2 and Romana Altaf3

ABSTRACT

Objective: The initial breath of a newborn is a critical milestone, marking the transition from placental dependence to self-sufficiency. Despite most infants adapting smoothly, some require resuscitation. This audit was conducted to analyze the impact of non-technical skills on neonatal resuscitation team performance across three medical specializations: pediatricians, obstetricians, and anesthesiologists.

Study Design: observational study

Place and Duration of Study: This study was conducted at the Medicare hospital Rawalpindi, between February and March 2024.

Methods: Video recordings from 60 delivery suites at Medicare hospitals were analyzed, assessing non-technical skills using the Global Assessment of Team Performance (GAOTP) checklist. The GAOTP measures six key domains: communication with patients/parents, task/case management, leadership and teamwork, situational awareness, communication between team members, and environment of the room. Each dimension was rated on a Likert scale from 1 to 5.

Results: Pediatricians scored the highest average non-technical skill score of 24.2, followed by anesthesiologists with 20.1, and obstetricians with 17.2, with statistically significant differences (p<0.05). Pediatricians excelled in "environment of the room," "teamwork and leadership," "communication and situational awareness," and "task management," highlighting the importance of effective communication and clear leadership. This study underscores the need for comprehensive training programs that address both technical and non-technical skills to enhance team performance in critical medical situations.

Conclusion: Our study highlight that comprehensive training in both technical and non-technical skills is vital for improving team performance in high-pressure medical situations

Key Words: neonatal resuscitation, non-technical skills, medical specialties, Global assessment of team performance

Citation of article: Khan H, Raza MY, Altaf R. Comparing Non-Technical Skills in Neonatal Resuscitation Teams: Performance Across Medical Specialization. Med Forum 2024;35(6):24-27.doi:10.60110/ medforum.350605.