Journal
JOURNAL OF MEDICAL SYSTEMS
Volume 46, Issue 11, Pages -Publisher
SPRINGER
DOI: 10.1007/s10916-022-01866-4
Keywords
Decision support tools; Cognitive aids; Team performance; Non-technical skills; Technical skills; Resuscitation
Funding
- Anesthesia Patient Safety Foundation
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Cognitive aids, specifically decision support tools (DST), have been found to improve the technical performance of teams in managing critical events. However, their effects on non-technical skills are limited.
Cognitive aids have been shown to facilitate adherence to evidence-based guidelines and improve technical performance of teams when managing simulated critical events. Few studies have explored the effect of cognitive aids on non-technical skills, such as teamwork and communication. The current study sought to explore the effects of different decision support tools (DST), a type of cognitive aid, on the technical and non-technical performance of teams. The current study represents a randomized, blinded, control trial of the effects of three versions of an electronic DST on team performance during multiple simulations of perioperative emergencies. The DSTs included a version with only technical information, a version with only non-technical information and a version with both technical and non-technical information. The technical performance of teams was improved when they used the technical DST and the combined technical and non-technical DST when compared to memory alone. The technical performance of teams was significantly worse when using the non-technical DST. All three versions of the DST had a negligible effect on the non-technical performance of teams. The technical performance of teams in the current study was affected by different versions of a DST, yet there was no effect on the teams' non-technical performance. The use of a DST, including those that focused on non-technical information, did not impact the non-technical performance of the teams.
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