Training in nontechnical skills versus checklist-based standard training to reduce medical errors in simulated crises among medical students: A Single-center, non-blinded, randomized controlled clinical trial.
Introduction: Medical error is one of the main causes of in-hospital mortality. Objective: To determine whether Nontechnical Skills (NTS) training with clinical simulation is superior to conventional training with checklists to reduce medical error in clinical simulation. Methods: A controlled clini...
| Publicado en: | Colombian Journal of Anesthesiology / Revista Colombiana de Anestesiología Vol. 54; no. 3; pp. 1 - 12 |
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| Autores principales: | , , |
| Formato: | Artículo |
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Sociedad Colombiana de Anestesiologia y Reanimacion
Jul-Sep2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=lth&AN=195859525&site=ehost-live header: @attributes: shortDbName: lth uiTerm: 195859525 longDbName: MedicLatina uiTag: AN controlInfo: bkinfo: jinfo: jid: 01203347 B54X jtl: Colombian Journal of Anesthesiology / Revista Colombiana de Anestesiología issn: 01203347 maglogo: N pubinfo: dt: Jul-Sep2026 vid: 54 iid: 3 pid: 56584 pub: Sociedad Colombiana de Anestesiologia y Reanimacion artinfo: ui: 195859525 10.5554/22562087.e1185 ppf: 1 ppct: 11 formats: fmt: @attributes: type: P size: 1015KB tig: atl: Training in nontechnical skills versus checklist-based standard training to reduce medical errors in simulated crises among medical students: A Single-center, non-blinded, randomized controlled clinical trial. aug: au: Zamudio Burbano, Mario Andrés Mesa Rojas, Andrés Felipe Casas Arroyave, Fabián David affil: Anesthesiology, School of Medicine, Universidad de Antioquia. Medellín, Colombia su: Medical errors Medical students Randomized controlled trials Social skills education Medical simulation Patient safety Simulation methods in education Occupational training sug: subj: Medical errors Medical students Randomized controlled trials Social skills education Medical simulation Patient safety Simulation methods in education Occupational training keyword: Checklists Clinical simulation Controlled clinical trial Medical error Non-technical skills Ensayo clínico controlado Error médico Habilidades no técnicas Listas de verificación Simulación clínica ab: Introduction: Medical error is one of the main causes of in-hospital mortality. Objective: To determine whether Nontechnical Skills (NTS) training with clinical simulation is superior to conventional training with checklists to reduce medical error in clinical simulation. Methods: A controlled clinical trial of parallel groups was conducted with last-semester medical students who had no previous training in NTS and matched 1:1. The participants were randomly assigned to checklist or NTS training. Dichotomous outcomes were analyzed using relative risk (RR) and absolute risk reduction (ARR), while quantitative outcomes were analyzed using mean differences (MD). The primary outcome was medical error, defined as the omission of at least one required treatment step during the simulated crisis, and analyzed as a dichotomous outcome. Additionally, NTS level was assessed as a secondary outcome using the Ottawa Global Rating Scale. Results: Forty-three participants were assigned to the control group and 43 to the intervention. The intervention was not superior to the control in decreasing errors, with an RR of 0.91 (0.72; 1.16) and an ARR of 7% (-11; 25) p= 0.45. The overall score on the Ottawa NTS scale was higher for the intervention, with a MD of 5.71 (3.02; 8.40) p < 0.001; no differences were found in the other outcomes. There were no adverse events. Conclusions: Among last-semester medical students, NTS training in addition to the checklistbased training was not superior to only checklist-based training in reducing medical errors during simulations. (NCT04621682). Introducción: El error médico es una de las principales causas de mortalidad intrahospitalaria. Objetivo: Determinar si el entrenamiento en Habilidades No Técnicas (HNT) con simulación clínica es superior al entrenamiento convencional con listas de verificación para reducir el error médico en la simulación clínica. Métodos: Se hizo un ensayo clínico controlado con grupos paralelos, con estudiantes de medicina del último semestre que no tenían entrenamiento previo en HNT y fueron emparejados 1:1. Los participantes fueron asignados aleatoriamente a entrenamiento con listas de verificación o con NTS. Los desenlaces dicotómicos se analizaron utilizando riesgo relativo (RR) y reducción absoluta del riesgo (RAR), mientras que los desenlaces cuantitativos fueron analizados mediante diferencias de medias (DM). El desenlace primario fue error médico, definido como la omisión de al menos un paso necesario en el tratamiento durante la crisis simulada, y analizado como un desenlace dicotómico. Además, el nivel de HNT se evaluó como desenlace secundario mediante la Ottawa Global Rating Scale. Resultados: Se asignaron 43 participantes al grupo control y 43 al grupo intervención. La intervención no fue superior al control en la reducción de errores, con un RR de 0,91 (0,72; 1,16) y una RAR de 7 % (-11; 25) p = 0,45. El puntaje global en la escala Ottawa de HNT fue mayor para la intervención, con una DM de 5,71 (3,02; 8,40) p < 0,001; no se encontraron diferencias en los otros desenlaces. No se presentaron eventos adversos. Conclusiones: Entre estudiantes de medicina del último semestre, el entrenamiento en HNT además del entrenamiento basado en listas de verificación no fue superior al entrenamiento únicamente con listas de verificación para reducir los errores médicos durante simulaciones. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: Y custom: Copyright of Colombian Journal of Anesthesiology / Revista Colombiana de Anestesiología is the property of Sociedad Colombiana de Anestesiologia y Reanimacion and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. item: Colombian Journal of Anesthesiology / Revista Colombiana de Anestesiología holder: Sociedad Colombiana de Anestesiologia y Reanimacion dt: @attributes: year: 2026 holdings: @attributes: islocal: N |
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