A proposal for modification of nontechnical skill assessment for perioperative crisis management simulation training

Effectiveness of simulation-based training for improving operating room patient safety is established [1]. Simulation-based education and training are not only effective for acquiring technical skills but also for developing nontechnical skills, such as situation awareness, cooperation, decision making, leadership, and communication in emergency situations. In the operating room, the importance of establishing "perioperative team" training is essential from the viewpoints of crisis management and resuscitation; examples include intraoperative massive bleeding and cardiac arrest [2].

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