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Surg Clin North Am. 2010 Jun;90(3):569-81. doi: 10.1016/j.suc.2010.02.007.

Surgical team training: promoting high reliability with nontechnical skills.

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  • 1Department of Surgery, Louisiana State University School of Medicine, New Orleans, LA 70112, USA.


This article focuses on key aspects of the "nontraditional" surgical subjects of organizational structure and team interaction. First, the deficiencies in team dynamics found within the modern operating room (OR) and their resultant consequences are highlighted. Next, essential human factors concepts related to error generation, organizational culture, high reliability, and team science as applied to the OR environment are reviewed. Finally, various strategies for improving OR team function, including the use of high-fidelity simulation (HFS) in team training are discussed.

Copyright 2010 Elsevier Inc. All rights reserved.

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