NTS training improves observable team behavioural performance in EDs, including more frequent closed-loop communication, clearer role allocation and prioritisation, improved situational awareness, and higher teamwork ratings (moderate certainty).¶

Claim · All claims
Evidence · 1 study · review r3 · q3
Currency · newest study 2026 · checked against its sources 2026-10-31 (automated, 1 of 1 entry) · not reviewed by a person

Subclaims¶

q3 i? NTS training improves observable team behaviours in EDs, including closed-loop communication, role allocation, situational awareness, and teamwork ratings measured with TEAM and T-NOTECHS. → Zhang YuKun 2026

Evidence¶

Zhang YuKun 2026¶

Zhang YuKun, Wang YuWei, Jiang ManYu, Sun XiHui, Tang LiYoong. (2026). Effectiveness of non-technical skills training for healthcare professionals in emergency departments: a systematic review. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. https://doi.org/10.1186/s13049-026-01574-9

q3 · i? · review · r3

The review reports behavioural improvement "across study designs", with ratings on validated instruments "such as the Team Emergency Assessment Measure (TEAM) and the Trauma Non-Technical Skills scale (T-NOTECHS)". GRADE certainty was moderate.

"Behavioural performance improved across study designs, including more frequent closed-loop communication, clearer role allocation and prioritisation, improved situational awareness, and higher teamwork ratings measured using validated instruments such as the Team Emergency Assessment Measure (TEAM) and the Trauma Non-Technical Skills scale (T-NOTECHS) (moderate certainty)."

Discussion¶

Learner Variables¶

• Collaboration — outcome: instruction changes it
• Social Awareness and Relationship Skills — outcome: instruction changes it

Related Claims¶

• Evidence that NTS training improves clinical or process outcomes in EDs is limited but generally favourable in single-centre studies, including shorter resuscitation times and improved protocol adherence (low to very low certainty). — related
• NTS training for emergency department professionals is associated with consistent pre- to post-training improvements in knowledge, teamwork attitudes, and self-confidence (low to moderate certainty). — related
• Educators used epistemic networks to examine closed-loop communication strategies during debriefing — related
• Simulation-based training is associated with communication and teamwork gains of approximately 2–3 points and NOTSS domain means of 2.8–3.5 on 4-point scales — related
• Educators used social networks to guide reflection on engagement, roles, and shared mindset during debriefing — related
• Structured communication tools such as SBAR incorporated into simulation are associated with improved team coordination and information transfer — related
• NTS training programs in ICUs are associated with improved teamwork, situational awareness, leadership and communication behaviors, with varying evidence certainty — related
• Simulation-based emergency open-conversion training reduced time to conversion and improved leadership and role delineation in robotic prostatectomy teams — related
• Post-assessment debriefing supported positive effects on non-technical skills ability in four studies — related