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Purpose of Review <p>Effective trauma resuscitation relies not only on technical expertise but also on non-technical skills, which are increasingly recognized as critical determinants of performance. This review analyzes recent research on underrecognized human factors, including environment, personnel, communication, leadership, and professionalism, and highlights priorities for future study and continuous performance improvement.</p> Recent Findings <p>Human factors in trauma resuscitations including team size, staff movement, communication, and environmental conditions significantly influence performance and dynamics and patient outcomes. While&#xa0;Trauma Non-Technical Skills&#xa0;(T-NOTECHS) and&#xa0;Team Emergency Assessment&#xa0;Measure&#xa0;(TEAM) are validated tools, they overlook more nuanced elements such as leadership, trust, and familiarity. Evidence supports structured strategies, including closed-loop communication, pre-briefs, tactical pauses, and debriefs, to strengthen teamwork and situational awareness. With the advent of video review for resuscitations, actual behavioral attributes can be linked with objective patient outcomes, such as times to&#xa0;return of spontaneous circulation&#xa0;(ROSC), second phase of a resuscitation, or patient transfer out of the resuscitation bay, rather than reliance on biased recollections or unobserved factors. Leadership, experience, training, and role modeling further shape outcomes, while system issues such as emergency department (ED) boarding and staffing variability continue to impact safety and efficiency.</p> Summary <p>Human factors are critical determinants of trauma resuscitation outcomes. Effective leadership, familiarity, and professionalism foster collaboration, while overcrowding, noise, and variability impede performance. Current tools incompletely capture these dimensions, underscoring the need for broader frameworks that integrate interpersonal, environmental, and organizational elements. Future research should refine non-technical skill assessment, leverage simulation as well as video review, and develop interventions promoting professional communication, equitable leadership, and systems-based improvements. Attention to these factors offers opportunities to optimize team function, enhance patient safety, and support the well-being of trauma patient providers.</p>

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Human Factors in Trauma Resuscitation (People, Environment, Communication & Professionalism); A Narrative Review

  • 期刊论文

  • 发表日期：

    2026年1月13日

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  • Aekta Andrea Miglani,
  • Sydney Chamberlin,
  • Nicole M. Acquisto,
  • Emily Fitzgerald,
  • Calvin Patten,
  • Erik Rueckmann,
  • Ryan Bodkin

摘要

Purpose of Review

Effective trauma resuscitation relies not only on technical expertise but also on non-technical skills, which are increasingly recognized as critical determinants of performance. This review analyzes recent research on underrecognized human factors, including environment, personnel, communication, leadership, and professionalism, and highlights priorities for future study and continuous performance improvement.

Recent Findings

Human factors in trauma resuscitations including team size, staff movement, communication, and environmental conditions significantly influence performance and dynamics and patient outcomes. While Trauma Non-Technical Skills (T-NOTECHS) and Team Emergency Assessment Measure (TEAM) are validated tools, they overlook more nuanced elements such as leadership, trust, and familiarity. Evidence supports structured strategies, including closed-loop communication, pre-briefs, tactical pauses, and debriefs, to strengthen teamwork and situational awareness. With the advent of video review for resuscitations, actual behavioral attributes can be linked with objective patient outcomes, such as times to return of spontaneous circulation (ROSC), second phase of a resuscitation, or patient transfer out of the resuscitation bay, rather than reliance on biased recollections or unobserved factors. Leadership, experience, training, and role modeling further shape outcomes, while system issues such as emergency department (ED) boarding and staffing variability continue to impact safety and efficiency.

Summary

Human factors are critical determinants of trauma resuscitation outcomes. Effective leadership, familiarity, and professionalism foster collaboration, while overcrowding, noise, and variability impede performance. Current tools incompletely capture these dimensions, underscoring the need for broader frameworks that integrate interpersonal, environmental, and organizational elements. Future research should refine non-technical skill assessment, leverage simulation as well as video review, and develop interventions promoting professional communication, equitable leadership, and systems-based improvements. Attention to these factors offers opportunities to optimize team function, enhance patient safety, and support the well-being of trauma patient providers.