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We aimed to evaluate the effect of positive communication during medical handover on the subsequent team-based clinical performance in a simulated critical situation. We also assessed the effect of positive communication behaviour on stress response.Methods: This single-centre RCT involved anaesthesia teams composed of a resident and a nurse in a high-fidelity scenario of anaesthesia-related paediatric laryngospasm after a standardised handover. During the handover, similar information was provided to all teams, but positive communication behaviour was adopted only for teams in the intervention group. Primary outcome was team-based clinical performance, assessed by an independent blinded observer, using video recordings and a 0-to 100-point scenario-specific scoring tool. Three categories of tasks were considered: safety checks before the incision, diagnosis/treatment of laryngospasm, and crisis resource management/non-technical skills. Individual stress response was monitored by perceived level of stress and HR variability.Results: The clinical performance of 64 anaesthesia professionals (grouped into 32 teams) was analysed. The mean (standard deviation) team-based performance score in the intervention group was 44 (10) points vs 35 (12) in the control group (difference: +8.4; CI95% [0.4-16.4]; P = 0.04). The effects were homogeneous over the three categories of tasks. Perceived level of stress and HR variability were not significantly different between groups.Conclusions: Positive communication behaviour between healthcare professionals during medical handover improved team-based performance in a simulation-based critical situation.", "subjects" : [ { "otype" : "Classification", "mtid" : 12215, "link" : "/api/classification/12215", "label" : "Klinikai orvostan", "published" : true, "snippet" : true } ], "keywords" : [ { "otype" : "Keyword", "mtid" : 1045711, "link" : "/api/keyword/1045711", "label" : "stress response", "published" : true, "oldId" : 1045711, "snippet" : true }, { "otype" : "Keyword", "mtid" : 1048277, "link" : "/api/keyword/1048277", "label" : "teamwork", "published" : true, "oldId" : 1048277, "snippet" : true }, { "otype" : "Keyword", "mtid" : 1274741, "link" : "/api/keyword/1274741", "label" : "positive communication", "published" : true, "oldId" : 1274741, "snippet" : true }, { "otype" : "Keyword", "mtid" : 1787681, "link" : "/api/keyword/1787681", "label" : "Clinical performance", "published" : true, "snippet" : true }, { "otype" : "Keyword", "mtid" : 1835603, "link" : "/api/keyword/1835603", "label" : "High-fidelity simulation", "published" : true, "snippet" : true }, { "otype" : "Keyword", "mtid" : 2465210, "link" : "/api/keyword/2465210", "label" : "communication behaviour", "published" : true, "snippet" : true } ], "digital" : null, "printed" : null, "sourceYear" : 2021, "foreignEdition" : true, "foreignLanguage" : true, "fullPublication" : true, "conferencePublication" : false, "nationalOrigin" : null, "missingAuthor" : false, "oaType" : "NONE", "oaCheckDate" : "2023-05-24", "oaFree" : false, "citationCount" : 0, "citationCountUnpublished" : 0, "citationCountWoOther" : 0, "independentCitCountWoOther" : 0, "doiCitationCount" : 0, "wosCitationCount" : 0, "scopusCitationCount" : 0, "independentCitationCount" : 0, "unhandledCitationCount" : 0, "citingPubCount" : 0, "independentCitingPubCount" : 0, "unhandledCitingPubCount" : 0, "citedPubCount" : 2, "citedCount" : 2, "ratings" : [ { "otype" : "SjrRating", "mtid" : 11227689, "link" : "/api/sjrrating/11227689", "label" : "sjr:D1 (2021) Scopus - Anesthesiology and Pain Medicine BRITISH JOURNAL OF ANAESTHESIA 0007-0912 1471-6771", "listPos" : 2, "rankValue" : 0.1, "type" : "journal", "ratingType" : { "otype" : "RatingType", "mtid" : 10002, "link" : "/api/ratingtype/10002", "label" : "sjr", "code" : "sjr", "published" : true, "snippet" : true }, "subject" : { "otype" : "ClassificationExternal", "mtid" : 2703, "link" : "/api/classificationexternal/2703", "label" : "Scopus - Anesthesiology and Pain Medicine", "published" : true, "oldId" : 2703, "snippet" : true }, "ranking" : "D1", "calculation" : "DIRECT", "published" : true, "snippet" : true } ], "ratingsForSort" : "D1", "hasCitationDuplums" : false, "userChangeableUntil" : "2023-08-22T14:24:30.957+0000", "directInstitutesForSort" : "", "ownerAuthorCount" : 5, "ownerInstituteCount" : 19, "directInstituteCount" : 0, "authorCount" : 10, "contributorCount" : 0, "hasQualityFactor" : true, "link" : "/api/publication/32376467", "label" : "Bertrand Barthelemy et al. 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