Downloaded from https://journals.lww.com/anesthesiaclinics by BhDMf5ePHKav1zEoum1tQfN4a+kJLhEZgbsIHo4XMi0hCywCX1AWnYQp/IlQrHD30p/TQ0kcqx8yGZO9yTf1dd5lN9ZPVa7AUCC2fdK0Vq4= on 12/14/2018 Nontechnical Skills in a Technical World Ophelie Loup , MD Department of Cardiovascular Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland Steven D. Boggs , MD, MBA Department of Anesthesiology, University of Tennessee Health Science Center, Memphis, Tennessee Markus M. Luedi , MD, MBA Department of Anesthesiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland Christopher R. Giordano , MD Department of Anesthesiology, University of Florida College of Medicine, Gainesville, Florida ’ What are “Nontechnical Skills” (NTS)? NTS are the social, personal, and cognitive abilities that complement technical skills. 1 Historically, these skill sets fell under the category of “soft skills,” which did not interest health care professionals because they were not considered quantitative, rigorous, or reproducible. Conse- quently, they were not consistently taught to new learners or explicitly developed, and were tacitly adopted into practice. By contrast, psychologists have long appreciated that many of these “human factor skills” enhance workers’ performance and minimize error rates. 2 Although there is no definitive list of essential NTS, authors have utilized several frameworks, including:  Crew Resource Management (CRM).  Anesthesia Non-Technical Skills (ANTS).  Emotional Intelligence (EI).  Team Cognition: knowledge, skills, and attitudes (KSA). ADDRESS CORRESPONDENCE TO:CHRISTOPHER R. GIORDANO, MD, DEPARTMENT OF ANESTHESIOLOGY,UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE, 1600 SW ARCHER ROAD, P.O. BOX 100254, GAINESVILLE, FL 32610-0254. E-MAIL: CGIORDANO@ANEST.UFL.EDU INTERNATIONAL ANESTHESIOLOGY CLINICS Volume 57, Number 1, 81–94, DOI:10.1097/AIA.0000000000000215 Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved Copyright r 2018 Wolters Kluwer Health, Inc. All rights reserved. This paper can be cited using the date of access and the unique DOI number which can be found in the footnotes. www.anesthesiaclinics.com | 81