Document Type: Original Article


1 1- PhD Candidate of Ergonomics, School of Public Health, Shiraz University of Medical Sciences, Shiraz, Iran

2 Shiraz University of medical Sciences

3 Department of Operating Room, School of Nursing, Shiraz University of Medical Sciences, Shiraz, Iran

4 Department of Healthcare Management, School of Health Management & Information Sciences, Iran University of medical sciences, Tehran, Iran



Background: Safe performance and patient safety are two important issues in the delivery of healthcare services. Non-technical skills are necessary for safe performance of anesthesiologists in the operating room. This study aimed to assess the anesthetists’ non-technical skills in Iranian hospitals.
Methods: This cross-sectional study was conducted on 38 anesthetists working in orthopedic surgery wards of two hospitals in 2019. The data were collected using the Anesthetist’s Non-Technical Skills (ANTS) system, which included four domains, namely task management, teamwork, situation awareness, and decision-making. The anesthetists were assessed by a trained observer via observing and recording the events during surgeries.
Results: The mean score of ANTS was 10.12±1.66 out of 16. Among the four skills, the highest and lowest mean scores were related to “task management” (2.94 out of 4) and “decision-making” (2.26 out of 4), respectively. Work experience showed a significant positive relationship with “decision-making” (p=0.008, r=0.974). However, higher education level was not associated with improved anesthesiology skills.
Conclusion: The quality of non-technical skills was below the acceptable level in the studied anesthetists. Thus, it is recommended that the anesthetists’ skills should be improved through educational and political interventions.