en Clinical Medicine Clinical Medicine مقاله پژوهشی Original Research Article <p style="text-align: justify;"><span style="font-size:16px;"><span style="font-family:Times New Roman;"><span style="color:#ffffff;"><strong><span style="background-color:#008080;">Background and Objective</span></strong><span style="background-color:#008080;">:</span></span> Non-technical skills are critical for patient safety and good surgical outcomes. Thus, surgeons should master these skills. This study aimed to assess non-technical skills among Iranian orthopedic surgeons.<br> <span style="color:#ffffff;"><strong><span style="background-color:#008080;">Material and Methods:</span></strong></span> This cross-sectional study was conducted in two orthopedic surgery wards in 2019. A total of 22 orthopedic surgeons were observed in this survey. The data were collected using Non-Technical Skills for Surgeons (NOTSS) through observing and recording events during surgeries.<br> <span style="color:#ffffff;"><strong><span style="background-color:#008080;">Results:</span></strong></span> &ldquo;Leadership&rdquo; was the best non-technical skill with score of 3.14 out of 4, while &ldquo;communication and teamwork&rdquo; had the lowest score (3.02 out of 4). There was a significant relationship between work experience and &ldquo;projecting and anticipating future state&rdquo; (<em>P</em>=0.009).<br> <span style="color:#ffffff;"><strong><span style="background-color:#008080;">Conclusion:</span></strong></span> The studied orthopedic surgeons showed acceptable non-technical skills. However, poor behaviors were observed in some domains. Educational programs, policymaking interventions, and supervision can improve the surgeons&rsquo; non-technical skills.</span></span></p> Human factors, Non-technical skills, Orthopedic surgery, Operating room, Surgeon 191 197 http://journal.zums.ac.ir/browse.php?a_code=A-10-5376-1&slc_lang=en&sid=1 Mehdi Hasanshahi mhdi.hasanshahi@gmail.com 5200319475328460052614 5200319475328460052614 No Dept. of Operating Room Technology, Faculty of Nursing, Shiraz University of Medical Sciences, Shiraz, Iran Reza Kalantari rkalantari@sums.ac.ir 5200319475328460052615 5200319475328460052615 Yes Dept. of Ergonomics, Faculty of Public Health, Shiraz University of Medical Sciences, Shiraz, Iran Zahra Zamanian zamanianz@sums.ac.ir 5200319475328460052616 5200319475328460052616 No Dept. of Ergonomics, Faculty of Public Health, Shiraz University of Medical Sciences, Shiraz, Iran Somayeh Gheysari Somayeh.gh.65@yahoo.com 5200319475328460052617 5200319475328460052617 No Dept. of Operating Room, Faculty of Nursing, Shiraz University of Medical Sciences, Shiraz, Iran Ehsan Bakhshi Ehsanbakhshi63@yahoo.com 5200319475328460052618 5200319475328460052618 No Health Center, Islamabad-e-Gharb Health Network, Kermanshah University of Medical Sciences, Kermanshah, Iran