6/29/23, 1:13 AM Riskin Pathway Feedback Search Clinical Topics Home Studies Riskin Riskin Trial question What is the impact of rudeness on performance among medical team members? Study design Multi-center Double blinded RCT Population 72 patients Inclusion criteria: neonatal ICU teams in a training simulation involving a preterm infant whose condition acutely deteriorated due to necrotizing enterocolitis Key exclusion criteria: no prior written consent Interventions N=39 rudeness exposure (expert's comments included mildly rude statements completely unrelated to the teams' performance) N=33 control (neutral comments) Primary outcome Diagnostic performance score 3.2 3.2 2.6 2.4 1.6 0.8 Significant decrease 0.0 Rudeness exposure Control Significant decrease in diagnostic performance score (2.6 vs. 3.2; estimate -0.17, 95% CI -0.46 to 0.1) Secondary outcomes https://web.pathway.md/studies/recNx4Oyjf8DKQES0 1/2 6/29/23, 1:13 AM Riskin Pathway Significant decrease in procedural performance score (2.8 vs. 3.3; estimate -0.22, 95% CI -0.5 to 0.23) Conclusion In neonatal ICU teams in a training simulation involving a preterm infant whose condition acutely deteriorated due to necrotizing enterocolitis, rudeness exposure was superior to control with respect to diagnostic performance score. Reference Arieh Riskin, Amir Erez, Trevor A Foulk et al. The Impact of Rudeness on Medical Team Performance: A Randomized Trial. Pediatrics. 2015 Sep;136(3):487-95. Open reference URL https://web.pathway.md/studies/recNx4Oyjf8DKQES0 2/2