Highlights
- Multimodal human factors interventions significantly improve adherence to structured communication and nontechnical skills in pediatric airway surgeries.
- Behavioral improvements include more consistent checklist utilization, enhanced team interactions, and reduction of task interruptions during critical procedural phases.
- The integration of aviation-inspired crew resource management and simulation training bolsters operating room teamwork and situational awareness.
- While immediate clinical patient outcomes remained unchanged, the observed improvements indicate a positive culture shift and suggest long-term safety benefits.
Specialty calculators
For clinical reference; use professional judgment.

