{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T14:59:18Z","timestamp":1774882758122,"version":"3.50.1"},"reference-count":8,"publisher":"BMJ","license":[{"start":{"date-parts":[[2024,12,20]],"date-time":"2024-12-20T00:00:00Z","timestamp":1734652800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ"],"accepted":{"date-parts":[[2024,10,30]]},"abstract":"Abstract<\/jats:title>\n \n Objectives<\/jats:title>\n \n To compare the manual dexterity and composure under pressure of people in different hospital staff roles using a buzz wire game.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n \n Prospective, observational, comparative study (Tremor study).<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n \n Leeds Teaching Hospitals NHS Trust, Leeds, UK, during a three week period in 2024.<\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n \n 254 hospital staff members comprising of 60 physicians, 64 surgeons, 69 nurses, and 61 non-clinical staff.<\/jats:p>\n <\/jats:sec>\n \n Main outcome measures<\/jats:title>\n \n Successful completion of the buzz wire game within five minutes and occurrence of swearing and audible noises of frustration.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Of the 254 hospital staff that participated, surgeons had significantly higher success rates in completing the buzz wire game within five minutes (84%, n=54) compared with physicians (57%, n=34), nurses (54%, n=37), and non-clinical staff (51%, n=31) (P<0.001). Time-to-event analysis showed that surgeons were quicker to successfully complete the game, independent of age and gender. Surgeons exhibited the highest rate of swearing during the game (50%, n=32), followed by nurses (30%, n=21), physicians (25%, n=60), and non-clinical staff (23%, n=14) (P=0.004). Non-clinical staff showed the highest use of frustration noises (75%), followed by nurses (68%), surgeons (58%), and physicians (52%) (P=0.03).<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n Surgeons showed greater dexterity, but higher levels of swearing compared with other hospital staff roles, while nurses and non-clinical staff showed the highest rates of audible noises of frustration. The study highlights the diverse skill sets across hospital staff roles. Implementation of a surgical swear jar initiative should be considered for future fundraising events.<\/jats:p>\n <\/jats:sec>","DOI":"10.1136\/bmj-2024-081814","type":"journal-article","created":{"date-parts":[[2024,12,20]],"date-time":"2024-12-20T06:20:13Z","timestamp":1734675613000},"page":"e081814","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Dexterity assessment of hospital workers: prospective comparative study"],"prefix":"10.1136","volume":"387","author":[{"given":"Tobin","family":"Joseph","sequence":"first","affiliation":[{"name":"Leeds Teaching Hospitals NHS Trust, Leeds, UK"},{"name":"Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oliver I","family":"Brown","sequence":"additional","affiliation":[{"name":"Leeds Teaching Hospitals NHS Trust, Leeds, UK"},{"name":"Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Khalid","sequence":"additional","affiliation":[{"name":"Leeds Teaching Hospitals NHS Trust, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marilena","family":"Giannoudi","sequence":"additional","affiliation":[{"name":"Leeds Teaching Hospitals NHS Trust, Leeds, UK"},{"name":"Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca C","family":"Sagar","sequence":"additional","affiliation":[{"name":"Leeds Teaching Hospitals NHS Trust, Leeds, UK"},{"name":"Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena","family":"Bunola-Hadfield","sequence":"additional","affiliation":[{"name":"Leeds Teaching Hospitals NHS Trust, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen J","family":"Chapman","sequence":"additional","affiliation":[{"name":"Leeds Institute of Medical Research, University of Leeds, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"A Slater","sequence":"additional","affiliation":[{"name":"Leeds Teaching Hospitals NHS Trust, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sam","family":"Straw","sequence":"additional","affiliation":[{"name":"Leeds Teaching Hospitals NHS Trust, Leeds, UK"},{"name":"Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0255-4624","authenticated-orcid":false,"given":"Michael","family":"Drozd","sequence":"additional","affiliation":[{"name":"Leeds Teaching Hospitals NHS Trust, Leeds, UK"},{"name":"Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,12,20]]},"reference":[{"key":"2025110102532892000_387.dec18_13.e081814.1","first-page":"467","article-title":"Objective comparison of manual dexterity in physicians and surgeons","volume":"32","author":"Squire","year":"1989","journal-title":"Can J Surg"},{"key":"2025110102532892000_387.dec18_13.e081814.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amsu.2021.103159"},{"key":"2025110102532892000_387.dec18_13.e081814.3","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.0040296"},{"key":"2025110102532892000_387.dec18_13.e081814.4","unstructured":"Ofcom. Attitudes to potentially offensive language and gestures on TV and radio. 2024. https:\/\/www.ofcom.org.uk\/siteassets\/resources\/documents\/research-and-data\/tv-radio-and-on-demand-research\/tv-research\/ofcomqrg-aoc.pdf"},{"key":"2025110102532892000_387.dec18_13.e081814.5","doi-asserted-by":"publisher","DOI":"10.1068\/i0565"},{"key":"2025110102532892000_387.dec18_13.e081814.6","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0272033"},{"key":"2025110102532892000_387.dec18_13.e081814.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2009.10.007"},{"key":"2025110102532892000_387.dec18_13.e081814.8","doi-asserted-by":"publisher","DOI":"10.1155\/2023\/8821517"}],"container-title":["BMJ"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/data.bmj.org\/tdm\/10.1136\/bmj-2024-081814","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmj-2024-081814","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T09:53:32Z","timestamp":1761990812000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.bmj.com\/lookup\/doi\/10.1136\/bmj-2024-081814"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,20]]},"references-count":8,"alternative-id":["10.1136\/bmj-2024-081814"],"URL":"https:\/\/doi.org\/10.1136\/bmj-2024-081814","relation":{},"ISSN":["1756-1833"],"issn-type":[{"value":"1756-1833","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,20]]}}}