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OBJECTIVES: To determine whether team performance in a simulated emergency is related to generic teamwork skills and behaviours. METHODS: Design – Cross-sectional analysis of data from the Simulation and Fire-drill Evaluation (SaFE) randomised controlled trial. Setting – Six secondary and tertiary Maternity Units in Southwest England. Participants – 140 healthcare professionals, in 24 teams. Assessment – Blinded analysis of recorded simulations. Main outcome measures – Correlation of team performance (efficiency conducting key clinical actions, including the administration of an essential drug, magnesium), and generic teamwork scores (using a validated tool that assesses skills and behaviours, by Weller et al.). RESULTS: There was significant positive correlation between clinical efficiency and teamwork scores across all three dimensions; skills (Kendall's tau_b=0.54, p<0.001), behaviours (tau_b=0.41 …