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Published on: January 15, 2017
Crew resource management and team training
Eswar Sundar1, Sugantha Sundar, John Pawlowski
1Department of Anesthesiology, Harvard Medical School, Beth Israel Deaconess Medical Center, CC-539, 1 Deaconess Road, Boston, MA 02215, USA. esundar@bidmc.harvard.edu
This review explores medical team training based on crew resource management (CRM) principles, including crisis resource management for critical situations. It offers guidelines for establishing training programs and discusses simulation-based and classroom-based approaches.
Area of Science:
- Medical Education
- Healthcare Management
- Patient Safety
Background:
- Effective teamwork is crucial in healthcare, particularly in high-acuity situations.
- Crew Resource Management (CRM) principles, originally from aviation, offer a framework for improving team performance.
- Crisis Resource Management (CRM) is a specialized application for managing medical emergencies.
Purpose of the Study:
- To review medical team training methodologies.
- To provide guidelines for implementing team training programs.
- To discuss the application of CRM and crisis CRM in medicine.
Main Methods:
- Literature review of medical team training programs.
- Classification of different team training program types.
- Discussion of simulation-based and classroom-based training merits.
Main Results:
- Medical team training can be structured using CRM principles.
- Guidelines for program setup and implementation are provided.
- Both simulation and classroom-based methods have distinct advantages.
Conclusions:
- CRM principles provide a robust foundation for medical team training.
- Structured training programs are essential for enhancing healthcare team performance.
- Future directions in medical team training are considered.
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