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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

Anesthesiology Clinics

|June 19, 2007

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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.

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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.