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Updated: Jul 1, 2026
09:52
Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
Developing expert medical teams: toward an evidence-based approach.
Rosemarie Fernandez1, John A Vozenilek, Cullen B Hegarty
1Department of Emergency Medicine, Wayne State University School of Medicine, Detroit, MI, USA. fernanre@comcast.net
Summary
Effective teamwork is crucial for patient safety in emergency departments (EDs). This study outlines six key areas for developing and researching team training programs to improve emergency medicine (EM) performance and patient outcomes.
Area of Science:
- Healthcare
- Medical Education
- Patient Safety
Background:
- Communication breakdown and teamwork failures are primary threats to patient safety.
- The emergency department (ED) environment requires strong interdisciplinary team skills.
- Simulation in healthcare is a key area for improving team performance.
Purpose of the Study:
- To identify evidence-based recommendations for designing and implementing team training programs in emergency medicine.
- To establish a research platform for advancing emergency medicine (EM) team training theory and practice.
Main Methods:
- Conducted a workshop at the 2008 Academic Emergency Medicine Consensus Conference.
- Performed an extensive review of team training literature across multiple disciplines (organizational psychology, aviation, military, management, healthcare).
Main Results:
- Identified six key areas for EM team training research: core competencies, leadership training, needs analysis, training platforms, debriefing/feedback, and simulation technology implementation.
- These areas form a foundation for a research platform to advance EM team training.
Conclusions:
- Further research is needed in the six identified areas to enhance emergency medicine team training.
- Leveraging unique EM team structures can expand team training theory and research.
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