Crisis resource management: evaluating outcomes of a multidisciplinary team

Area of Science:

• Medical Education
• Teamwork and Collaboration
• Healthcare Simulation

Background:

• Crisis resource management (CRM) is vital for healthcare teams, focusing on nontechnical skills like communication and leadership.
• Effective teamwork is crucial in pediatric and anesthesiology settings to ensure patient safety and optimal outcomes.

Purpose of the Study:

• To evaluate the impact of a CRM educational program on the nontechnical skills of multidisciplinary pediatric healthcare teams.
• To assess improvements in collaboration, communication, task management, and leadership among residents and nurses.

Main Methods:

• A quasi-experimental design was used to assess CRM training effectiveness.
• Participants included pediatric residents, anesthesiology residents, and pediatric nurses in multidisciplinary groups.
• Validated instruments, including the Collaboration and Satisfaction about Care Decisions and Anesthetists' Nontechnical Skills System, were used for outcome measurement.

Main Results:

• Significant increases in posttest scores were observed for perceived collaboration and satisfaction with care.
• Numerical ratings of observed team skills showed significant improvement after CRM program participation.
• The CRM program positively impacted self-efficacy in nontechnical skills.

Conclusions:

• Multidisciplinary team participation in CRM training enhances perceived team collaboration and satisfaction with care.
• CRM educational programs are effective in improving observed teamwork skills in pediatric healthcare settings.
• Self-efficacy theory provides a strong foundation for CRM training interventions.