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Crew Resource Management Training for Surgical Teams, A Fragmented Landscape.

W M U van Grevenstein1, E M van der Linde2, J G Heetman1

  • 1Department of Surgery, University Medical Centre Utrecht, Utrecht, the Netherlands.

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|June 17, 2021
PubMed
Summary

Medical Crew Resource Management (CRM) training courses vary significantly, particularly in simulation exercises, and are not interchangeable. Standardizing these courses could enhance patient safety by reducing medical errors.

Keywords:
Crew resource managementinterprofessional relationspatient safetyprofessional educationsafety culturesurgical training

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Area of Science:

  • Healthcare Quality
  • Patient Safety
  • Medical Education

Background:

  • Medical Crew Resource Management (CRM) training aims to improve patient safety by mitigating human errors.
  • While popular in surgery, the impact of CRM training on patient outcomes remains unclear.
  • Surgical teams recognize the need for team collaboration skills but lack criteria for selecting CRM courses.

Purpose of the Study:

  • To compare Medical CRM training courses based on didactic components and simulation exercises.
  • To determine if existing Medical CRM training courses are interchangeable for surgical teams.

Main Methods:

  • Qualitative study utilizing semi-structured interviews.
  • Interviews conducted with 10 primary CRM training providers for surgical teams in the Netherlands.

Main Results:

  • Significant variation exists in CRM training course content, with simulation exercises showing the most substantial differences.
  • Nine out of ten trainers advocated for standardized simulation exercises to ensure consistent CRM training quality.
  • Trainers believe implementing medical CRM can decrease human errors and preventable patient complications, suggesting quality standards for trainers.

Conclusions:

  • Medical CRM training courses are diverse and not interchangeable.
  • Standardization of CRM training and integration into surgical training and operating theatre culture are expected to benefit patients and professionals.