Abstract
This paper describes a prospective, within-subjects study to measure the before-after effect of training five general surgery attendings on crew resource management (CRM) strategies on the resultant use and perceived utility of those strategies. Subjects were trained via a 1-h lecture on seven CRM skills after their second observed case, and participated in a 15 min debriefing with the trainers immediately following their fourth through sixth observed cases. These interventions led to a significant increase in frequency (by 26–70%) of preoperative briefing elements over baseline. There was a significant correlation between the use of CRM practices and their perceived utility in improving team coordination and reducing error.
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Acknowledgments
This material is based upon work supported by the National Science Foundation under Grant No. 0092985, the National Patient Safety Foundation, and Karl Storz Endoscopy of America. Any opinions, findings, and conclusions or recommendations expressed in this material are those of the authors and do not necessarily reflect the views of the National Science Foundation, the National Patient Safety Foundation, or Karl Storz Endoscopy. The CRM training presentation was adapted from materials prepared by the Medical Team Management Department of the Air Force. The video vignettes used for the CRM training sessions were loaned to us by Dynamics Research Corporation, Andover, MA.
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Guerlain, S., Turrentine, F.E., Bauer, D.T. et al. Crew resource management training for surgeons: feasibility and impact. Cogn Tech Work 10, 255–264 (2008). https://doi.org/10.1007/s10111-007-0091-y
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DOI: https://doi.org/10.1007/s10111-007-0091-y