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Crew resource management training in healthcare: a systematic review of intervention design, training conditions and evaluation
OBJECTIVES: Crew resource management (CRM) training formats have become a popular method to increase patient safety by consideration of the role that human factors play in healthcare delivery. The purposes of this review were to identify what is subsumed under the label of CRM in a healthcare contex...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6410092/ https://www.ncbi.nlm.nih.gov/pubmed/30826798 http://dx.doi.org/10.1136/bmjopen-2018-025247 |
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author | Gross, Benedict Rusin, Leonie Kiesewetter, Jan Zottmann, Jan M Fischer, Martin R Prückner, Stephan Zech, Alexandra |
author_facet | Gross, Benedict Rusin, Leonie Kiesewetter, Jan Zottmann, Jan M Fischer, Martin R Prückner, Stephan Zech, Alexandra |
author_sort | Gross, Benedict |
collection | PubMed |
description | OBJECTIVES: Crew resource management (CRM) training formats have become a popular method to increase patient safety by consideration of the role that human factors play in healthcare delivery. The purposes of this review were to identify what is subsumed under the label of CRM in a healthcare context and to determine how such training is delivered and evaluated. DESIGN: Systematic review of published literature. DATA SOURCES: PubMed, PsycINFO and ERIC were searched through 8 October 2018. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Individually constructed interventions for healthcare staff that were labelled as CRM training, or described as based on CRM principles or on aviation-derived human factors training. Only studies reporting both an intervention and results were included. DATA EXTRACTION AND SYNTHESIS: The studies were examined and coded for relevant passages. Characteristics regarding intervention design, training conditions and evaluation methods were analysed and summarised both qualitatively and quantitatively. RESULTS: Sixty-one interventions were included. 48% did not explain any keyword of their CRM intervention to a reproducible detail. Operating room teams and surgery, emergency medicine, intensive care unit staff and anaesthesiology came in contact most with a majority of the CRM interventions delivered in a 1-day or half-day format. Trainer qualification is reported seldomly. Evaluation methods and levels display strong variation. CONCLUSIONS: Critical topics were identified for the CRM training community and include the following: the need to agree on common terms and definitions for CRM in healthcare, standards of good practice for reporting CRM interventions and their effects, as well as the need for more research to establish non-educational criteria for success in the implementation of CRM in healthcare organisations. |
format | Online Article Text |
id | pubmed-6410092 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-64100922019-03-27 Crew resource management training in healthcare: a systematic review of intervention design, training conditions and evaluation Gross, Benedict Rusin, Leonie Kiesewetter, Jan Zottmann, Jan M Fischer, Martin R Prückner, Stephan Zech, Alexandra BMJ Open Medical Management OBJECTIVES: Crew resource management (CRM) training formats have become a popular method to increase patient safety by consideration of the role that human factors play in healthcare delivery. The purposes of this review were to identify what is subsumed under the label of CRM in a healthcare context and to determine how such training is delivered and evaluated. DESIGN: Systematic review of published literature. DATA SOURCES: PubMed, PsycINFO and ERIC were searched through 8 October 2018. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Individually constructed interventions for healthcare staff that were labelled as CRM training, or described as based on CRM principles or on aviation-derived human factors training. Only studies reporting both an intervention and results were included. DATA EXTRACTION AND SYNTHESIS: The studies were examined and coded for relevant passages. Characteristics regarding intervention design, training conditions and evaluation methods were analysed and summarised both qualitatively and quantitatively. RESULTS: Sixty-one interventions were included. 48% did not explain any keyword of their CRM intervention to a reproducible detail. Operating room teams and surgery, emergency medicine, intensive care unit staff and anaesthesiology came in contact most with a majority of the CRM interventions delivered in a 1-day or half-day format. Trainer qualification is reported seldomly. Evaluation methods and levels display strong variation. CONCLUSIONS: Critical topics were identified for the CRM training community and include the following: the need to agree on common terms and definitions for CRM in healthcare, standards of good practice for reporting CRM interventions and their effects, as well as the need for more research to establish non-educational criteria for success in the implementation of CRM in healthcare organisations. BMJ Publishing Group 2019-03-01 /pmc/articles/PMC6410092/ /pubmed/30826798 http://dx.doi.org/10.1136/bmjopen-2018-025247 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
spellingShingle | Medical Management Gross, Benedict Rusin, Leonie Kiesewetter, Jan Zottmann, Jan M Fischer, Martin R Prückner, Stephan Zech, Alexandra Crew resource management training in healthcare: a systematic review of intervention design, training conditions and evaluation |
title | Crew resource management training in healthcare: a systematic review of intervention design, training conditions and evaluation |
title_full | Crew resource management training in healthcare: a systematic review of intervention design, training conditions and evaluation |
title_fullStr | Crew resource management training in healthcare: a systematic review of intervention design, training conditions and evaluation |
title_full_unstemmed | Crew resource management training in healthcare: a systematic review of intervention design, training conditions and evaluation |
title_short | Crew resource management training in healthcare: a systematic review of intervention design, training conditions and evaluation |
title_sort | crew resource management training in healthcare: a systematic review of intervention design, training conditions and evaluation |
topic | Medical Management |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6410092/ https://www.ncbi.nlm.nih.gov/pubmed/30826798 http://dx.doi.org/10.1136/bmjopen-2018-025247 |
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