Crisis resource management-focused multidisciplinary team training. (CRM)
Crisis resource management-focused multidisciplinary team training significantly improves residents’ non-technical skills in the simulated environment.
Ideally trainees would master skills such as establishing leadership and support for the leader, the importance of communication, the need for continuous reassessment and consideration of personality traits for optimal group performance. Other important aspects include understanding availability of resources and avoiding of a fixation around certain ideas and goals an individual and/or team may have.
Benefits of well conducted CRM training include leadership structure, specific shared vision, and communication skills to be efficient and clear.
Indicator elements may include Poise, Pressure, Prepare and Proximal Control. Simulation plays an important role in creating life like scenarios.
Interdisciplinary Crisis Resource Management Training has benefits for team building and research found that repetition of cases followed by a crisis resource management focused debriefing outweighed the effect of a single ‘Just-In-Time’ crisis resource management didactic.
An example is for OR theatre training in a scenario of laparoscopic surgical procedures where surgeons, anaesthesiologists, nurses, and technicians working together as a team will assist with cognitive decision-making, situational awareness to avoid stress, anxiety and fatigue which can have significant impact on technical skills. Creating an environment with simulators such as the Laparo Analytic or Advance adds a life like dimension to the exercise.
In conclusion the practice of CRM using Simulation techniques and equipment with scenarios where technical, cognitive, and non-clinical skills such as described above delivers an improved experience for both medical professionals and patients. In addition, where appropriate, interdisciplinary CRM training should improve financial outcomes, for both the hospitals and the community in general.
