Development of Crisis Resource Management Skills: A Literature Review

Lucas, Amanda; Edwards, Marie

doi:10.1016/j.ecns.2017.04.006

Cited by 16 publications

(8 citation statements)

References 76 publications

(120 reference statements)

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“…According to Lucas et al [1], crisis management skills include (a) problem solving, (b) situational awareness, (c) resource utilization, (d) communication, and (e) leadership. These competencies are acquired and trained through exercises and drills that are often called high-fidelity simulation (HFS), drills, or full-scale exercise.…”

Section: Crisis Managementmentioning

confidence: 99%

Fieldwork Analysis of Figurants' Involvement in an Airplane Crash Simulation in Order to Improve the Realism of the Exercise

Fragnière

Nanchen

Ramseyer

et al. 2019

2019 8th International Conference on Industrial Technology and Management (ICITM)

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Aircraft crash simulation is a mandatory exercise for all international airports. The procedure of such a simulation is that a set of figurants play out a given plane crash scenario. Then, all professional bodies-such as police, fire brigades, medical care professionals, airport staff, and airline companies-react to the figurants' role play. The quality of the overall problem resolution is evaluated by the national civil aviation regulator. We postulate that the closer the figurants' staging corresponds to reality, the more relevant the simulation exercise will be in training professionals involved in resolving an actual accident. To our knowledge, very little literature focuses on improving the performance of figurants (research objective). In this research, we conducted a fieldwork study (methodology) during a recent official exercise at Sion Airport in Switzerland. Based on the fieldwork analysis (results), we propose a new staging model (findings) to improve similar simulation exercises (implication).

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Section: Crisis Managementmentioning

confidence: 99%

Fieldwork Analysis of Figurants' Involvement in an Airplane Crash Simulation in Order to Improve the Realism of the Exercise

Fragnière

Nanchen

Ramseyer

et al. 2019

2019 8th International Conference on Industrial Technology and Management (ICITM)

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“…Research indicates that simulation-based training (SBT) is a safe and effective tool to develop and increase competencies in healthcare [ 20 ]. However, existing reviews focus on technical skills (TS), self-confidence, self-efficacy and the effectiveness of SBT for unqualified healthcare students [ 21 – 24 ] and develop unqualified healthcare students’ HFS [ 25 , 26 ]. SBT has been found to refine qualified healthcare teams’ TS, self-efficacy and confidence [ 24 , 27 ].…”

Section: Introductionmentioning

confidence: 99%

The effectiveness of improving healthcare teams’ human factor skills using simulation-based training: a systematic review

et al. 2022

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Background Simulation-based training used to train healthcare teams’ skills and improve clinical practice has evolved in recent decades. While it is evident that technical skills training is beneficial, the potential of human factor training has not been described to the same extent. Research on human factor training has been limited to marginal and acute care scenarios and often to validate instruments. This systematic review aimed to investigate the effectiveness of simulation-based training in improving in-hospital qualified healthcare teams’ human factor skills. Method A review protocol outlining the study was registered in PROSPERO. Using the PRISMA guidelines, the systematic search was conducted on September 28th, 2021, in eight major scientific databases. Three independent reviewers assessed title and abstract screening; full texts were evaluated by one reviewer. Content analysis was used to evaluate the evidence from the included studies. Results The search yielded 19,767 studies, of which 72 were included. The included studies were published between 2004 and 2021 and covered research from seven different in-hospital medical specialisms. Studies applied a wide range of assessment tools, which made it challenging to compare the effectiveness of human factor skills training across studies. The content analysis identified evidence for the effectiveness. Four recurring themes were identified: (1) Training human factor skills in qualified healthcare teams; (2) assessment of human factor skills; (3) combined teaching methods, and (4) retention and transfer of human factor skills. Unfortunately, the human factor skills assessments are variable in the literature, affecting the power of the result. Conclusion Simulation-based training is a successful learning tool to improve qualified healthcare teams’ human factor skills. Human factor skills are not innate and appear to be trainable similar to technical skills, based on the findings of this review. Moreover, research on retention and transfer is insufficient. Further, research on the retention and transfer of human factor skills from simulation-based training to clinical practice is essential to gain knowledge of the effect on patient safety.

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“…CRM has been proposed as an approach to training on intellectual and interactive skills in clinical practice; it is claimed that CRM can improve teamwork performance and reduce adverse patient outcomes (7,8). Numerous studies document the value of teaching CRM in undergraduate medical and allied health education (9)(10)(11).…”

Section: Introductionmentioning

confidence: 99%

The Need for Purposeful Teaching, Learning and Assessment of Crisis Resource Management Principles and Practices in the Undergraduate Pre-Hospital Emergency Care Curriculum: A Narrative Literature Review

Rowland

Adefuye

Vincent-Lambert

2021

Australasian Journal of Paramedicine

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IntroductionTraditionally, undergraduate emergency medical care (EMC) training programs have, over the years, typically focussed on developing individuals with proficiency in clinical skills who can perform complex procedures in the act of administering safe and effective emergency care in the pre-hospital setting. A shortcoming of this training relates to the attention given to the soft skills needed to work efficiently in a team-based environment. Crisis resource management (CRM) is a structured, evidence-based approach to training that is designed to enhance teamwork performance in critical circumstances where the absence of coordinated teamwork could lead to undesired outcomes. MethodsA narrative review of GOOGLE SCHOLAR, MEDLINE, PUBMED, CINAHL as well as paramedic-specific journals was conducted. Articles were included if they examined the importance of CRM in pre-hospital emergency care; training undergraduate pre-hospital emergency care students on the principles and practices of CRM; and non-technical skills in pre-hospital emergency care. DiscussionResearchers found limited articles related to CRM and the pre-hospital emergency care setting. Our findings reveal that CRM focusses on addressing non-technical skills necessary for effective teamwork and that those identified to be relevant for effective teamwork in pre-hospital emergency care setting include situation awareness, decision-making, verbal communication, teamwork as well as leadership and followership skills. ConclusionEffective team management is a core element of expert practice in emergency medicine. When practised in conjunction with medical and technical expertise, CRM can reduce the incidence of clinical error and contribute to effective teamwork and the smooth running of a pre-hospital emergency care plan.

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Development of Crisis Resource Management Skills: A Literature Review

Cited by 16 publications

References 76 publications

Fieldwork Analysis of Figurants' Involvement in an Airplane Crash Simulation in Order to Improve the Realism of the Exercise

Fieldwork Analysis of Figurants' Involvement in an Airplane Crash Simulation in Order to Improve the Realism of the Exercise

The effectiveness of improving healthcare teams’ human factor skills using simulation-based training: a systematic review

The Need for Purposeful Teaching, Learning and Assessment of Crisis Resource Management Principles and Practices in the Undergraduate Pre-Hospital Emergency Care Curriculum: A Narrative Literature Review

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