title: Does crew resource management training work? An update, an extension, and some critical needs.
abstract: OBJECTIVE
  This review provides the state of crew resource management (CRM) training evaluations since the E. Salas, C. S. Burke, C. A. Bowers, and K. A. Wilson (2001) review and extends it to areas beyond aviation cockpits. Some critical evaluation needs in CRM training are also covered.
  
  
  BACKGROUND
  Because of the purported success of CRM training in aviation, other high-consequence domains have begun to implement CRM training for their workforces. However, the true impact of CRM training in aviation and these other domains has yet to be determined.
  
  
  METHODS
  Using D. L. Kirkpatrick's (1976) framework for evaluating training (i.e., reactions, learning, behavior, and organizational impact), we reviewed 28 published accounts of CRM training to determine its effectiveness within aviation, medicine, offshore oil production and maintenance, shipping/maritime, and nuclear power domains.
  
  
  RESULTS
  Findings indicate that CRM training generally produced positive reactions from trainees; however, the impact of training on learning and behavioral changes suggest mixed results across and within domains. Furthermore, and as was found by Salas, Burke, et al. in 2001, we cannot ascertain whether CRM has had an impact on the organization's bottom line (i.e., safety).
  
  
  CONCLUSIONS
  Based on the results, there are several critical needs that the CRM training community must address before CRM training can have the desired impact on safety: a mandate, access to data, and resources.
  
  
  CONCLUSIONS
  As CRM training expands to organizations beyond aviation, it is critical that its impact be understood such that it can be improved and achieve the intended results.
authors.affiliation: University of Central Florida, Institute for Simulation and Training, 3100 Technology Parkway, Orlando, FL 32826, USA. esalas@ist.ucf.edu
authors.forename: Eduardo
authors.initials: E
authors.lastname: Salas
authors.forename: Katherine A
authors.initials: KA
authors.lastname: Wilson
authors.forename: C Shawn
authors.initials: CS
authors.lastname: Burke
authors.forename: Dennis C
authors.initials: DC
authors.lastname: Wightman
mesh_terms: D005221:Fatigue / Q000517:prevention & control; D006801:Humans; D007221:Industry; D007318:Inservice Training; D010559:Personnel Management / Q000379:methods*; D015397:Program Evaluation; D017751:Safety Management; D014481:United States