title: A simulation-based training program improves emergency department staff communication.
abstract: The objectives of this study were to evaluate the effectiveness of Project CLEAR!, a novel simulation-based training program designed to instill Crew Resource Management (CRM) as the communication standard and to create a service-focused environment in the emergency department (ED) by standardizing the patient encounter. A survey-based study compared physicians' and nurses' perceptions of the quality of communication before and after the training program. Surveys were developed to measure ED staff perceptions of the quality of communication between staff members and with patients. Pretraining and posttraining survey results were compared. After the training program, survey scores improved significantly on questions that asked participants to rate the overall communication between staff members and between staff and patients. A simulation-based training program focusing on CRM and standardizing the patient encounter improves communication in the ED, both between staff members and between staff members and patients.
authors.affiliation: 1Brown University, Providence, RI.
authors.forename: Lynn A
authors.initials: LA
authors.lastname: Sweeney
authors.forename: Otis
authors.initials: O
authors.lastname: Warren
authors.forename: Liz
authors.initials: L
authors.lastname: Gardner
authors.forename: Adam
authors.initials: A
authors.lastname: Rojek
authors.forename: David G
authors.initials: DG
authors.lastname: Lindquist
mesh_terms: D003142:Communication; D004636:Emergency Service, Hospital / Q000458:organization & administration*; D017144:Focus Groups; D006801:Humans; D007318:Inservice Training / Q000592:standards*; D008505:Medical Staff, Hospital / Q000523:psychology; D010564:Personnel, Hospital / Q000193:education*; D011369:Professional-Patient Relations; D036301:Qualitative Research; D011795:Surveys and Questionnaires
keywords: patient experience; satisfaction; simulation; training