title: Impact of crisis resource management simulation-based training for interprofessional and interdisciplinary teams: A systematic review.
abstract: Crisis resource management (CRM) abilities are important for different healthcare providers to effectively manage critical clinical events. This study aims to review the effectiveness of simulation-based CRM training for interprofessional and interdisciplinary teams compared to other instructional methods (e.g., didactics). Interprofessional teams are composed of several professions (e.g., nurse, physician, midwife) while interdisciplinary teams are composed of several disciplines from the same profession (e.g., cardiologist, anaesthesiologist, orthopaedist). Medline, EMBASE, CINAHL, Cochrane Central Register of Controlled Trials, and ERIC were searched using terms related to CRM, crisis management, crew resource management, teamwork, and simulation. Trials comparing simulation-based CRM team training versus any other methods of education were included. The educational interventions involved interprofessional or interdisciplinary healthcare teams. The initial search identified 7456 publications; 12 studies were included. Simulation-based CRM team training was associated with significant improvements in CRM skill acquisition in all but two studies when compared to didactic case-based CRM training or simulation without CRM training. Of the 12 included studies, one showed significant improvements in team behaviours in the workplace, while two studies demonstrated sustained reductions in adverse patient outcomes after a single simulation-based CRM team intervention. In conclusion, CRM simulation-based training for interprofessional and interdisciplinary teams show promise in teaching CRM in the simulator when compared to didactic case-based CRM education or simulation without CRM teaching. More research, however, is required to demonstrate transfer of learning to workplaces and potential impact on patient outcomes.
authors.affiliation: a Department of Anesthesiology , University of Ottawa , Ottawa , Ontario , Canada .
authors.forename: Lillia
authors.initials: L
authors.lastname: Fung
authors.affiliation: b Department of Anesthesiology & Department of Innovation in Medical Education , The Ottawa Hospital , Ottawa , Ontario , Canada .
authors.forename: Sylvain
authors.initials: S
authors.lastname: Boet
authors.affiliation: c Department of Anesthesiology & Department of Innovation in Medical Education , Children's Hospital of Eastern Ontario , Ottawa , Ontario , Canada .
authors.forename: M Dylan
authors.initials: MD
authors.lastname: Bould
authors.affiliation: a Department of Anesthesiology , University of Ottawa , Ottawa , Ontario , Canada .
authors.forename: Haytham
authors.initials: H
authors.lastname: Qosa
authors.affiliation: d Institute of Health Policy, Management and Evaluation, Faculty of Medicine, University of Toronto , Toronto , Ontario , Canada .
authors.forename: Laure
authors.initials: L
authors.lastname: Perrier
authors.affiliation: e Li Ka Shing Knowledge Institute, St. Michael's Hospital , Toronto , Ontario , Canada .|f Division of Epidemiology , Dalla Lana School of Public Health, University of Toronto , Toronto , Ontario , Canada .
authors.forename: Andrea
authors.initials: A
authors.lastname: Tricco
authors.affiliation: g Heath Studies Department , Centennial College , Toronto , Ontario , Canada , and.
authors.forename: Walter
authors.initials: W
authors.lastname: Tavares
authors.affiliation: h Centre for Health and Social Care Research, Kingston University and St. George's, University of London , London , UK.
authors.forename: Scott
authors.initials: S
authors.lastname: Reeves
mesh_terms: D003419:Crisis Intervention / Q000592:standards*; D006282:Health Personnel / Q000193:education*; D006801:Humans; D007400:Interprofessional Relations; D009726:Nurses; D010348:Patient Care Team / Q000458:organization & administration*; D010820:Physicians; D000066908:Simulation Training
keywords: Crisis resource management; interdisciplinary; interprofessional; simulation-based training; systematic review