title: Participant evaluation of simulation training using crew resource management in a hospital setting in Hong Kong.
abstract: BACKGROUND
  A simulation team-based crew resource management training programme was developed to provide a unique multidisciplinary learning experience for health care professionals in a regional hospital in Hong Kong. In this study, we evaluated how health care professionals perceive the programme.
  
  
  METHODS
  A cross-sectional questionnaire survey was conducted in the Multidisciplinary Simulation and Skills Centre at Queen Elizabeth Hospital in Hong Kong. A total of 55 individuals in the departments of Obstetrics and Gynaecology, Anaesthesiology and Operating Theatre Services, Intensive Care Unit, and Accident and Emergency participated in the study between June 2013 and December 2013. The course content was specially designed according to the needs of the clinical departments and comprised a lecture followed by scenarios and debriefing sessions. Principles of crew resource management were introduced and taught throughout the course by trained instructors. Upon completion of each course, the participants were surveyed using a 5-point Likert scale and open-ended questions.
  
  
  RESULTS
  The participant's responses to the survey were related to course organisation and satisfaction, realism, debriefing, and relevance to practice. The overall rating of the training programme was high, with mean Likert scale scores of 4.1 to 4.3. The key learning points were identified as closed-loop communication skills, assertiveness, decision making, and situational awareness.
  
  
  CONCLUSIONS
  The use of a crew resource management simulation-based training programme is a valuable teaching tool for frontline health care staff. Concepts of crew resource management were relevant to clinical practice. It is a highly rated training programme and our results support its broader application in Hong Kong.
authors.affiliation: Multidisciplinary Simulation and Skills Centre, Queen Elizabeth Hospital, Jordan, Hong Kong.
authors.forename: Christina K W
authors.initials: CK
authors.lastname: Chan
authors.affiliation: Anaesthesiology and Operating Theatre Services, Queen Elizabeth Hospital, Jordan, Hong Kong.
authors.forename: Eric H K
authors.initials: EH
authors.lastname: So
authors.affiliation: Intensive Care Unit, Queen Elizabeth Hospital, Jordan, Hong Kong.
authors.forename: George W Y
authors.initials: GW
authors.lastname: Ng
authors.affiliation: Department of Obstetrics and Gynaecology, Queen Elizabeth Hospital, Jordan, Hong Kong.
authors.forename: Teresa W L
authors.initials: TW
authors.lastname: Ma
authors.affiliation: Accident and Emergency Department, Queen Elizabeth Hospital, Jordan, Hong Kong.
authors.forename: Karen K L
authors.initials: KK
authors.lastname: Chan
authors.affiliation: Multidisciplinary Simulation and Skills Centre, Queen Elizabeth Hospital, Jordan, Hong Kong.
authors.forename: L Y
authors.initials: LY
authors.lastname: Ho
mesh_terms: D002983:Clinical Competence; D003142:Communication; D000067498:Crew Resource Management, Healthcare / Q000458:organization & administration*; D003430:Cross-Sectional Studies; D003657:Decision Making; D005260:Female; D006282:Health Personnel / Q000193:education* / Q000458:organization & administration; D006723:Hong Kong; D006801:Humans; D008297:Male; D010348:Patient Care Team / Q000458:organization & administration*; D016730:Program Development; D015397:Program Evaluation; D000066908:Simulation Training / Q000379:methods*; D011795:Surveys and Questionnaires
keywords: Patient care team; Patient safety; Patient simulation