Journal of Surgical Simulation 2016; 3: A: 2 - 2
Published: 25 February 2016
Special Issue: Team Resource Management - lessons from military and pre-hospital care
Crew Resource Management (CRM) or Team Resource Management (TRM) as it is also now known, is a concept that has been taught and practiced in the aviation industry for many years. In addition the aviation industry has recognized that there are a number of human factors concepts of which it is important to be aware, as they are often the cause of pilot error. This presentation discusses a number of these concepts and how they can also relate to medicine, and in particular to trauma teams. These concepts include bandwidth, motor programmes, command gradient, the ‘deadly set’, regression, transfer of training, confirmation bias and the ziegarnic effect. Experiences from both civilian and military pre-hospital and in hospital environments are given to help explain some of these concepts. In addition identification and ways to mitigate some of these factors in both oneself and others are highlighted. The importance of debriefing in identifying some of these factors and their contribution to events is also discussed. Trauma team working is then discussed, and how situational awareness and good team working can optimize the decision-making process and therefore the patient’s care and speed at which haemorrhage control can be achieved in a bleeding trauma patient.
team resource management; medical simulation; trauma team; medical education
This presentation was given at the Fifth Annual Homerton Simulation Conference: Innovations in Healthcare, Patient Safety and Simulation, Homerton University Hospital, London, UK, on 10 December 2015.
Conflicts of interest: none declared.