Crisis resource management (CRM) abilities are important for different health care providers to effectively manage critical clinical events.
This study by Fung and colleagues aimed 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 by several professions (e.g., nurse, physician, midwife) while interdisciplinary teams are composed by 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.
Fung and colleagues’ findings suggest that 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. Despite this, one must consider that more research is required to demonstrate transfer of learning to workplaces and potential impact on patient outcomes.