Deering S, Johnston LC, Colacchio K. Multidisciplinary Teamwork and Communication Training. Seminars in Perinatology. 2011 Apr;35(2):89-96.
This article highlights the evidence for and benefits of multidisciplinary team training using simulation for improving patient outcomes. The evidence based curriculums referenced include TeamSTEPPS (http://teamstepps.ahrq.gov) and the Anesthesia Crisis Resource Management (ACRM ), http://med.stanford.edu/VAsimulator/acrm/ and Team-Oriented Medical Simulation. They focus on the key concepts of teamwork which encompass the behavioral dimensions of leadership, situation monitoring , mutual support, and communication. The authors present from a perinatal perspective on instituting teamwork training including an overview of how to plan and implement a program. The advantages /disadvantages of in situ simulation-in the providers own clinical area versus simulation center based training are also discussed as well as the necessary resources. The importance of beginning with a site assessment including a culture survey and obtaining buy in from leadership is imperative to the success of this training program.
Simulation based team training in healthcare, Eppich et al, Sim Healthcare 6:s14-s19;2011
This article is a call to arms – paraphrasing what I think it is about – “don’t do team training just to do team training, make it more worthwhile by following a couple of key steps.”
1. Do a needs assessment – of the individuals, teams, and organizations. Make the effort worthwhile for everyone.
2. Have a well designed scenario to test underlying KSAs and targetted objectives and competencies
3. Feedback remains important, debriefing remains important
4. The simulation community should be as rigorous about reporting specific training conditions and what is manipulated during a simulation. Simulation needs the same reporting standards as drug and device trials.
5. The relationship between simulation based team training and cilnically relevant task work needs more precise definition… Interprofessional vs. discipline specific team training – no one knows if one is better or worse – or if they each have their own advantages in different settings
6. We need to be able to link institutional outcomes to our simulation based team training – much easier to type this sentence than to actually measure.