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Effect of crew resource management training in a multidisciplinary obstetrical setting

Haller, Guy
Garnerin, Philippe
Morales, Michel-Ange
Pfister, Ricardo
Published in International journal for quality in health care. 2008, vol. 20, no. 4, p. 254-63
Abstract OBJECTIVE: To assess the effect of a Crew Resource Management (CRM) intervention specifically designed to improve teamwork and communication skills in a multidisciplinary obstetrical setting. METHOD: Design--A before-and-after cross-sectional study designed to assess participants' satisfaction, learning and change in behaviour, according to Kirkpatrick's evaluation framework for training programmes. Setting--Labour and delivery units of a large university-affiliated hospital. Participants--Two hundred and thirty nine midwives, nurses, physicians and technicians from the department of anaesthesia, obstetrics and paediatrics. Intervention--All participants took part in a CRM-based training programme specifically designed to improve teamwork and communication skills. Principal measures of outcome-We assessed participants' satisfaction by means of a 10-item standardized questionnaire. A 36-item survey was administered before and after the course to assess participants' learning. Behavioural change was assessed by a 57-item safety attitude questionnaire measuring staff's change in attitude to safety over 1 year of programme implementation. RESULTS: Most participants valued the experience highly and 63-90% rated their level of satisfaction as being very high. Except for seven items, the 36-item survey testing participants' learning demonstrated a significant change (P<0.05) towards better knowledge of teamwork and shared decision making after the training programme. Over the year of observation, there was a positive change in the team and safety climate in the hospital [odds ratio (OR) 2.9, 95% confidence interval (CI) (1.3-6.3) to OR 4.7, 95% CI (1.2-17.2)]. **There was also improved stress recognition [OR 2.4, 95% CI (1.2-4.8) to OR 3.0, 95% CI (1.0-8.8)]. CONCLUSION: The implementation of a training programme based on CRM in a multidisciplinary obstetrical setting is well accepted and contributes to a significant improvement in interprofessional teamwork.
Keywords AdultAttitude of Health PersonnelConsumer SatisfactionCross-Sectional StudiesFemaleHumansInservice Training/methodsInterdisciplinary CommunicationMaleMiddle AgedObstetrics/education/organization & administrationPatient Care Team/organization & administrationPregnancySafety Management/methodsYoung Adult
PMID: 18460499
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Research groups Groupe Clergue François (anesthésiologie) (71)
Maladies pulmonaires aigues et pathologies cardiaques congénitales (697)
Martinez De Tejada Begona (272)
Réanimation néonatale en salle d'accouchement (696)
(ISO format)
HALLER, Guy et al. Effect of crew resource management training in a multidisciplinary obstetrical setting. In: International journal for quality in health care, 2008, vol. 20, n° 4, p. 254-63. doi: 10.1093/intqhc/mzn018 https://archive-ouverte.unige.ch/unige:1091

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Deposited on : 2009-03-06

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