Generic Crew Resource Management training to improve non-technical skills in acute care - Phase 2: A pre-post multicentric intervention study

Abstract

BackgroundCrew Resource Management (CRM) training aims to improve non-technical skills to reduce preventable errors in healthcare. This study evaluates a generic CRM training program for acute care settings by assessing its’ effect on the four levels of Kirkpatrick. MethodsThe intervention entails a theoretical part and a simulation-based multidisciplinary team training including debriefing. Pre-post measurements were taken using questionnaires, observations and interviews. 231 Belgian physicians, midwives and nurses participated. ResultsOn level 1, respondents provided high scores and perceived the training as important. On level 2, a shift in knowledge, skills and awareness was found for 9/23 items. Observations showed safer teamwork on level 3 for all specialty areas. On level 4, a significant improvement was measured only for perceptions of management. Hierarchy and lack of a safety culture hinder the application of CRM in practice. ConclusionsA generic CRM-training invokes a positive reaction, changes attitude, knowledge, non-technical skills, and behavior. A one-time CRM-training is insufficient to change safety culture. The possibility of a generic training for acute specialty areas was confirmed.