Crew Resource Management within interprofessional teamwork development

Authors

  • Bryony Lamb
  • Nick Clutton

DOI:

https://doi.org/10.1921/jpts.v10i2.247

Keywords:

interprofessional teamwork, improvement and patient safety, client safety, Crew Resource Management, Human Factors

Abstract

This paper presents the case for a practical approach for developing the workforce, to safeguard patients and to improve the quality of the patient pathway across health, social care and beyond. Central to this is the inclusion of Crew Resource Management (CRM) (RAeS, 1999) skills learned from the aviation industry, to enhance interprofessional teamwork development and collaborative practice. To address this, we have developed a model for interprofessional teamwork development, focusing on improvement and patient safety which encompasses the entire system involved with the patient pathway. This model includes a transformative cycle of improvement and the processes and interprofessional leadership and membership skills required to achieve an open inclusive culture, providing interprofessional teams with the skills and tools to drive improvement for patient safety and increased satisfaction with services.

References

Alimo-Metcalfe, B. and Alban-Metcalfe, J. (2004) Leadership in public sector organizations. in J. Storey (Ed.) <i>Leadership in Organisations: Current issues and key trends</i>. London: Routledge\nAnderson, E., Thorpe, L., Heney, D., and Petersen, S. (2009) Medical students benefit from learning about patient safety in an interprofessional team. <i>Medical Education</i>, 43, 542–552\nBleakley, A., Boyden, J., Hobbs, A., Walsh, L., and Allard, J. (2006) Improving teamwork climate in operating theatres: The shift from multiprofessionalism to interprofessionalism. <i>Journal of Interprofessional Care</i>, 20, 5, 461-470\nBurke, C.S., Salas, E., Wilson-Donnelly, E.K., and Priest, H. (2004) How to turn a team of experts into an expert medical team: guidance from the aviation and military communities. <i>Quality and Safety in Health Care</i>, 13, 96-104\nCAA (2008) Introduction of Safety Management System (SMS) by AOC Holders and Maintenance Organisations. <i>FODCOM</i> 23\nCAIPE, The Centre of the Advancement of Interprofessional Education, <a target="_blank" href='http://www.caipe.org.uk'>www.caipe.org.uk</a>\nCooperrider, D.L., Sorenson, P., Whitney, D. and Yeager, T. (Eds.) (2000) <i>Appreciative Inquiry: Rethinking human organisation toward a positive theory of change</i>. Champaign, IL: Stipes Publishing\nCUILU Combined Universities Interprofessional Learning Unit (2004) Interprofessional Capabilities Framework, <a target="_blank" href='http://www.cuilu.group.shef.ac.uk/capability_framework.pdf'>www.cuilu.group.shef.ac.uk/capability_framework.pdf</a>\nDarzi, Professor the Lord Darzi of Denham (June 2008) <i>High Quality Care for All: NHS Next Stage Review final report</i>. London: Department of Health\nDCFS (Department of Children, Schools and Families) (2006) <i>Working Together to Safeguard Children</i>. London: DCFS\nDCFS (2010) <i>Working Together to Safeguard Children A Guide to inter-agency working to safeguard and promote the welfare of children</i>. London: DCFS\nDoH (Department of Health) (2010) <i>Equity and Excellence: Liberating the NHS</i>. London: DoH\nDoH (2006) <i>Our Health, Our Care, Our Say: a new direction for community services</i>. London: DoH\nDonaldson, L. (2002) <i>An Organisation with a Memory</i>. London: DoH\nFreeth, D., Hammick, M., Reeves, S. Koppel, I., and Barr, H. (2005) <i>Effective Interprofessional Education: Development, delivery and evaluation</i>. Oxford: Blackwell / CAIPE\nGardner, W.L. and Schermerhorn, J.R. (2004) Unleashing human potential: performance gains through positive organisational behaviour and authentic leadership. <i>Organisational Dynamics</i>, 33, 3, 270-281\nGoleman, D. (1999), <i>Working with Emotional Intelligence</i>. Bloomsbury, London\nHeadrick, L, Wilcock, P., and Batalden, P. (1998) Interprofessional working and continuing medical education. <i>BMJ</i>, 316: 771-774\n(HoC) House of Commons (2009) <i>Health Committee on Patient Safety, Sixth Report of Session 2008–09, Volume I, 18 June</i>. London: HoC\nLamb, B. and Clutton, N. (2007) Effective Leadership for cultural change. in <i>Creating an Interprofessional Workforce: An Education and training framework for health and social care in England</i>. London: DoH / CAIPE (pp. 16-20,)\nLamb, B. and Clutton, N. (2005) Interprofessional Team Development Toolkit\nMcCulloch, O., Mishra, A., Handa, A., Dale, T., Hirst, G., and Catchpole, K. (2009) The effects of aviation-style non-technical skills training on technical performance and outcome in the operating theatre. <i>Quality and Safety in Health Care</i>, 18, 109-115\nNHS, Modernisation Agency (2002) <i>Improvement Programme Guides</i>. London: DoH\nNHS, Modernisation Agency (2003) <i>Leadership Qualities Framework</i>. London: DoH\nNHS, Patient Safety First (2009) The How to Guide for Implementing Human Factors in Healthcare. <a target="_blank" href='http://www.patientsafetyfirst.nhs.uk'>www.patientsafetyfirst.nhs.uk</a>\nNowacyk, R.H. and Zang, T.A. (1998) Factors related to successful engineering team design. <i>American Institute of Aeronautics and Astronautics</i> AIAA-98-4941\nReason, J. (2004) Beyond the organisational accident: Tthe need for ‘error wisdom’ on the frontline. <i>Quality and Safety in Health Care</i>, 13, 28-33\nReed, J. (2006) <i>Appreciative Inquiry: Research for change</i>. London: Sage\nSalas, E., Burke, C.S., Bowers, C.A., and Wilson, K.A. (2001) Team training in the skies: Does Crew Resource Management (CRM) training work? <i>Human Factors</i>. 43, 4, 641-674\nRAeS (The Royal Aeronautical Society) (1999), ‘Crew Resource Management’: A paper by the CRM standing group of the Royal Aeronautical Society\n(TUFH) Towards Unity for Health, The Network (2007) <a target="_blank" href='http://www.thenetworktufh.org/home/index.asp'>http://www.thenetworktufh.org/home/index.asp</a>\nWaters, E.A. (1997) Improving clinical effectiveness: A practical approach. <i>Journal of Evaluation in Clinical Practice</i>, 3, 4, 255-264\nWilcock, P., Brown, G.C.S., Bateson, J., Carver, J., and Machin, S (2003) Using patient stories to inspire quality improvement within the NHS Modernisation Agency collaborative programmes. <i>Journal of Clinical Nursing</i>, 12, 422-430\nWilcock, P., Campion-Smith, C., and Head, M. (2002) The Dorset Seedcorm Project: interprofessional learning and continuous quality improvement in primary care. <i>British Journal of General Practice – Quality Supplement</i>\nWinter, R. and Munn-Giddings, C, (2001) <i>A Handbook for Action Research in Health and Social Care</i>. New York: Routledge\n

Downloads

Published

2012-12-20

How to Cite

Lamb, B., & Clutton, N. (2012). Crew Resource Management within interprofessional teamwork development. The Journal of Practice Teaching and Learning, 10(2), 4-27. https://doi.org/10.1921/jpts.v10i2.247

Issue

Section

Articles