Crew resource management training and the Anaesthetists Non-Technical Skills behavioural rating system offer potential frameworks for developing non-technical teamwork skills in acute medicine.
The aviation domain provides a better analogy for the "temporary" teams that are found in acute medical specialities than industrial or military teamwork research based on established teams. Crew resource management (CRM) training, which emphasises portable skills (for whatever crew a pilot is rostered to on a given flight), has been recognised to have potential application in medicine, especially for teams in the operating theatre, intensive care unit, and emergency room. Drawing on research from aviation psychology that produced the behavioural marker system NOTECHS for rating European pilots' non-technical skills for teamwork on the flightdeck, this paper outlines the Anaesthetists Non-Technical Skills behavioural rating system for anaesthetists working in operating theatre teams. This taxonomy was used as the design basis for a training course, Crisis Avoidance Resource Management for Anaesthetists used to develop these skills, based in an operating theatre simulator. Further developments of this training programme for teams in emergency medicine are outlined.
Rhona Flin (Fri,) conducted a review in Acute medical specialties. Crew resource management (CRM) training and non-technical skills rating systems was evaluated. Crew resource management training and the Anaesthetists Non-Technical Skills behavioural rating system offer potential frameworks for developing non-technical teamwork skills in acute medicine.