Teamwork and team training in the ICU: Where do the similarities with aviation end?

The aviation industry has made significant progress in identifying the skills and behaviors that result in effective teamwork. Its conceptualization of teamwork, development of training programs, and design of assessment tools are highly relevant to the intensive care unit (ICU). Team skills are important for maintaining safety in both domains, as multidisciplinary teams must work effectively under highly complex, stressful, and uncertain conditions. However, there are substantial differences in the nature of work and structure of teams in the ICU in comparison with those in aviation. While intensive care medicine may wish to use the advances made by the aviation industry for conceptualizing team skills and implementing team training programs, interventions must be tailored to the highly specific demands of the ICU.

[1]  Pascale Carayon,et al.  Handbook of human factors and ergonomics in health care and patient safety , 2006 .

[2]  Y. Donchin,et al.  A look into the nature and causes of human errors in the intensive care unit , 2022 .

[3]  G. Logroscino,et al.  Use of non-steroidal anti-inflammatory drugs and risk of Parkinson’s disease: nested case-control study , 2011, BMJ : British Medical Journal.

[4]  Nick Sevdalis,et al.  Improving care by understanding the way we work: human factors and behavioural science in the context of intensive care , 2009, Critical care.

[5]  Barbara G. Kanki,et al.  Cockpit Resource Management , 1993 .

[6]  Brian H. Cuthbertson,et al.  Burnout in the ICU: Potential consequences for staff and patient well-being , 2007, Intensive Care Medicine.

[7]  R L Helmreich,et al.  The evolution of Crew Resource Management training in commercial aviation. , 1999, The International journal of aviation psychology.

[8]  Beth Crandall,et al.  Critical care physician cognitive task analysis: an exploratory study , 2009, Critical care.

[9]  Rhona Flin,et al.  Safety at the Sharp End: A Guide to Non-Technical Skills , 2008 .

[10]  J. Shaw,et al.  Aviation is not the only industry: healthcare could look wider for lessons on patient safety , 2008, Quality & Safety in Health Care.

[11]  R. Flin,et al.  Developing a team performance framework for the intensive care unit* , 2009, Critical care medicine.

[12]  J. Reason.  Human error: models and management , 2000, BMJ : British Medical Journal.

[13]  K Lauche,et al.  Non-technical skills in the intensive care unit. , 2006, British journal of anaesthesia.

[14]  J. Sexton,et al.  Translating teamwork behaviours from aviation to healthcare: development of behavioural markers for neonatal resuscitation , 2004, Quality and Safety in Health Care.

[15]  Florian Jentsch,et al.  Who Is Flying This Plane Anyway? What Mishaps Tell Us about Crew Member Role Assignment and Air Crew Situation Awareness , 1999, Hum. Factors.

[16]  Katherine A. Wilson,et al.  Crew Resource Management Training Effectiveness: A Meta-Analysis and Some Critical Needs , 2008 .

[17]  J. Sexton,et al.  Error, stress, and teamwork in medicine and aviation: cross sectional surveys , 2000, BMJ : British Medical Journal.

[18]  N. Sevdalis,et al.  Observational Skill-based Clinical Assessment tool for Resuscitation (OSCAR): Development and validation☆ , 2011, Resuscitation.

[19]  David M. Gaba,et al.  Have we gone too far in translating ideas from aviation to patient safety? No , 2011, BMJ : British Medical Journal.

[20]  A. McEwan,et al.  Patient handover from surgery to intensive care: using Formula 1 pit‐stop and aviation models to improve safety and quality , 2007, Paediatric anaesthesia.

[21]  Rhona Flin,et al.  Team leadership in the intensive care unit: The perspective of specialists* , 2011, Critical care medicine.

[22]  R. Flin,et al.  Interdisciplinary communication in the intensive care unit. , 2007, British journal of anaesthesia.

[23]  J. Bion,et al.  How safe is my intensive care unit? An overview of error causation and prevention , 2007, Current opinion in critical care.

[24]  J Bryan Sexton,et al.  Discrepant attitudes about teamwork among critical care nurses and physicians* , 2003, Critical care medicine.

[25]  Kathryn Mearns,et al.  Team situation awareness and the anticipation of patient progress during ICU rounds , 2011, BMJ quality & safety.

[26]  Peter J Pronovost,et al.  Toward learning from patient safety reporting systems. , 2006, Journal of critical care.

[27]  A. Mushlin,et al.  Association between nurse-physician collaboration and patient outcomes in three intensive care units. , 1999, Critical care medicine.

[28]  M. Carmont.  The Advanced Trauma Life Support course: a history of its development and review of related literature , 2005, Postgraduate Medical Journal.

[29]  W. Hamman.  The complexity of team training: what we have learned from aviation and its applications to medicine , 2004, Quality and Safety in Health Care.

[30]  JF Bion,et al.  Challenges in the care of the acutely ill , 2004, The Lancet.

[31]  Rhona Flin,et al.  Doctors' handovers in hospitals: a literature review , 2011, Quality and Safety in Health Care.

[32]  Captain H. C. Alger.  Cockpit resource management. , 1989, Aviation, space, and environmental medicine.

[33]  Eduardo Salas,et al.  Improving Teamwork in Organizations : Applications of Resource Management Training , 2001 .

[34]  D M Gaba,et al.  Anaesthesiology as a model for patient safety in health care , 2000, BMJ : British Medical Journal.