Communication in Trauma Teams: Occurrence of CRM markers in patient simulator training

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Trauma is a leading cause of death. There is a great need for training of human factors such as communication and teamwork in trauma teams. The use of simulation in medical education is increasing, and together with learning strategies based on experiential learning theory, it can be a powerful tool in team training. The aviation-based concept of crew resource management, CRM, in which framework communication is a key component, can be applied also in the health care domain. The aim of the study was to investigate if change of communication is observable in trauma teams in CRM training and further to see if results are relevant for course development and patient safety improvement. The setting is a simulation centre at a university hospital in Sweden. Three trauma teams were filmed during training and incidence and variation of chosen communication markers studied. Results suggest that communication changes within teams and that different change is observable in different teams. In an experiential learning perspective this indicates that the trauma team training in question should be developed further. In a patient safety perspective results indicate,...