Determination of health-care teamwork training competencies: a Delphi study.


OBJECTIVE The purpose of this study was to determine the optimum content of a 1-day classroom-based crew resource management (CRM) course for health-care personnel working in ad hoc teams in complex, time-critical hospital departments such as surgery, intensive care or emergency. DESIGN A two-round modified Delphi panel. PARTICIPANTS selected teamwork competency components suitable for inclusion in 1 day of training from a list developed via literature review. Participants Fifteen experts in health care, CRM and training. MAIN OUTCOME MEASURE Knowledge, skill and attitude competency components for a 1-day CRM course. RESULTS Of the 110 knowledge, skill and attitude CRM competency components, 40 components were selected by greater than 70% of respondents, whereas the remaining 62 components were selected by fewer than 55% of respondents. These 40 competency components ranged across five competency domains: communication, task management, situational awareness, decision-making and leadership, and provided a consensus on the most critical areas for inclusion in training for health-care personnel. CONCLUSIONS This new competency model is now available for use. Although the sample size was limited, a high degree of consensus was reached after only two rounds. A modified Delphi technique within the context of competencies first refined from the literature was a useful and cost-effective method for determining the content of a 1-day CRM training course for health-care workers.

DOI: 10.1093/intqhc/mzp042

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@article{ClayWilliams2009DeterminationOH, title={Determination of health-care teamwork training competencies: a Delphi study.}, author={Robyn Clay-Williams and Jeffrey Braithwaite}, journal={International journal for quality in health care : journal of the International Society for Quality in Health Care}, year={2009}, volume={21 6}, pages={433-40} }