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The complexity of team training: what we have learned from aviation and its applications to medicine

Correspondence to:
Captain W Hamman
Western Michigan University, 237 N. Helmer Road, Battle Creek, MI 49015, USA; william.hamman{at}wmich.edu Errors in health care that compromise patient safety are tied to latent failures in the structure and function of systems. Teams of people perform most care delivered today, yet training often remains focused on individual responsibilities. Training programmes for all healthcare workers need to increase the educational experience of working in interdisciplinary teams. The complexities of team training require a multifunctional (systems) approach, which crosses organisational divisions to allow communication, accountability, and creation and maintenance of interdisciplinary teams. This report identifies challenges for medical education in performing the research, identifying performance measurements, and modifying educational curricula for the advancement of interdisciplinary teams, based on the complexity of team training identified in commercial aviation.

Abbreviations: AAIB, Air Accidents Investigation Branch; AQP, Advanced Qualification Program; ATC, air traffic control; CRM, crew resource management; IOM, Institute of Medicine; NASA, National Aeronautics and Space Administration; PAC, pulmonary artery catheter; RHC, right heart catheterisation; SOP, standard operating procedure; SPO, supporting proficiency objective; TPO, terminal proficiency objective

Keywords: interdisciplinary simulation; dynamic scenario design; event sets; scientific models of team training; team skill integration

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