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Qual Saf Health Care 2004;13:i96-i104
© 2004 BMJ Publishing Group Ltd & Institute for Healthcare Improvement


ORIGINAL ARTICLE

How to turn a team of experts into an expert medical team: guidance from the aviation and military communities

C S Burke, E Salas, K Wilson-Donnelly, H Priest

Department of Psychology, and Institute for Simulation & Training, University of Central Florida, Orlando, Florida, USA

Correspondence to:
C Shawn Burke PhD
Institute for Simulation and Training, University of Central Florida, 3280 Progress Drive, Orlando, FL 32826 USA; sburke{at}ist.ucf.edu There is no question that interdisciplinary teams are becoming ubiquitous in healthcare. It is also true that experts do not necessarily combine to make an expert team. However when teams work well they can serve as adaptive systems that allow organisations to mitigate errors within complex domains, thereby increasing safety. The medical community has begun to recognise the importance of teams and as such has begun to implement team training interventions. Over the past 20 years the military and aviation communities have made a large investment in understanding teams and their requisite training requirements. There are many lessons that can be learned from these communities to accelerate the impact of team training within the medical community. Therefore, the purpose of the current paper is to begin to translate some of the lessons learned from the military and aviation communities into practical guidance that can be used by the medical community.


Abbreviations: AO, advance organisers; CRM, crew resource management; KSA, knowledge, skills and attitudes; SA, situation awareness

Keywords: teams; team training; team development; medical teams




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