Vol 68, No 2 (2017)
Case report
Published online: 2017-06-27
Exploring the core of crew resource management course: speak up or stay silent
Abstract
The Norwegian Costal Express travels 24/7 along a coast considered as one of the most dangerous littoral areas of the world. It is crucial for safe voyage to speak up when one of the crewmembers discovers a discrepancy or vital new information to the passage that needs to be shared and acted upon. Crew resource management courses are intended to increase safety and we suggest that the key is to enhance the ability to speak up. Watch keepers valued a 4-h course intended to enhance the ability to speak up and improve listening skills as highly relevant (89%) and educational (69%). These high scores indicate that this type of training is necessary to improve safety.
Keywords: teamworkcommunicationshared mental modelscrew/bridge resource management
References
- Johnsen PE. Hurtigruta. Cappelens forlag. 1992.
- Hansen HL. Surveillance of deaths on board Danish merchant ships, 1986-93: implications for prevention. Occup Environ Med. 1996; 53(4): 269–275.
- International Maritime Organization. Safer shipping demands safety culture. Paper presented at the World Maritime Day. 2002.
- Rutherford JS, Flin R, Mitchell L. Non-technical skills of anaesthetic assistants in the perioperative period: a literature review. Br J Anaesth. 2012; 109(1): 27–31.
- Salas E, Tannenbaum SI, Kraiger K, et al. The science of training and development in organizations: what matters in practice. Psychol Sci Public Interest. 2012; 13(2): 74–101.
- Salas E, Wilson KA, Burke CS, et al. Does crew resource management training work? An update, an extension, and some critical needs. Hum Factors. 2006; 48(2): 392–412.
- Musson DM, Helmreich RL. Team training and resource management in health care: current issues and future directions. Harvard Health Policy Review. 2004; 5(1): 25–35.
- Lyndon A. Communication and teamwork in patient care: how much can we learn from aviation? J Obstet Gynecol Neonatal Nurs. 2006; 35(4): 538–546.
- O'Connor P, Campbell J, Newon J, et al. Crew Resource Management Training Effectiveness: A Meta-Analysis and Some Critical Needs. Int J Aviat Psychol. 2008; 18(4): 353–368.
- Beaty D. The naked pilot. Crowood. 2011.
- Reid J, Bromiley M. Clinical human factors: the need to speak up to improve patient safety. Nurs Stand. 2012; 26(35): 35–40.
- Weick KE. The reduction of medical errors through mindful interdependence. In: Rosenthal MM, Sutchcliffe KM (Eds), Medical error: What do we know? What do we do? Jossey-Bass, San Francisco 2002: 177–199.
- Ricci G, Pirillo I, Rinuncini C, et al. Medical assistance at the sea: legal and medico-legal problems. Int Marit Health. 2014; 65(4): 205–209.
- Röttger S, Vetter S, Kowalski JT. Ship management attitudes and their relation to behavior and performance. Hum Factors. 2013; 55(3): 659–671.
- Canadian Transportation Safety Board. A safety study of operational relationship between masters/watchkeeping officers and marine pilots. 1995.
- Burke CS, Salas E, Wilson-Donnelly K, et al. How to turn a team of experts into an expert medical team: guidance from the aviation and military communities. Qual Saf Health Care. 2004; 13 Suppl 1: i96–104.
- Gore DC, Powell JM, Baer JG, et al. Crew resource management improved perception of patient safety in the operating room. Am J Med Qual. 2009; 25(1): 60–63.
- Carney BT, West P, Neily JB, et al. Improving perceptions of teamwork climate with the Veterans Health Administration medical team training program. Am J Med Qual. 2011; 26(6): 480–484.
- Stout R, Cannon-Bowers J, Salas E, et al. Planning, Shared Mental Models, and Coordinated Performance: An Empirical Link Is Established. Human Factors. 1999; 41(1): 61–71.
- Salas E, Cooke NJ, Rosen MA. On teams, teamwork, and team performance: discoveries and developments. Hum Factors. 2008; 50(3): 540–547.
- Salas E, DiazGranados D, Weaver SJ, et al. Does team training work? Principles for health care. Acad Emerg Med. 2008; 15(11): 1002–1009.
- Kirkpatrick DL. Evaluation of training. In: Craig RL (Ed.), Training and development handbook. A guide to human resources development. McGraw, New York, NY 1976: 18.1–18.27.
- Eraut M. Non-formal learning and tacit knowledge in professional work. Br J Educ Psychol. 2000; 70 (Pt 1): 113–136.
- Saus ER, Johnsen B, Eid J, et al. Who benefits from simulator training: Personality and heart rate variability in relation to situation awareness during navigation training. Computers in Human Behavior. 2012; 28(4): 1262–1268.
- Salas E, Sims DE, Burke CS. Is there a. Small Group Research. 2005; 36(5): 555–599.
- Birzer M. The theory of andragogy applied to police training. Policing: An International Journal of Police Strategies & Management. 2003; 26(1): 29–42.
- Issenberg SB, McGaghie WC, Petrusa ER, et al. Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review. Med Teach. 2005; 27(1): 10–28.
- Weller JM. Simulation in undergraduate medical education: bridging the gap between theory and practice. Med Educ. 2004; 38(1): 32–38.
