Journal Article

Safer paediatric surgical teams: a 5-year evaluation of crew resource management implementation and outcomes.

Savage C, Gaffney A, Hussain-Alkhateeb L, et al. International journal for quality in health care : journal of the International Society for Quality in Health Care. 2017;29:853-860.

This Swedish pediatric surgery team employed crew resource management training, which included checklists, communication training, and workflow redesign. The pre–post analysis showed sustained improvements in safety culture, checklist adherence, communication quality, and unplanned returns to surgery after laparoscopic appendectomy. Although this study design cannot control for secular trends, few crew resource management analyses include patient outcomes or such lengthy follow-up.