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.

… at one medical center. … France DJ; Stiles R; Gaffney EA; Seddon MR; Grogan EL; Nixon WR Jr; Speroff T. …