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Safer paediatric surgical teams: a 5-year evaluation of crew resource management implementation and outcomes.
Savage C, Gaffney FA, Hussain-Alkhateeb L, et al. Int J Qual 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.