Swedish television reporting from our project

The last one and a half years I have been involved in a project concerning the development of a team training concept for health care staff. In 2008 the Lund University School of Aviation was contacted by anaesthesiologists at the hospital in the Swedish city Norrköping. They expressed concerns about the situations in which they perform emergency Caesarean sections, situations characterized by risks for two patients at the same time, and rapid organizational changes in which many different professions are brought in to the same situation.

The last one and a half years I have been working together with two colleagues (Eric Wahren and Isis Amer-Wåhlin) in developing a concept for classroom-based interprofessional team training to work with this kind of high-risk situations in the health care domain. The result is a system similar in structure to the one used in aviation where basic and recurrent courses in "Crew Resource Management" (CRM) are mandatory for all pilots. We have named our system "Health Care Resource Management" (HCRM) to flirt a bit with the origin of the concept. However with HCRM what we take from classic CRM is mainly the CRM-structure, involving basic courses, facilitator courses and recurrent courses. Into that structure we have developed a health care-specific content. The HCRM system is not the aviation CRM-course, health care holds many different challenges for the staff. It is in many ways a much more complex system involving continuous organizational changes (in normal situations as well as in emergencies), many different professions, structures of hierarchies, uncertain diagnosis and high risks. In short, there are many complex flows for the health care personell to manage. What we try to do is help them managing those complex flows. 

Our way of doing this is to gather staff members from different wards and different professions in the same room for three days to discuss the situations in which they become closely coupled and highly interdependent (like the situation involving emergency Caesarean sections). How do we talk to each other in ways that avoid misinterpretations? What are the risks involved with all the technical systems implemented in health care? How can we establish a climate in which people feel encouraged to report risks and mistakes for the purpose of increasing safety?

I have previously posted a presentation on the topic of HCRM accessible through this link

We have now come to the point in this project at which we have educated facilitators at the hospital in Norrköping for running their own courses with all staff at the three wards involved (the labor ward, the pediatric ward and the operating ward). We as the developers of the system now take a (small) step back to make sure that the system will be more deeply rooted in the organization than us coming in as happy consultants to run a nice little course. This is vital for the success of the system.

Now for the television's coverage of our project. During our three-day facilitator course we were visited by Swedish Television who gave the following report about our project (more aviation than we would have wanted, but visibility is nice!).


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