Impact of a One Day Crisis Resource Management Training on the Work Satisfaction among Emergency Department Healthcare Staff

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Objective: To evaluate the impact of a single day Crisis Resource Management (CRM) oriented team training, combining didactic and simulation sessions, on work satisfaction of the healthcare staff working in an Emergency Department. Methods: Seventy health professionals with different qualifications, working in an emergency department, were enrolled in the study. After enrollment, participants were asked to complete a work satisfaction questionnaire and to choose a day for the training session according to their availability. Each training session took place in the simulation center and consisted of several elements: didactic session and simulation session, followed by instructor facilitated debriefing. The lecture was focused on medical errors and CRM principles. Two months after, they were asked to complete again the work satisfaction questionnaire. Results: There were no significant improvements on the items evaluated through the work satisfaction questionnaire for none of the professional categories involved, except for ‘the possibility to refer the patient to a specialist whenever was considered necessary’ for the doctors. Improvements were seen for the same professional category on the following items: workload, leisure time, level of stress at work, time and energy spent on administrative tasks. Conclusions: The findings of this study do not support the effectiveness of a single day CRM training as a tool to improve the work satisfaction among medical staff in ED. Further research is necessary.

1. Lu DW, Dresden S, McCloskey C, et al- Impact of Burnout on Self- Reported Patient Care Among Emergency Physicians. West J Emerg Med. 2015;7:996-1001.

2. Ionita A, Copotoiu M, Pascan C, et al- Assessment of occupational stress in some medical and surgical specialties. Acta Med Marisiensis. 2011;57(3):214-7.

3. Cydulka RK, Korte R- Career satisfaction in emergency medicine: the ABEM Longitudinal Study of emergency Physicians. Ann Emerg Med. 2008;51(6):714-22.

4. Wada K, Aritmasu M, Yoshikawa T, et al- Factors on working conditions and prolonged fatigue among phycisian in Japan. Int Arch Occup Environ Health. 2008;82(1):59-66.

5. Chan TN, Tung WK, Man KH- Emergency physician job satisfaction in Hong Kong. Hong Kong j emerg med. 2014;21(5):273-82.

6. Hass JS, Cook EF, Puopolo AL, Burstin HR, et al- Is the professional satisfaction of general internists associated with patient satisfaction? J Gen Intern Med. 2000;15:122-8.

7. Ten Eyck R, Tews M, Ballester J- Improved medical student satisfaction and test performance with a simulation-based emergency medicine curriculum: a randomized controlled trial. Ann Emerg Med. 2009;54(5):684-91.

8. Waterman AD, Garbutt J, Hazel E et al- The Emotional Impact of Medical Errors on Practicing Physicians in the United States and Canada. Jt Comm J Qual Patient Saf. 2007;33(8):467-76.

9. Lee D, Lee SM, Schniederjans MJ- Medical error reduction: the effect of employee satisfaction with organizational support. Serv Ind J. 2011;31(8):1311-25.

10. Bolandianbafghi S, Salimi T, Rassouli M, et al- Correlation between medication errors with job satisfaction and fatigue of nurses. Electron Physician. 2017 Aug;9(8):5142-8. doi:

11. Bleetman A, Sanusi S, Dale T, et al- Human factors and error prevention in emergency medicine. Emerg Med J. 2012;29:389-93.

12. Petrosoniak A, Hicks CM- Beyond crisis resource management: new frontiers in human factors training for acute care medicine. Curr Opin Anesthesiol.2013;26:699-706.

13. Rall M, Gaba D- Human Performance and Patient Safety. In Miller RD (ed): Miller ́s Anesthesia, Philadelphia, Elsevier Churchill Livingstone. 2005, 3021-72.

14. Morey JC, Simon R, Jay GD, et al- Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project. Health Serv Res.2002;37:1553-81.

15. Bovier AP, Perneger VT- Predictors of work satisfaction among physicians. European Journal of Public Health.2003;13:299-305.

16. Carne B, Kennedy M, Gray T- Review article: Crisis resource management in emergency medicine. Emerg Med Australas. 2012;24:7-13.

17. Paul SE- Job Satisfaction:Application, Assessment, Causes and Consequences 1997. Doi:

18. George JM, Jones GR- Organisational behaviour. 3rd ed. Prentice Hall: New Jersey. 2002.

19. Trivellasa P, Reklitisa P, Platisb C- The effect of job related stress on employees’ satisfaction: A survey in Health Care. Procedia - Social and Behavioral Sciences 2013;73:718 -26.

20. Eisenberg JM- Doctors ‘decisions and the Cost of Medical Care. The Resons for Doctors’ Practice Patterns and Ways to Change Them. Ann Arbor, MI: Health Administration Press;1986.

21. Boet S, Bould MD, Fung L, et al- Transfer of learning and patient outcome in simulated crisis resource management: a systematic review. Can J Anesth 2014;61:571-82.

22. Suárez M, Asenjo M, Sanchez M, et al- Job satisfaction among emergency department staff. Australas Emerg Nurs J 2017;20:31-36.

23. Kaissi A, Johnos T, Kirschbaum MS- Measuring Teamwork and patient safety attitudes of hidh-risk areas. Nurs Econ 2003;21(5):211-8.

24. Heard LA, Perceptions of simulation-based training in crisis resource management in the endoscopy unit. Gastroenterol Nurs. 2011;34(1):42-8.

25. Tourangeau AE, Cummings G, Cranley LA, et al- Determinants of hospital nurse intention to remain employed: broadening our understanding. J Adv Nurs 2010;66:22-32.

26. Meurling L, Hedman L, Sandhal C,et al- Systematic simulation-based team training in a Swedish intensive care unit: a diverse response among critical care professions. BMJ Qual Saf 2013;22:485-94.

27. Timmel J, Kent PS, Holzmueller CG et al- Impact of the comprehensive unit-based safety program (CUSP) on safety culture in a surgical inpatient unit. Jt Comm J Qual Patient Saf 2010;36:252-60.

Acta Medica Marisiensis

The Journal of The University of Medicine and Pharmacy of Targu-Mures

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