The effect of a simulation-based training intervention on the performance of established critical care unit teams.

Objective: We evaluated the effectiveness of a simulation-based intervention on improving teamwork in multidisciplinary critical care teams managing airway and cardiac crises and compared simulation-based learning and case-based learning on scores for performance.

Design: Self-controlled randomized crossover study design with blinded assessors.

Setting: A simulated critical care ward, using a high-fidelity patient simulator, in a university simulation center.

Evaluation of an instrument to measure teamwork in multidisciplinary critical care teams.

Introduction: Teamwork failures contribute to adverse events causing harm to patients. Establishing and maintaining a team and managing the tasks are active processes. Medical education largely ignores teamwork skills.