Team Resource Management and Quality of Care



In spite of being characterized by more highly educated professionals and more cutting-edge training facilities, equipment, and more research than ever, healthcare systems are still confronted with serious safety problems. In more than 70% of cases, serious and avoidable medical errors originate in so-called human factors or deficits in “nontechnical” skills—including communication, leadership, teamwork, situational awareness, and decision-making. A major reason behind slow improvement is the cumbersome, hierarchical organizational structure in many healthcare organizations that stand in the way of a safety culture, encourage a “blame culture,” and foster communication errors. Resolving these issues requires a fundamental cultural shift from an individual to a group focus where safety is the shared responsibility of all individual healthcare workers and the entire management team working in a hospital (or other healthcare organization). Because safe care relies on the collective individual expertise of team members as well as teamwork, the interdisciplinary performance of care teams goes hand in hand with the safety culture of the healthcare organization as a whole. Consequently, investments in multidisciplinary teams in teamwork training (i.e., Team Resource Management training) to build nontechnical skills are essential.


Patient safety Nontechnical skills Culture Human factors Teamwork 


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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Nursing and Midwifery Sciences, Centre for Research and Innovation in Care (CRIC), Faculty of Medicine and Health SciencesUniversity of AntwerpAntwerpBelgium
  2. 2.Karel De Grote University CollegeAntwerpBelgium
  3. 3.Centre of Expertise Psychological Wellbeing in Patient CareKarel De Grote University CollegeAntwerpBelgium
  4. 4.HZ University College of Applied SciencesVlissingenNetherlands

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