现场手术团队危机资源管理培训的惊人成本：以荷兰为例进行分析。
The surprising costs of on-site surgical team CRM training: a Dutch example analyzed.
作者信息
Verhoeff Tessa L, Janssen Jeroen J H M, Röell A Eveline, Hoff Reinier G
机构信息
Department of Anesthesiology, University Medical Center Utrecht, Utrecht University, Q.04.2.313 P.O. Box 85500, Utrecht, 3508 GA, The Netherlands.
Department of Education, Utrecht University, Utrecht, The Netherlands.
出版信息
Adv Simul (Lond). 2025 Jul 2;10(1):37. doi: 10.1186/s41077-025-00367-x.
BACKGROUND
Interprofessional team training is increasingly implemented in healthcare, especially in the acute care domain. Research shows a positive effect of Crew Resource Management (CRM) training on teamwork and non-technical skills, and there are indications that it might improve patient care. However, CRM training requires a lot of resources, time, and energy. There is a paucity of data on the costs of these programs. The objective of this study was to evaluate and categorize costs related to an in-situ CRM training program for surgical teams in the Netherlands.
METHODS
An evaluation of costs was made for an in-situ CRM training program in the operating room (OR) in a tertiary academic center in the Netherlands. The program consisted of 20 half-day training sessions per year. Costs were evaluated for the year 2024. A distinction was made between costs and missed revenues due to not performing elective surgeries.
RESULTS
Total costs of one half-day session added up to roughly €11.700-€15.700,of which 68-76% was due to missed revenues. The other major costs concern salaries of the participants, which made up 12-16% of the total cost of a training session.
CONCLUSIONS
In-situ CRM training in the OR is expensive, especially due to missed revenues. These costs need to be transparent to enable healthcare administrators to carefully allocate funds in their institutions. The costs of in-situ team training might balance against possible advantages in training quality due to the use of the actual clinical environment and to potential financial benefits through improved team performance. But this remains as yet unclear. (Quasi-)experimental studies are required to compare simulations on both patient or learner outcomes and financial aspects.
背景
跨专业团队培训在医疗保健领域的应用越来越广泛，尤其是在急性护理领域。研究表明，机组资源管理（CRM）培训对团队合作和非技术技能有积极影响，并且有迹象表明它可能会改善患者护理。然而，CRM培训需要大量的资源、时间和精力。关于这些项目成本的数据很少。本研究的目的是评估和分类与荷兰外科团队现场CRM培训项目相关的成本。
方法
对荷兰一家三级学术中心手术室的现场CRM培训项目进行了成本评估。该项目每年包括20次半天的培训课程。对2024年的成本进行了评估。区分了成本和因不进行择期手术而损失的收入。
结果
一次半天课程的总成本约为11700-15700欧元，其中68-76%是由于收入损失。其他主要成本涉及参与者的工资，占培训课程总成本的12-16%。
结论
手术室现场CRM培训成本高昂，尤其是由于收入损失。这些成本需要透明化，以便医疗保健管理人员能够在其机构中谨慎分配资金。现场团队培训的成本可能会与由于使用实际临床环境而带来的培训质量优势以及通过改善团队绩效可能带来的财务收益相平衡。但这一点尚不清楚。需要进行（准）实验研究，以比较模拟在患者或学习者结果以及财务方面的情况。
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