Padarath Gangaram, Aldo Mendoza Menacho, Guillaume Alinier
Journal of Paramedic Practice, Vol. 9, Iss. 2, 03 Feb 2017, pp 60 - 65

Teamwork and effective communication have been identified as key principles in
Crisis Resource Management (CRM) in the context of emergency care medicine.
The aim of CRM is to ultimately improve patient safety and prevent at-risk
situations or events. These principles optimise patient safety and benefits.

Pre-hospital emergency care in Qatar is provided by the national Ambulance
Service (HMCAS). Their operations are labour intensive, and depend on
the professional readiness and communication of their culturally diverse
practitioners. Structures within HMCAS are hierarchical, which may be a
deterrent to effective communication in Qatar. Emergency medical care (EMC)
practitioners may not be forthcoming with their concerns to the detriment of
patient safety. These factors can create an environment which is not conducive
to effective communication, and may inherently suppress free expression of
speech in emergency situations and day-to-day working practices.

Managers should therefore be encouraged to create an environment whereby
practitioners can speak up, irrespective of culture, nationality, or the presence of
more senior or experienced colleagues.

CRM principles are well incorporated as part of the EMC's orientation
programme and specialised professional development courses. Regular training
involving all role players (including supervisors) in different settings, and
appropriately simulated scenarios that call for application of CRM principles is
required to further improve the quality of EMC service in Qatar.

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