Crew Resource Management in Helicopter Air Ambulance Operations: A Literature Review

Crew resource management (CRM) training has evolved from an aviation-specific practice to a much broader-scoped practice involving other industries with team oriented objectives. Combined objective industries such as helicopter air ambulance (HAA) operations have the unique requirement to combine ground (dispatch) and air (flight crew) with traditional medical and aviation operations in ad hoc situations adding another dimension to the CRM implementation process. Despite the requirements for such training in HAA operations, evidence suggests that CRM training does not reach all team members equally. Thus, there are gaps in the current research both in theory and practice. Using a systematic computer query, 224 citations and 58 representative articles published from 1972 to 2015 were included in this review study. The results of the review are separated into five areas: (1) the definition of CRM and a description of implementation strategies across different industry types, (2) a description of CRM training approaches, (3) an overview of the role CRM has played in aviation and healthcare, (4) the role of dispatch and communication centers regarding CRM in HAA operations, and (5) the gaps that exist in training and implementation strategies in CRM as they relate to HAA operations. The gaps were prioritized based on the estimated risk to HAA operations from lowest to highest. The first priority was to develop a research plan to address pilots’ risk-based decision making processes. The second and third priorities were to develop a research plan to identify gaps in medical personnel’s knowledge regarding HAA operations, including their responsibilities in flight, and to determine whether these gaps play a role in the successful implementation of CRM principles. The fourth and fifth priorities were to develop a research plan to identify gaps in supporting personnel’s (i.e., dispatch, communication centers, etc.) knowledge regarding HAA operations and to determine whether these gaps play a role in the successful implementation of CRM principles.

  • Record URL:
  • Corporate Authors:

    Federal Aviation Administration

    Civil Aerospace Medical Institute, P.O. Box 25082
    Oklahoma City, OK  United States  73125

    Federal Aviation Administration

    Office of Aerospace Medicine, 800 Independence Avenue, SW
    Washington, DC  United States  20591
  • Authors:
    • Rowley, Crystal
    • Bryant, Michelle R
  • Publication Date: 2017-4

Language

  • English

Media Info

  • Media Type: Digital/other
  • Edition: Final Report
  • Features: Figures; References; Tables;
  • Pagination: 29p

Subject/Index Terms

Filing Info

  • Accession Number: 01687650
  • Record Type: Publication
  • Report/Paper Numbers: DOT/FAA/AM-17/13
  • Contract Numbers: AM-B-HRR-521
  • Files: NTL, TRIS, ATRI, USDOT
  • Created Date: Nov 26 2018 9:55AM