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Management (CRM) model, and more recently from health care, suggests that
these team skills can be learned and integrated into the culture of the program to
improve team performance and decrease medical errors.

Quality Improvement
Quality improvement in Transport Medicine is taking shape at the national level
in the form of a new neonatal/pediatric transport quality metrics project. In
October 2012, as part of the AAP’s “Section on Transport Medicine’s Program
and Course on Neonatal and Pediatric Critical Care Transport Medicine,” a group
of over 100 healthcare providers and administrators involved in neonatal/pediatric
transport, participated in selecting 12 “must-have” quality metrics that each
transport organization should track. These metrics included intubation success,
CPR events, neonatal hypothermia, medication errors, equipment failures, safe
handoffs, transport patient injuries, transport crew injuries, and response times.
Bigham and Schwartz developed and tested a database for these
neonatal/pediatric CCT quality metrics—the “GAMUT” (Ground and Air
Medical qUality Transport) database. The concept is that programs contribute
data to this national database to allow benchmarking standards to be created to
drive the quality of care of transport across the country.

Communication
A key component of any transport system is effective communication. Referring
physicians must be able to quickly and easily contact the transport service,
including the appropriate medical control physicians, and teams in the field must
be able to communicate with the receiving facility and providers. The ability to
communicate with a control physician is particularly important for teams using
resident physicians or nonphysician practitioners, because they may need online
medical direction. Ideally, a singular, centralized point of contact (e.g., a
dispatch/communication center/process) should be established to help ensure that
no calls are missed, and that all communications are properly documented ( Fig.
11.7 ). Importantly, all transport calls should flow through this transport command

center, and calls should be recorded for educational and quality assurance
purposes.