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Special Issue on Teamwork*
Building high reliability teams: progress and some reflections on teamwork training
  1. Eduardo Salas1,
  2. Michael A Rosen2
  1. 1Department of Psychology, Institute for Simulation & Training, University of Central Florida, Orlando, Florida, USA
  2. 2Department of Anesthesiology and Critical Care Medicine, Armstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
  1. Correspondence to Dr Eduardo Salas, Institute for Simulation & Training, University of Central Florida, UCF, Orlando, FL 11111, 32826 USA; esalas{at}


The science of team training in healthcare has progressed dramatically in recent years. Methodologies have been refined and adapted for the unique and varied needs within healthcare, where once team training approaches were borrowed from other industries with little modification. Evidence continues to emerge and bolster the case that team training is an effective strategy for improving patient safety. Research is also elucidating the conditions under which teamwork training is most likely to have an impact, and what determines whether improvements achieved will be maintained over time. The articles in this special issue are a strong representation of the state of the science, the diversity of applications, and the growing sophistication of teamwork training research and practice in healthcare. In this article, we attempt to situate the findings in this issue within the broader context of healthcare team training, identify high level themes in the current state of the field, and discuss existing needs.

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