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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