As in other high-risk workplaces, team training is imperative in providing high-quality care The aviation industry adopted the behavioral principles of Crew Resource Management (CRM) that team communication and coordination behaviors are identifiable and teachable and the National Academy of Medicine in its 1999 report recommended that health care organizations “establish interdisciplinary team training programs that incorporate proven methods for team management, such as CRM.” Team training and simulation exercises that include all disciplines and practice pediatric resuscitation and stabilization scenarios for different ages are critical to keeping children safe in our EDs Structured communication, especially during the multiple handoffs of care, is a key tool in reducing error Examples of such tools in EDs include SBAR (Situation, Background, Assessment, and Recommendation), SHOUT (Sick or not sick; History and hospital course; Objective data; Upcoming plan or disposition; and To do), and IPASS (Illness severity, Patient summary, Action list, Situational awareness and contingency plan, Synthesis by receiver) ( Table 1.4 ) Situational awareness improves if the team is introduced including first names and roles Use of checklists before procedures and medication double checks for high-risk medications are also examples of methods to ensure good communication and teamwork In addition to improving team dynamics within the ED, care of children will also be improved with regular communication, education, and feedback with prehospital providers Similarly, emergency medicine clinicians need to ensure communication with primary care providers to coordinate care plans and limit ED revisits and potential morbidity Furthermore, pediatric emergency providers must understand the importance of regionalized pediatric care to facilitate communication across the local health care system for optimal clinical outcomes Cognitive Error KEY POINTS