Sustaining emergency team competencies: Impact of interprofessional simulation with team resource management and structured debriefing

<h2>Abstract</h2><h3>Background</h3> Effective interprofessional collaboration is essential for patient safety in emergency care. While high-fidelity simulation (HFS) enhances training, its long-term impact on Team Resource Management (TRM) behaviors and communication remains uncertain. <h3>Methods</h3> A quasi-experimental study at a Taiwanese tertiary medical center evaluated an HFS program integrating TRM principles and Gather-Analyze-Summarize (GAS) debriefing. Assessments at pretraining (T0), post-training (T1), and three months post-training (T2) measured individual knowledge and skills (T0, T1) and team-level TRM behaviors and communication (T0, T1, T2). <h3>Results</h3> Individual knowledge and skills improved significantly at T1, with nurses demonstrating substantial gains. Team TRM behaviors and communication increased from T0 to T1 and remained sustained at T2. <h3>Conclusion</h3> HFS with TRM and GAS debriefing promotes sustained emergency team competencies for at least three months, supporting the need for periodic retraining to maintain skill retention.