ABSTRACT
BACKGROUND: Communication is a critical component of effective teamwork and both are essential elements in providing high quality of care to patients. Yet, communication is not an innate skill but a process influenced by internal (personal/cultural values) as well as external (professional roles and hierarchies) factors. OBJECTIVE: To provide illustrative cases, themes and tools for improving communication. METHODS: Literature review and consensus opinion based on extensive experience. RESULTS: Professional autonomy should be de-emphasized. Tools such as SBAR and simulation are important in communication and teamwork. CONCLUSION: Tools designed to improve communication and safety in the aviation industry may have applicability to the pediatric intensive care unit.