sachs and major peter nielsen, md, led a team to transfer the concept of crew resource management to obstetrical care. funded by the u.s. department of defense and the harvard risk management foundation, this was the first major research effort to evaluate team training in healthcare. this crew resource management program formed the basis for teamstepps, the agency for healthcare research and quality's national program. teamstepps is used in hospital ob/gyn, surgical, emergency medicine and icu care departments.