Crew Resource Management Improved Perception of Patient Safety in the Operating Room

Abstract

To improve safety in the operating theater, a company of aviation pilots was employed to guide implementation of preprocedural briefings. A 5-point Likert scale survey that assessed the attitudes of operating room personnel toward patient safety was distributed before and 6 months following implementation of the briefings. Using Mann-Whitney analysis, the survey showed a significant (P < .05) improvement in 2 questions (of 13) involving reporting error and 2 questions (of 11) involving patient safety climate. When analyzed by occupation, there were no significant changes for faculty physicians; for resident physicians, there was a significant improvement in 1 question (of 13) regarding error reporting. For nurses, there were significant improvements in 3 questions (of 4) involving teamwork, 1 question (of 13) involving reporting error, and 3 questions (of 11) regarding patient safety climate. These results suggest that aviation-based crew resource management initiatives lead to an improved perception of patient safety, which was largely demonstrated by nursing personnel.

Examining the nature of interprofessional interventions designed to promote patient safety: a narrative review

“…For example, studies that used interprofessional education activities involved interactive seminars, workshops or team-based simulation [20][21][22][23]. Often these educational interventions employed TeamSTEPPS or CRM (crisis resource management) approaches [24][25][26][27]. Studies reporting the use of interprofessional practice interventions tended to employ team checklists [28][29], team briefings [30,31] or patient safety rounds [32,33].…”

Interrupções e distrações na sala de cirurgia do trauma: entendendo a ameaça do erro humano

“…Interruptions and distractions are a major threat facing flight crews and cannot be different for the teams of trauma surgeons [14][15][16][17][18][19][20] . In the U.S., reports of the Programme of Action for Aviation Safety shows that 14% of the crew include reference to one interruption or distraction 21 .…”

“…Human factors (distractions), specifically, are usually presented with an overview, sometimes underestimating their influence in the event of errors 8,19,31 .…”

Exploring the core of crew resource management course: speak up or stay silent

“…Studies has shown that second pilots and nurses valued CRM communication training more positive than their counterparts higher in the hierarchy (i.e. surgeon and captain in the cockpit) [17,18]. In addition, crews on board navy ships are organised hierarchically, from master and downwards.…”

“…Different positions in hierarchy may give different result. Gore et al [17] and Carney et al [18] reported that surgeons and captains in the cockpit did not see the need for CRM training compared to team members further down the hierarchical ladder.…”