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

被引：46

作者：

Gore, Dennis C. ^{[1
]}

Powell, Jennifer M. ^{[1
]}

Baer, Jennifer G. ^{[1
]}

Sexton, Karen H. ^{[1
]}

Richardson, C. Joan ^{[1
]}

Marshall, David R. ^{[1
]}

Chinkes, David L. ^{[1
]}

Townsend, Courtney M., Jr. ^{[1
]}

机构：

[1] Univ Texas Med Branch, Dept Surg, Galveston, TX 77555 USA

来源：

AMERICAN JOURNAL OF MEDICAL QUALITY | 2010年 / 25卷 / 01期

关键词：

communication; crew resource management; health care quality improvement; surgery; team; AVIATION;

D O I：

10.1177/1062860609351236

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

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.

引用

页码：60 / 63

页数：4

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