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Crew resource management

A F Fransen, J van de Ven, E Schuit, Aac van Tetering, B W Mol, S G Oei
OBJECTIVE: To investigate whether simulation-based obstetric team training in a simulation centre improves patient outcome. DESIGN: Multicentre, open, cluster randomised controlled trial. SETTING: Obstetric units in the Netherlands. POPULATION: Women with a singleton pregnancy beyond 24 weeks of gestation. METHODS: Random allocation of obstetric units to a 1-day, multi-professional, simulation-based team training focusing on crew resource management (CRM) in a simulation centre or to no such team training...
October 10, 2016: BJOG: An International Journal of Obstetrics and Gynaecology
Brandon G Rocque
No abstract text is available yet for this article.
October 7, 2016: Journal of Neurosurgery
P Raynal
Simulation in obstetrical emergency is in expansion. The important economic and human cost in simulation needs a real evaluation about enhancement in technical and non-technical skills, maternal and neonatal morbidity and mortality. We present a literature review of the results published on the subject in shoulder dystocia, post-partum haemorrhage, eclampsia and cord prolaps with a selection of publications with high evidence level or positive impact of training on obstetrical emergencies. There are few publications with a positive impact of training on obstetrical emergencies...
September 20, 2016: Gynécologie, Obstétrique & Fertilité
A Duclos, J L Peix, V Piriou, P Occelli, A Denis, S Bourdy, M J Carty, A A Gawande, F Debouck, C Vacca, J C Lifante, C Colin
BACKGROUND: The application of safety principles from the aviation industry to the operating room has offered hope in reducing surgical complications. This study aimed to assess the impact on major surgical complications of adding an aviation-based team training programme after checklist implementation. METHODS: A prospective parallel-group cluster trial was undertaken between September 2011 and March 2013. Operating room teams from 31 hospitals were assigned randomly to participate in a team training programme focused on major concepts of crew resource management and checklist utilization...
September 19, 2016: British Journal of Surgery
Urs Pietsch, Jürgen Knapp, Ludwig Ney, Armin Berner, Volker Lischke
OBJECTIVE: Mountain helicopter rescue operations often confront crews with unique challenges in which even minor errors can result in dangerous situations. Simulation training provides a promising tool to train the management of complex multidisciplinary settings, thus reducing the occurrence of fatal errors and increasing the safety for both the patient and the helicopter emergency medical service (HEMS) crew. METHODS: A simulation-based training, dedicated to mountain helicopter emergency medicine service, was developed and executed...
September 2016: Air Medical Journal
Paolo Mannella, Giulia Palla, Armando Cuttano, Antonio Boldrini, Tommaso Simoncini
OBJECTIVE: To determine the effect of a simulation training program for residents in obstetrics and gynecology in terms of technical and nontechnical skills for the management of shoulder dystocia. METHODS: A prospective study was performed at a center in Italy in April-May 2015. Thirty-two obstetrics and gynecology residents were divided into two groups. Residents in the control group were immediately exposed to an emergency shoulder dystocia scenario, whereas those in the simulation group completed a 2-hour training session with the simulator before being exposed to the scenario...
August 27, 2016: International Journal of Gynaecology and Obstetrics
Glenn E Littlepage, Michael B Hein, Richard G Moffett, Paul A Craig, Andrea M Georgiou
OBJECTIVE: This study evaluates the effectiveness of a training program designed to improve cross-functional coordination in airline operations. BACKGROUND: Teamwork across professional specializations is essential for safe and efficient airline operations, but aviation education primarily emphasizes positional knowledge and skill. Although crew resource management training is commonly used to provide some degree of teamwork training, it is generally focused on specific specializations, and little training is provided in coordination across specializations...
August 22, 2016: Human Factors
Marck Htm Haerkens, Wouter van Leeuwen, J Bryan Sexton, Peter Pickkers, Johannes G van der Hoeven
BACKGROUND: As the first objective of caring for patients is to do no harm, patient safety is a priority in delivering clinical care. An essential component of safe care in a clinical department is its safety climate. Safety climate correlates with safety-specific behaviour, injury rates, and accidents. Safety climate in healthcare can be assessed by the Safety Attitudes Questionnaire (SAQ), which provides insight by scoring six dimensions: Teamwork Climate, Job Satisfaction, Safety Climate, Stress Recognition, Working Conditions and Perceptions of Management...
2016: BMC Health Services Research
Alexandra Zech, Benedict Gross, Céline Jasper-Birzele, Katharina Jeschke, Thomas Kieber, Jörg Lauterberg, Marc Lazarovici, Stephan Prückner, Marcus Rall, Silke Reddersen, Benedikt Sandmeyer, Christoph Scholz, Eric Stricker, Bert Urban, Astrid Zobel, Ingeborg Singer
INTRODUCTION: A standardized team-training program for healthcare professionals in obstetric units was developed based on an analysis of common causes for adverse events found in claims registries. The interdisciplinary and inter-professional training concept included both technical and non-technical skill training. Evaluation of the program was carried out in hospitals with respect to the immediate personal learning of participants and also regarding changes in safety culture. METHODS: Trainings in n=7 hospitals including n=270 participants was evaluated using questionnaires...
July 27, 2016: Journal of Perinatal Medicine
D Tahtali, F Bohmann, P Rostek, B Misselwitz, A Reihs, F Heringer, K Jahnke, H Steinmetz, W Pfeilschifter
BACKGROUND: Time is of critical importance in acute stroke management. The establishment of thrombectomy now adds to the complexity and interdisciplinarity of the initial phase. In non-medical high-fidelity situations, such as aviation, crew resource management (CRM) has proven to be highly efficient. It has therefore also been implemented in professional cardiovascular life support training. In a setting where every minute counts, CRM and regular training of the high-fidelity stroke team could offer ways to improve treatment of acute stroke patients...
July 18, 2016: Der Nervenarzt
Jennifer L Hefner, Brian Hilligoss, Amy Knupp, Judy Bournique, John Sullivan, Eric Adkins, Susan D Moffatt-Bruce
Crew resource management (CRM) has the potential to improve safety culture and reduce patient safety errors across different hospitals and inherent cultures, but hospital-wide implementations have not been studied. The authors examined the impact of a systematic CRM implementation across 8 departments spanning 3 hospitals and 2 campuses. The Hospital Survey on Patient Safety Culture (HSOPS) was administered electronically to all employees before CRM implementation and about 2 years after; changes in percent positive composite scores were compared in pre-post analyses...
July 15, 2016: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
Anita Romijn, Martine C de Bruijne, Pim W Teunissen, Christianne J M de Groot, Cordula Wagner
INTRODUCTION: In obstetrics, patients often experience referral situations between different care professionals. In these multidisciplinary teams, a focus on communication and interprofessional collaboration is needed to ensure care of high quality. Crew resource management team training is increasingly being applied in healthcare settings to improve team performance and coordination. Efforts to improve communication also include tools for standardisation such as SBAR (situation, background, assessment, recommendation)...
2016: BMJ Open
Marcel Winkelmann, Lars Friedrich, Christian Schröter, Andreas Flemming, Hendrik Eismann, Lion Sieg, Philipp Mommsen, Christian Krettek, Christian Zeckey
OBJECTIVE: Christoph Life is a simulator-based air medical training program and a new and innovative educational concept. Participants pass different scenarios with a fully equipped and movable helicopter simulator. Main focuses of the program are crew resource management (CRM) elements and team training. Information about expectations end effectiveness of the training is sparse. METHODS: During a 2-day training, participants learn CRM basics and complete various emergency medical scenarios...
July 2016: Air Medical Journal
Celeste M Alfes, Stephanie Steiner, Tonya Rutherford-Hemming
OBJECTIVE: The purpose of this study was to identify the challenges new crewmembers experience in the critical care transport (CCT) environment and to determine the most valuable resources when acclimating to the transport environment. To date, no study has focused on the unique challenges nor the resources most effective in CCT training. METHODS: This descriptive exploratory study was conducted with a convenience survey sent to the 3 largest professional CCT organizations: the Association of Air Medical Services, the Air and Surface Transport Nurses Association, and the Association of Critical Care Transport...
July 2016: Air Medical Journal
Diane Gallagher
No abstract text is available yet for this article.
July 2016: Nursing Management
Wan-Ting Wu, Yung-Lung Wu, Shaw-Min Hou, Chun-Mei Kang, Chi-Hung Huang, Yu-Ju Huang, Victoria Yue An Wang, Pa-Chun Wang
This article reports the results from a study that employed an interprofessional crew resource management (CRM) education programme in the emergency and critical care departments. The study aimed to investigate the effectiveness of this intervention of participants' satisfaction and safety attitude changes using a satisfaction questionnaire and the Human Factors Attitude Survey (HFAS). Overall, participants responded positively to the CRM training-93.4% were satisfied, 93.1% agreed that it enhanced patient safety and care quality, 85...
July 2016: Journal of Interprofessional Care
Mary P Mancuso, Oliwier Dziadkowiec, Catherine Kleiner, Katherine Halverson-Carpenter, Terri Link, James Barry
OBJECTIVE: To assess the effectiveness of crew resource management training and interventions on the quality and quantity of communication during cesarean births in a tertiary academic hospital's labor and birthing services. DESIGN: A prospective pre-post crew resource management training intervention. SETTING: Tertiary academic hospital in the Western United States. PARTICIPANTS: All members of obstetric and neonatal teams that participated in cesarean births...
July 2016: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
Tim Stansfield, Richard Parker, Neil Masson, David Lewis
OBJECTIVES: To assess the impact of a quality assured planning and sizing process and the endovascular team briefing (preprocedure run through and brief - PRTB) on the delivery of endovascular aneurysm repair (EVAR), in Edinburgh. DESIGN: Prospective observational study, comparing parameters before and after the intervention. MATERIALS: Prospectively collected database recording infrarenal aneurysms treated with EVAR performed from January 2007 to April 2014 at our institution...
May 2016: Vascular and Endovascular Surgery
John E Crews, Chiu-Fung Chou, Judy A Stevens, Jinan B Saaddine
In 2014, an estimated 2.8 million persons aged ≥65 years in the United States reported severe vision impairment* defined as being blind or having severe difficulty seeing, even with eyeglasses. Good vision is important for maintaining balance as well as for identifying low-contrast hazards, estimating distances, and discerning spatial relationships. Conversely, having poor vision increases the risk for falls (1,2). Falls among older adults are common and can cause serious injuries, disabilities, and premature death (1,3)...
2016: MMWR. Morbidity and Mortality Weekly Report
Christina K W Chan, Hang-kwong So, Wing-yiu Ng, Pei-kei Chan, Wai-ling Ma, Kin-ling Chan, Siu-ha Leung, Lap-yin Ho
OBJECTIVE: To evaluate participant reactions and attitudes to crew resource management teamwork classroom-based training by comparing Likert responses before and after the intervention and exploring potential differences in attitudes across the different healthcare professionals. METHODS: Between 26 January and 27 March, 2015, a randomly selected sample of 240 frontline healthcare professionals offering direct patient care were recruited to undergo a 4-hour crew resource management classroom-based training programme...
2016: International Journal of Medical Education
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