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Annals of Intensive Care
Published in: Annals of Intensive Care 1/2012

Open Access 01-12-2012 | Review

Crew resource management in the ICU: the need for culture change

Authors: Marck HTM Haerkens, Donald H Jenkins, Johannes G van der Hoeven

Published in: Annals of Intensive Care | Issue 1/2012

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Abstract

Intensive care frequently results in unintentional harm to patients and statistics don’t seem to improve. The ICU environment is especially unforgiving for mistakes due to the multidisciplinary, time-critical nature of care and vulnerability of the patients. Human factors account for the majority of adverse events and a sound safety climate is therefore essential. This article reviews the existing literature on aviation-derived training called Crew Resource Management (CRM) and discusses its application in critical care medicine. CRM focuses on teamwork, threat and error management and blame free discussion of human mistakes. Though evidence is still scarce, the authors consider CRM to be a promising tool for culture change in the ICU setting, if supported by leadership and well-designed follow-up.
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Metadata
Title
Crew resource management in the ICU: the need for culture change
Authors
Marck HTM Haerkens
Donald H Jenkins
Johannes G van der Hoeven
Publication date
01-12-2012
Publisher
Springer Paris
Published in
Annals of Intensive Care / Issue 1/2012
Electronic ISSN: 2110-5820
DOI
https://doi.org/10.1186/2110-5820-2-39

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