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Title: Crew resource management in the ICU: the need for culture change
Author(s): Haerkens, M.H.T.M. ; Jenkins, D.H.; van der Hoeven, J.G.
Publication year: 2012
Source: Annals of Intensive Care, vol. 2, iss. 1, (2012), pp. 39
ISSN: 2110-5820
Publication type: Article / Letter to editor

Please use this identifier to cite or link to this item : http://hdl.handle.net/2066/110739   http://hdl.handle.net/2066/110739

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Subject: N4i 1: Pathogenesis and modulation of inflammation
N4i 1: Pathogenesis and modulation of inflammation
Organization: Surgery
Intensive Care
Journal title:
Annals of Intensive Care
Volume: vol. 2
Issue: iss. 1
Page start: p. 39
Page end: p. 39
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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