Crew Resource Management komt uit de luchtvaart en is een manier om fouten te reduceren door o.a. mensen bewust te maken van de interpersoonlijke interactie en het effect ervan. Kijk naar dit fimpje, zou verplichte kost moeten zijn:
Wat mij betreft is CRM een must in iedere medische (basis)opleiding, van de reguliere afdeling tot de shockroom, alles valt of staat met goede communicatie. Als ik mij niet vergis is inmiddels zelfs aangetoond dat implementatie van CRM principes zorgt voor een afname van de mortaliteit op een afdeling.
Edit:
Crew Resource Management in the Intensive Care Unit: a prospective 3-year cohort study.
Haerkens MH, Kox M,2, Lemson J, Houterman S, van der Hoeven JG, Pickkers P.
Human factors account for the majority of adverse events in both aviation and medicine. Human factors awareness training entitled "Crew Resource Management (CRM)" is associated with improved aviation safety. We determined whether implementation of CRM impacts outcome in critically ill patients.
We performed a prospective 3-year cohort study in a 32-bed ICU, admitting 2500-3000 patients yearly. At the end of the baseline year, all personnel received CRM training, followed by 1 year of implementation. The third year was defined as the clinical effect year. All 7271 patients admitted to the ICU in the study period were included. The primary outcome measure was ICU complication rate. Secondary outcome measures were ICU and hospital length of stay, and standardized mortality ratio.
Our data indicate an association between CRM implementation and reduction in serious complications and lower mortality in critically ill patients.
Acta Anaesthesiol Scand. 2015 Jun 16.
