Zeltser Marina V, Nash David B
UMDNJ-Robert Wood Johnson Medical School, East Brunswick, New Jersey, USA.
Am J Med Qual. 2010 Jan-Feb;25(1):13-23. doi: 10.1177/1062860609345664. Epub 2009 Oct 2.
The Institute of Medicine has suggested that training in team behavior, leadership, communication, and other human factors could reduce medical errors and improve patient safety. Training on such topics has been adapted from teamwork training programs used in military and commercial aviation, called crew resource management (CRM). The principles behind CRM programs have been deployed in a number of clinical settings over the past 2 decades, and there are now several CRM vendors. Little is known about this nascent industry, and the emerging research supporting CRM programs lacks standardization and conclusive evidence. The objectives of this study were to report on the body of empirical data about CRM training in clinical settings and to provide a conceptual framework for evaluating its effectiveness in medicine. Using the proposed conceptual framework, the authors further examine currently published methods of measuring effectiveness and identify future directions for the use of teamwork training in medicine.
医学研究所建议，团队行为、领导力、沟通及其他人为因素方面的培训可以减少医疗差错并提高患者安全。此类主题的培训改编自军事和商业航空领域使用的团队协作培训项目，即机组资源管理（CRM）。在过去20年里，CRM项目背后的原则已在多种临床环境中得到应用，目前有多家CRM供应商。人们对这个新兴行业了解甚少，支持CRM项目的新出现的研究缺乏标准化且尚无确凿证据。本研究的目的是报告临床环境中有关CRM培训的实证数据，并提供一个评估其在医学领域有效性的概念框架。作者使用所提出的概念框架，进一步研究当前已发表的衡量有效性的方法，并确定医学领域团队协作培训的未来发展方向。
