Sutton Gigi
Clinical Practice Improvement Centre, Queensland Health, Brisbane, QLD 4029, Australia.
Aust Health Rev. 2009 Aug;33(3):445-52. doi: 10.1071/ah090445.
High-reliability organisations are those, such as within the aviation industry, which operate in complex, hazardous environments and yet despite this are able to balance safety and effectiveness. Crew resource management (CRM) training is used to improve the non-technical skills of aviation crews and other high-reliability teams. To date, CRM within the health sector has been restricted to use with "crisis teams" and "crisis events". The purpose of this discussion paper is to examine the application of CRM to acute, ward-based multidisciplinary health care teams and more broadly to argue for the repositioning of health-based CRM to address effective everyday function, of which "crisis events" form just one part. It is argued that CRM methodology could be applied to evaluate ward-based health care teams and design non-technical skills training to increase their efficacy, promote better patient outcomes, and facilitate a range of positive personal and organisational level outcomes.
高可靠性组织是指那些，比如航空业中的组织，它们在复杂、危险的环境中运作，但尽管如此仍能平衡安全与效率。机组资源管理（CRM）培训用于提高航空机组人员和其他高可靠性团队的非技术技能。迄今为止，卫生部门的CRM仅限于与“危机应对团队”和“危机事件”一起使用。本讨论文件的目的是研究CRM在急性病病房多学科医疗团队中的应用，并更广泛地主张重新定位基于卫生领域的CRM，以解决日常有效运作问题，而“危机事件”只是其中一部分。有人认为，CRM方法可用于评估病房医疗团队，并设计非技术技能培训以提高其效能，促进更好的患者治疗效果，并推动一系列积极的个人和组织层面的成果。
