J Am Dent Assoc. 2010 Aug;141(8):1010-8. doi: 10.14219/jada.archive.2010.0316.
The aviation industry uses crew resource management (CRM) to address the human aspect of error. Dentistry can incorporate these concepts to reduce dental error. The authors provide a checklist to help clinicians mitigate error.
Health care systems have begun to focus on medical error. During the past 30 years, the airline industry has developed mitigation strategies that are being adapted for medicine. CRM involves the use of information, equipment and people to increase safety by targeting early identification of errors.
To enhance safety, practitioners must implement forward-thinking strategies. Because human error is inevitable, threat and error management (TEM) techniques are needed to help identify and trap error before it develops into unexpected outcomes. Risk analysis increases situational awareness (SA) of potential dental error. Efficiency increases with early error detection.
The authors provide a dental checklist that is divided into "appointment review," "before procedure," "procedure," "before dismissal" and "after dismissal" to organize dental activities in a manner that enhances error detection.
The dental checklist is a tool to incorporate CRM and TEM techniques into the dental care environment to increase SA, safety and efficiency.
航空业使用机组资源管理（CRM）来解决人为失误问题。牙科可以采用这些概念来减少牙科错误。作者提供了一个清单，以帮助临床医生减少错误。
医疗保健系统已开始关注医疗错误。在过去的 30 年中，航空业已经开发出了一些缓解策略，这些策略正在被应用于医学领域。CRM 涉及使用信息、设备和人员，通过早期识别错误来提高安全性。
为了提高安全性，医生必须实施前瞻性策略。由于人为错误是不可避免的，因此需要采用威胁和错误管理（TEM）技术来帮助识别和捕获错误，防止其发展成意外后果。风险分析提高了对潜在牙科错误的情境意识（SA）。通过早期发现错误，可以提高效率。
作者提供了一个牙科清单，分为“预约审查”、“手术前”、“手术中”、“离院前”和“离院后”，以组织牙科活动，增强错误检测。
牙科清单是将 CRM 和 TEM 技术纳入牙科护理环境的一种工具，以提高 SA、安全性和效率。
