Health Research Scientist, National Center for Patient Safety Field Site, Veterans Health Administration, White River Junction, Vermont, USA.
J Nurs Adm. 2012 Jan;42(1):15-20. doi: 10.1097/NNA.0b013e31823c17c7.
This project describes the application of the "sterile cockpit rule," a crew resource management (CRM) technique, targeted to improve efficacy and safety for nursing assistants in the performance of patient care duties.
Crew resource management techniques have been successfully implemented in the aviation industry to improve flight safety. Application of these techniques can improve patient safety in medical settings.
The Veterans Affairs (VA) National Center for Patient Safety conducted a CRM training program in select VA nursing units. One unit developed a novel application of the sterile cockpit rule to create protected time for certified nursing assistants (CNAs) while they collected vital signs and blood glucose data at the beginning of each shift.
The typical nursing authority structure was reversed, with senior nurses protecting CNAs from distractions. This process led to improvements in efficiency and communication among nurses, with the added benefit of increased staff morale.
Crew resource management techniques can be used to improve efficiency, morale, and patient safety in the healthcare setting.
本项目描述了“无菌驾驶舱规则”的应用，这是一种机组资源管理（CRM）技术，旨在提高护理助理在执行患者护理职责时的效率和安全性。
机组资源管理技术已成功应用于航空业，以提高飞行安全性。这些技术的应用可以提高医疗环境中的患者安全性。
退伍军人事务部（VA）国家患者安全中心在选定的 VA 护理单元中开展了 CRM 培训计划。一个单元创造性地应用了无菌驾驶舱规则，在每个班次开始时为注册护士助理（CNA）收集生命体征和血糖数据时创造受保护的时间。
典型的护理权威结构被颠覆，高级护士使 CNA 免受干扰。这一过程提高了护士之间的效率和沟通能力，同时还提高了员工士气。
机组资源管理技术可用于提高医疗环境中的效率、士气和患者安全性。
