Verbeek-van Noord Inge, de Bruijne Martine C, Zwijnenberg Nicolien C, Jansma Elise P, van Dyck Cathy, Wagner Cordula
Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands.
NIVEL, Netherlands Institute for Health Services Research, Utrecht, The Netherlands.
SAGE Open Med. 2014 Apr 4;2:2050312114529561. doi: 10.1177/2050312114529561. eCollection 2014.
To evaluate the evidence of the effectiveness of classroom-based Crew Resource Management training on safety culture by a systematic review of literature.
Studies were identified in PubMed, Cochrane Library, PsycINFO, and Educational Resources Information Center up to 19 December 2012. The Methods Guide for Comparative Effectiveness Reviews was used to assess the risk of bias in the individual studies.
In total, 22 manuscripts were included for review. Training settings, study designs, and evaluation methods varied widely. Most studies reporting only a selection of culture dimensions found mainly positive results, whereas studies reporting all safety culture dimensions of the particular survey found mixed results. On average, studies were at moderate risk of bias.
Evidence of the effectiveness of Crew Resource Management training in health care on safety culture is scarce and the validity of most studies is limited. The results underline the necessity of more valid study designs, preferably using triangulation methods.
通过系统的文献综述，评估基于课堂的机组资源管理培训对安全文化有效性的证据。
截至2012年12月19日，在PubMed、Cochrane图书馆、PsycINFO和教育资源信息中心检索研究。使用比较有效性评价方法指南评估个体研究中的偏倚风险。
总共纳入22篇手稿进行综述。培训环境、研究设计和评估方法差异很大。大多数仅报告部分文化维度的研究主要得到了积极结果，而报告特定调查所有安全文化维度的研究结果不一。平均而言，研究存在中度偏倚风险。
医疗保健领域机组资源管理培训对安全文化有效性的证据稀缺，大多数研究的有效性有限。结果强调了采用更有效研究设计的必要性，最好使用三角测量法。
