Willems Laurent M, Kurka Natalia, Bohmann Ferdinand, Rostek Peter, Pfeilschifter Waltraud
Epilepsy Center Frankfurt Rhine-Main, Goethe-University, Frankfurt am Main, Germany.
Department of Neurology, Goethe-University, Frankfurt am Main, Germany.
Pract Neurol. 2019 Feb;19(1):36-42. doi: 10.1136/practneurol-2018-001966. Epub 2018 Aug 10.
Crew-resource management is an approach to work and training that focuses on non-technical skills and strategies to prevent human error in complex procedures. It was initially termed 'cockpit-resource management' and developed for aviation in the 1970s after several severe accidents; it has contributed to a measurable increase in flight safety. In recent years, this approach has been successfully implemented in other high-reliability environments; surgical disciplines have made particular use of crew-resource management strategies and training, with resulting reduced mortality rates. The stepwise implementation of different crew-resource management strategies in stroke care at our tertiary stroke centre has helped to speed up process times significantly, and to improve patient safety and staff satisfaction. Here, we summarise our experience in adapting different crew-resource management tools to acute stroke care, sharing specific tools that have proven valuable in our hands, and we encourage colleagues to implement such strategies in acute stroke care.
机组资源管理是一种工作和培训方法，专注于非技术技能和策略，以防止在复杂程序中出现人为错误。它最初被称为“驾驶舱资源管理”，在20世纪70年代经历几次严重事故后为航空业所开发；它已使飞行安全性得到显著提高。近年来，这种方法已在其他高可靠性环境中成功实施；外科领域特别采用了机组资源管理策略和培训，从而降低了死亡率。在我们的三级卒中中心，在卒中护理中逐步实施不同的机组资源管理策略有助于显著加快流程时间，并提高患者安全性和员工满意度。在此，我们总结了在将不同机组资源管理工具应用于急性卒中护理方面的经验，分享了在我们手中已证明有价值的具体工具，并且我们鼓励同事们在急性卒中护理中实施此类策略。
