The Future of CRM

Helmreich, Robert L.; Anca, José; Kanki, Barbara G.

doi:10.1016/b978-0-12-374946-8.10021-4

Cited by 4 publications

(3 citation statements)

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“…Yet despite this evidence, the impetus for widespread implementation of CRM training in healthcare is still largely lacking. “While we may not be able to document statistically the number of lives saved by exemplary CRM practices and lives lost through CRM failures, the evidence for the value of CRM cannot be challenged” (p.499) 50. In an era of increased specialisation, more acute and complicated procedures, and shorter hospital stays, the need for effective communication and teamwork is more critical than ever.…”

Section: Discussionmentioning

confidence: 99%

A meta-analysis of the effectiveness of crew resource management training in acute care domains

O’Dea

O’Connor

Keogh

2014

Postgraduate Medical Journal

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The healthcare industry has seen an increase in the adoption of team training, such as crew resource management (CRM), to improve teamwork and coordination within acute care medical teams. A meta-analysis was carried out in order to quantify the effects of CRM training on reactions, learning, behaviour and clinical care outcomes. Biases in the research evidence are identified and recommendations for training development and evaluation are presented. PUBMED, EMBASE and PsychInfo were systematically searched for all relevant papers. Peer reviewed papers published in English between January 1985 and September 2013, which present empirically based studies focusing on interventions to improve team effectiveness in acute health care domains, were included. A total of 20 CRM-type team training evaluation studies were found to fulfil the a priori criteria for inclusion in the meta-analysis. Overall, CRM trained participants responded positively to CRM (mean score 4.25 out of a maximum of 5), the training had large effects on participants' knowledge (d=1.05), a small effect on attitudes (d=0.22) and a large effect on behaviours (d=1.25). There was insufficient evidence to support an effect on clinical care outcomes or long term impacts. The findings support the premise that CRM training can positively impact teamwork in healthcare and provide estimates of the expected effects of training. However, there is a need for greater precision in outcome assessment, improved standardisation of methods and measures, and more robust research design. Stronger evidence of effectiveness will require multi-level, multicentre, multispecialty and longitudinal studies.

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Section: Discussionmentioning

confidence: 99%

A meta-analysis of the effectiveness of crew resource management training in acute care domains

O’Dea

O’Connor

Keogh

2014

Postgraduate Medical Journal

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“…The Human Factors Attitude Survey (HFAS) is a pretraining and posttraining survey tool designed by the University of Texas and the National Aeronautics and Space Administration based on other surveys used in the aviation industry. It uses a standard 5-point Likert scale from strongly agree to strongly disagree 52,53 . Grogan et al 33 showed that a training intervention (CRM training emphasizing on 6 key areas: managing fatigue, creating and managing teams, recognizing adverse situations, cross-checking and communication, decision making, and performance feedback) significantly impacts the 20 items among 23 rated items of the HFAS ( P < 0.01).…”

Section: Resultsmentioning

confidence: 99%

Impact of Teamwork and Communication Training Interventions on Safety Culture and Patient Safety in Emergency Departments: A Systematic Review

Alsabri

Boudi²,

Lauque

et al. 2020

J Patient Saf

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“…Desde que la Organización de Aviación Civil Internacional impusiera su aplicación a todas las aerolíneas del mundo (ICAO, 1998), la proliferación de conceptos de CRM ha ido aumentando su valor (Helmreich et al, 2010), al tiempo que el entrenamiento también se ha dirigido hacia un incremento de la concienciación sobre diferentes aspectos del componente humano implicados en la revisión y análisis de los accidentes (Dismukes y Smith, 2000). A lo largo de este proceso, son numerosos los autores que hablan de las diferentes etapas por las que estos programas de entrenamiento han ido pasando (Helmreich et al, 1999;Marshall, 2010) en una tan constante como imparable evolución.…”

Section: Introductionunclassified

CRM: Development of Pending Critical Aspects

Segura Redondo,

Muñoz Marrón

2023

Pap. Psicol.

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The evolution of CRM programs has meant enormous progress for aviation in terms of the study of human factors and their relationship with the reduction of air accidents. Although it is true that CRM programs have undergone a successful evolution since their appearance in 1979, it is also true that the advances in psychological science in recent decades make it necessary to review and expand on aspects already addressed in previous stages by these programs. One of these aspects is the importance of the cabin crew members (CCM) as members of the flight team. Going back to the third generation programs, this paper analyzes the actions that the CCM have taken in different air accidents, highlighting the importance of their performance and their coordination with the rest of the crew in order to achieve success in resolving the air emergency.

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The Future of CRM

Cited by 4 publications

References 0 publications

A meta-analysis of the effectiveness of crew resource management training in acute care domains

A meta-analysis of the effectiveness of crew resource management training in acute care domains

Impact of Teamwork and Communication Training Interventions on Safety Culture and Patient Safety in Emergency Departments: A Systematic Review

CRM: Development of Pending Critical Aspects

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