tag:blogger.com,1999:blog-32053362.post6156981851225795170..comments2024-03-29T05:39:11.334-04:00Comments on Not Running a Hospital: CRM in intensive care settingsPaul Levyhttp://www.blogger.com/profile/17065446378970179507noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-32053362.post-25376275437593205832012-11-16T15:04:11.151-05:002012-11-16T15:04:11.151-05:00Not at all, anon. But think about what kind of air...Not at all, anon. But think about what kind of air safety system we would have if all the airlines were left to their own devices on safety, each one inventing their own way to deal with it - or not dealing with it at all because they don't think they have a problem. Would you want to fly under that circumstance? That is what we are asking patients to survive when they enter the hospital. I am simply saying that we can't continue to wait for each hospital to individually get its act together. It just simply won't happen in our lifetimes, absent some sort of coordination and mandate.<br /><br />nonlocalAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-40099479165363707722012-11-16T12:31:04.142-05:002012-11-16T12:31:04.142-05:00Do I get the feeling nonlocalMD is recommending an...Do I get the feeling nonlocalMD is recommending an "eye for an eye" approach to medical safety issues? ;)Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-18594582197117625432012-11-16T06:30:51.401-05:002012-11-16T06:30:51.401-05:00There are two critical statements in the article:
... There are two critical statements in the article:<br /><br />"By now CRM training is mandatory for professional aircrew in Europe and the USA." and;<br /><br />"Any CRM-training has to meet Federal Aviation Authority (FAA) or Joint Aviation Authority (JAR) regulations. Not only do they define the various subjects but also the extent to which each subject should be discussed and set limits for refresher training. This standardization is a major contributing factor to the success of CRM."<br /><br />The third critical difference is that air crews are at personal risk of death from an accident, unlike medical professionals. Thus, as the authors point out, any sort of such training under current conditions is likely to be regarded as optional and/or as a pain in the tush. We didn't see the aviation industry spend years arguing over the effectiveness of CRM training after Tenerife, did we - they just did it. Until we have some sort of overarching oversight board with mandate authority such as the FAA or NTSB (I prefer both), progress will be measured in years or decades, despite numerous earnest attempts to improve safety. <br /><br />nonlocal MDAnonymousnoreply@blogger.com