Crisis resource management and teamwork training in anaesthesia

摘要

Over 20 yr ago, my research group was the first of what would become many who would recognize that there were sufficient parallels in the cognitive profile of the work of anaesthetists to that of airline pilots to justify examining, adapting, and adopting the paradigm of Crew (originally ‘Cockpit’) Resource Management (CRM), then fairly recently begun in aviation training.1 The CRM paradigm can be summarized as the articulation of principles of individual and crew behaviour in ordinary and crisis situations that focuses on skills of dynamic decision-making, interpersonal behaviour, and team management.2 Just as these were found to be of equal or greater importance to ensuring safety of flight of airliners, so too were they found to be relevant for patient safety in anaesthesia.3