Crew Resource Management
Outlines behaviors for teams to implement to manage risks, avoid errors, and appropriately deal with operational problems and failures when they occur.
What is Crew Resource Management (CRM)
Organizations that conduct complex, high risk operations but have exceedingly low catastrophic adverse event rate.
What are High Reliability Organizations?
Greet team, start of shift or case, practice civility be polite, set positive / professional tone, use first names, make eye contact (5 10 seconds) and pay attention to non-verbal communication.
What is using interpersonal skills?
Small-scale, front-line staff-owned initiatives carried out on the patient care unit.
What is Unit Based Safety Projects
Communication should be:
Specific, Direct and Concise
What is Giving Feedback?
1.Create high functioning teams
2.Reduce error through better use of human resources
3.Manage errors and threats through the use of safety behaviors
What is the purpose of CRM/CTT
1.Preoccupation with Failure
2.Reluctance to Simplify
3.Sensitivity to Operations
4.Commitment to Resilience
5.Deference to Expertise
What are the tenets / principles of High Reliability?
A communication technique used to avoid misunderstandings. When the sender gives a message, the receiver repeats this back.
What is closed loop communication?
The time frame a unit has to start their Unit Based Safety Project
What is within 2 weeks after completing this course
1. What I see?
2. What I am concerned about?
3. What I want?
What are the 3 W's?
Its slow and takes time to see a change
What is cultural change
The absence of surprises as a reason for anxiety, rather than a justification for complacency. Chronic unease.
What is Preoccupation with Failure?
Initiated by leader
Accomplished early after team first forms
Short a few minutes
Guided by Checklist
Emphasizes Safety
Covers Expectations
What is conducting a Safety Briefing?
The time frame a unit has to complete and implement their Unit Based Safety Project
What is 1 year
When decision makers won’t listen or don’t hear you, utilize the team.
What is respectful escalation?
Human error is ubiquitous and inevitable, not a behavioral choice and no one is immune.
What is the human error paradigm?
Avoiding simple explanations of causation.
What is Reluctance to Simplify?
•
Initiated by Team Leader
Short a few minutes
Guided by checklist
Reviews team performance
Goal is improvement
What is conducting a debriefing?
Briefing, Debriefing, Checklist Implementation, Standardized Communication Templates, Reducing Distractions during Critical Tasks, Standardization Initiative
What is examples of Unit Based Safety Projects
The perception of the elements in the environment within a volume of time and space, the comprehension of their meaning, and the projection of their status in the near future.
What is Situational Awareness?
Tolerates errors and still functions successfully.
What is Error Tolerant Systems?
Responding to problems and failures.
What is commitment to resilience?
Requires two skill sets
Active engagement and Critical thinking
The ability to escalate
What is Effective Followership?
Free Spot
You get the points!!!!!
Step-back, Analyze and Use Resources
What is applying the 1-2-3 Rule?