High Reliability Healthcare: A Model for Making Crew Resource Management Work for High Performing Teams
You can read the article in three parts at www.psqh.com.
Note the JAMA study cited in the conclusion – 18% decrease in mortality for teams trained on CRM concepts and theory (only a 7% decrease for control groups). We at HPI see that, as technology works to prevent more and more of the basic human errors, patient harm is becoming more and more a problem caused by errors in thinking and errors in thinking as teams. The Collegial Interactive Team (CIT) approach, learned and reinforced in simulation, will be solution of the future in preventing harm when thinking and thinking as teams.
Our Steve Kreiser learned his Crew Resource Management three times – first as a naval aviator, then as a United pilot, and most recently as Collegial Interactive Teams (CIT) here at HPI. Inset right is an FA-18 Super Hornet like the one Steve flew for our US Navy. Note the cone of condensation enveloping the aircraft. As the jet goes supersonic, the sonic boom creates a pressure wave that can momentarily condense water vapor into liquid droplets – a cloud. Very cool.
Please join me congratulating our Steve Kreiser – send Steve a short message to steve@hpiresults.com and say “I saw it in Patient Safety and Quality.”


