Crew Resource Management Use in U.S. Air Force Flight and Family Medicine Clinics
Special rept. Jul 2012-Jun 2013
SCHOOL OF AEROSPACE MEDICINE WRIGHT PATTERSON AFB OH
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Crew resource management CRM is the effective use of all available resources-human, equipment, and information to ensure mission completion and reduce mishaps. The purpose of this study was to describe patient safety-related attitudes of U.S. Air Force flight surgeons and family physicians and ascertain the impact of Team Strategies and Tools to Enhance Performance and Patient Safety TeamSTEPPS, Patient Centered Medical Home PCMH, and aviation CRM aCRM training on those attitudes. Active duty Air Force flight and family medicine physicians were surveyed in a cross-sectional manner with a web-based, Air Force enhanced Safety Attitudes Questionnaire SAQ. Responses were scored according to published SAQ computation scales and analyzed with Excel statistical tools and SPSS statistical software. Attitudes among Air Force flight surgeons and family physicians were similar to one another, generally positive with regard to teamwork, safety, and stress recognition, and less so in other SAQ domains. Training in TeamSTEPPS, PCMH, and aCRM was not associated with more positive patient safety-related attitudes. Air Force physicians trained in CRM-related concepts did not perceive higher levels of teamwork, safety, job satisfaction, stress recognition, confidence in leadership, or work conditions. Rank and major command as covariates were weakly associated with differences in attitudes. Training in TeamSTEPPS, PCMH, or aCRM was not associated with improvement in safety-related attitudes among Air Force flight surgeons or family physicians. Further study is warranted to ascertain the effectiveness of such programs, either in their concepts, deployment, andor sustainment.
- Personnel Management and Labor Relations
- Medicine and Medical Research
- Military Forces and Organizations