FORENSIC ANTHROPOLOGY SUPA FS CHEM 113 J. Pawlowski, Adjunct Professor.
CREW RESOURCE MANAGEMENT IN MEDICINE - SOAP 2007 Presentation for... · CREW RESOURCE MANAGEMENT IN...
Transcript of CREW RESOURCE MANAGEMENT IN MEDICINE - SOAP 2007 Presentation for... · CREW RESOURCE MANAGEMENT IN...
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CREW RESOURCE CREW RESOURCE MANAGEMENT IN MEDICINEMANAGEMENT IN MEDICINE
John Pawlowski, MD, PhDJohn Pawlowski, MD, PhDBeth Israel Deaconess Medical CenterBeth Israel Deaconess Medical Center
Boston, MABoston, MA
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CON: OutlineCON: Outline
It’s not a fad.It’s not a fad.It improves communication.It improves communication.It prevents accidents.It prevents accidents.It saves lives.It saves lives.
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Definition: FadDefinition: Fad
A temporary fashion, notion, A temporary fashion, notion, manner of conduct.manner of conduct.
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Definition*: Definition*: FadFad
A temporary fashion, notion, manner A temporary fashion, notion, manner of conduct.of conduct.From obsolete From obsolete faddlefaddle to play with, to play with, fondlefondle
* The Random House Dictionary, 2* The Random House Dictionary, 2ndnd Edition, Edition, UnabridgedUnabridged
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Definition: Crew Resource Definition: Crew Resource ManagementManagement
= Team Training= Team Training= Crisis Resource Management= Crisis Resource Management= Safety Culture Training= Safety Culture Training= Root Cause Analysis= Root Cause Analysis= Error Management= Error Management= Human Factor Analysis= Human Factor Analysis
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What is the number 1 reason for What is the number 1 reason for disasters?disasters?
Pilot ErrorPilot Error
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Nuclear Power IndustryNuclear Power Industry
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Why Bother in Medicine?Why Bother in Medicine?
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Not always Marcus Not always Marcus WelbyWelby, MD, MD
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Data 1Data 1
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Data 2Data 2
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Data 3Data 3
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Data 4Data 4
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Data 5Data 5
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Data 6Data 6
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Swiss Cheese ModelSwiss Cheese Model
Errors are multipleErrors are multiple
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FADFAD--10 by ELECOM Corp.10 by ELECOM Corp.
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I GIVE UPI GIVE UP
Problems due to Problems due to communicationcommunicationMedical people Medical people communicatecommunicateThere are no There are no problemsproblems
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RebuttalRebuttal
We don’t practiceWe don’t practiceWe don’t keep scoreWe don’t keep scoreWe rely on fadsWe rely on fads
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See one, do one.See one, do one.
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Hours of practice (total)Hours of practice (total)
NBA playerNBA player-- 10,000 hours10,000 hoursNHL playerNHL player-- 10,000 hours10,000 hoursSymphony musicianSymphony musician-- 10,000 hours10,000 hoursAstronautAstronaut-- 5,0005,000--10,000 hours10,000 hours
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Hours of practice (total)Hours of practice (total)
ACLSACLS-- 6 hours6 hoursCentral line placementCentral line placement-- 1 hour1 hourAdvanced airway managementAdvanced airway management-- 1 1 hourhourEpidural placementEpidural placement-- 1 hour1 hour
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Fads in MedicineFads in Medicine
VagotomyVagotomyFenFen--phenphenPTCAPTCACOXCOX--22
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Not just a fadNot just a fad
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ConclusionConclusion
–– And Crisis Resource Management CenterAnd Crisis Resource Management Center