RT Book, Section A1 Wachter, Robert M. A1 Gupta, Kiran SR Print(0) ID 1146176091 T1 Creating a culture of safety T2 Understanding Patient Safety, 3e YR 2017 FD 2017 PB McGraw-Hill Education PP New York, NY SN 9781259860249 LK accessmedicine.mhmedical.com/content.aspx?aid=1146176091 RD 2024/03/29 AB In Chapter 9, we discussed the tragic collision of two 747s on a foggy morning in Tenerife, the crash that vividly illustrated to everyone in the field of commercial aviation the risks associated with steep and unyielding authority gradients. In response to Tenerife and similar accidents, aviation began a series of training programs, generally called “crew resource management” or “cockpit resource management” (CRM) programs, designed to train diverse crews in communication and teamwork. Some of these programs also incorporate communication skills, such as training in Situation, Background, Assessment, and Recommendations (SBAR) and briefing/debriefing techniques (Chapter 9). There is widespread agreement that these programs helped transform the culture of aviation, a transformation that was largely responsible for the remarkable safety record of commercial airlines over the past generation (Figure 9-1).