RT Book, Section
A1 Wachter, Robert M.
SR Print(0)
ID 56251469
T1 Chapter 15. Creating a Culture of Safety
T2 Understanding Patient Safety, 2e
YR 2012
FD 2012
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-176578-7
LK accessmedicine.mhmedical.com/content.aspx?aid=56251469
RD 2024/04/19
AB In  Chapter  9,  I  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).