| Title |
Crew resource management in the ICU: the need for culture change
|
|---|---|
| Published in |
Annals of Intensive Care, August 2012
|
| DOI | 10.1186/2110-5820-2-39 |
| Pubmed ID | |
| Authors |
Marck HTM Haerkens, Donald H Jenkins, Johannes G van der Hoeven |
| Abstract |
Intensive care frequently results in unintentional harm to patients and statistics don't seem to improve. The ICU environment is especially unforgiving for mistakes due to the multidisciplinary, time-critical nature of care and vulnerability of the patients. Human factors account for the majority of adverse events and a sound safety climate is therefore essential. This article reviews the existing literature on aviation-derived training called Crew Resource Management (CRM) and discusses its application in critical care medicine. CRM focuses on teamwork, threat and error management and blame free discussion of human mistakes. Though evidence is still scarce, the authors consider CRM to be a promising tool for culture change in the ICU setting, if supported by leadership and well-designed follow-up. |
X Demographics
The data shown below were collected from the profiles of 5 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Netherlands | 2 | 40% |
| United Kingdom | 1 | 20% |
| Curaçao | 1 | 20% |
| Ireland | 1 | 20% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Practitioners (doctors, other healthcare professionals) | 2 | 40% |
| Members of the public | 2 | 40% |
| Scientists | 1 | 20% |
Mendeley readers
The data shown below were compiled from readership statistics for 142 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 3 | 2% |
| Canada | 2 | 1% |
| Netherlands | 1 | <1% |
| Brazil | 1 | <1% |
| France | 1 | <1% |
| New Zealand | 1 | <1% |
| Australia | 1 | <1% |
| Unknown | 132 | 93% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Other | 21 | 15% |
| Student > Master | 21 | 15% |
| Researcher | 20 | 14% |
| Student > Ph. D. Student | 15 | 11% |
| Student > Bachelor | 10 | 7% |
| Other | 31 | 22% |
| Unknown | 24 | 17% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 62 | 44% |
| Nursing and Health Professions | 18 | 13% |
| Psychology | 10 | 7% |
| Engineering | 7 | 5% |
| Business, Management and Accounting | 5 | 4% |
| Other | 15 | 11% |
| Unknown | 25 | 18% |
Attention Score in Context
This research output has an Altmetric Attention Score of 24. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 24 July 2017.
All research outputs
#1,618,361
of 25,562,515 outputs
Outputs from Annals of Intensive Care
#187
of 1,202 outputs
Outputs of similar age
#9,760
of 186,492 outputs
Outputs of similar age from Annals of Intensive Care
#2
of 13 outputs
Altmetric has tracked 25,562,515 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 93rd percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 1,202 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 18.3. This one has done well, scoring higher than 84% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 186,492 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 94% of its contemporaries.
We're also able to compare this research output to 13 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 92% of its contemporaries.