Human Factors in the Health Care Setting

A Pocket Guide for Clinical Instructors
Author: Advanced Life Support Group
Publisher: John Wiley & Sons
ISBN: 1118339681
Category: Medical
Page: 120
View: 2914

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Human factors relates to the interaction of humans and technical systems. Human factors engineering analyzes tasks, considering the components in relation to a number of factors focusing particularly on human interactions and the interface between people working within systems. This book will help instructors teach the topic of human factors.

Human Factors in Healthcare

Level Two
Author: Debbie Rosenorn-Lanng
Publisher: Oxford University Press, USA
ISBN: 0199670617
Category: Medical errors
Page: 256
View: 5905

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This book builds on Human Factors in Healthcare Level One by delving deeper into the challenges of leadership, conflict resolution, and decision making that healthcare professionals currently face. It is written in an easy to understand style that helps the reader to readily assimilate abstract concepts. It includes a wealth of real-life examples of errors and patient safety issues drawn from the author's experience from overtwenty years in healthcare. This is a valuable resource for guiding healthcare professionals with the requirements of this relatively new discipline in the healthcare sector.

Health Care Comes Home:

The Human Factors
Author: Committee on the Role of Human Factors in Home Health Care,Board on Human-Systems Integration,Division of Behavioral and Social Sciences and Education,National Research Council
Publisher: National Academies Press
ISBN: 0309212367
Category: Medical
Page: 200
View: 8298

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In the United States, health care devices, technologies, and practices are rapidly moving into the home. The factors driving this migration include the costs of health care, the growing numbers of older adults, the increasing prevalence of chronic conditions and diseases and improved survival rates for people with those conditions and diseases, and a wide range of technological innovations. The health care that results varies considerably in its safety, effectiveness, and efficiency, as well as in its quality and cost. Health Care Comes Home reviews the state of current knowledge and practice about many aspects of health care in residential settings and explores the short- and long-term effects of emerging trends and technologies. By evaluating existing systems, the book identifies design problems and imbalances between technological system demands and the capabilities of users. Health Care Comes Home recommends critical steps to improve health care in the home. The book's recommendations cover the regulation of health care technologies, proper training and preparation for people who provide in-home care, and how existing housing can be modified and new accessible housing can be better designed for residential health care. The book also identifies knowledge gaps in the field and how these can be addressed through research and development initiatives. Health Care Comes Home lays the foundation for the integration of human health factors with the design and implementation of home health care devices, technologies, and practices. The book describes ways in which the Agency for Healthcare Research and Quality (AHRQ), the U.S. Food and Drug Administration (FDA), and federal housing agencies can collaborate to improve the quality of health care at home. It is also a valuable resource for residential health care providers and caregivers.

Crisis Management in Acute Care Settings

Human Factors and Team Psychology in a High-Stakes Environment
Author: Michael St.Pierre,Gesine Hofinger,Robert Simon
Publisher: Springer
ISBN: 3319414275
Category: Medical
Page: 430
View: 7574

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This book is unique in providing a comprehensive overview of the human factors issues relevant to patient safety during acute care. By elucidating the principles of human behavior and decision-making in critical situations and identifying frequent sources of human error, it will help healthcare professionals provide safer, more effective treatment when dealing with emergencies characterized by uncertainty, high stakes, time pressure, and stress. The third edition has emerged from an ongoing synergistic relationship between clinicians and behavioral scientists on both sides of the Atlantic to update and enhance each chapter -- blending the strengths of the two professions into a readily accessible text. Among other improvements, readers will find sharper articulation of concepts and significantly more information on the organizational impact on individual and team performance. Crisis Management in Acute Care Settings is the required reference for all who are learning about, teaching, or providing acute and emergency healthcare. It will be of high value for undergraduate and graduate medical and nursing program and offer a much-needed resource for those who use high-fidelity healthcare simulation to teach teamwork.

Handbook of Human Factors and Ergonomics in Health Care and Patient Safety, Second Edition


Author: Pascale Carayon
Publisher: CRC Press
ISBN: 1439830347
Category: Technology & Engineering
Page: 876
View: 5585

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The first edition of Handbook of Human Factors and Ergonomics in Health Care and Patient Safety took the medical and ergonomics communities by storm with in-depth coverage of human factors and ergonomics research, concepts, theories, models, methods, and interventions and how they can be applied in health care. Other books focus on particular human factors and ergonomics issues such as human error or design of medical devices or a specific application such as emergency medicine. This book draws on both areas to provide a compendium of human factors and ergonomics issues relevant to health care and patient safety. The second edition takes a more practical approach with coverage of methods, interventions, and applications and a greater range of domains such as medication safety, surgery, anesthesia, and infection prevention. New topics include: work schedules error recovery telemedicine workflow analysis simulation health information technology development and design patient safety management Reflecting developments and advances in the five years since the first edition, the book explores medical technology and telemedicine and puts a special emphasis on the contributions of human factors and ergonomics to the improvement of patient safety and quality of care. In order to take patient safety to the next level, collaboration between human factors professionals and health care providers must occur. This book brings both groups closer to achieving that goal.

Advances in Human Factors and Ergonomics in Healthcare and Medical Devices

Proceedings of the AHFE 2017 International Conferences on Human Factors and Ergonomics in Healthcare and Medical Devices, July 17–21, 2017, The Westin Bonaventure Hotel, Los Angeles, California, USA
Author: Vincent Duffy,Nancy Lightner
Publisher: Springer
ISBN: 331960483X
Category: Computers
Page: 633
View: 2015

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This book discusses the latest advances in human factors and ergonomics, focusing on methods for improving quality, safety, efficiency, and effectiveness in patient care. By emphasizing the physical, cognitive, and organizational aspects of human factors and ergonomics applications, it presents various perspectives, including those of clinicians, patients, health organizations, and insurance providers. The book describes cutting-edge applications, highlighting best practices for staff interactions with patients, as well as interactions with computers and medical devices. It also presents new findings related to improved organizational outcomes in healthcare settings, and approaches to modeling and analysis specifically targeting those work aspects unique to healthcare. Based on the AHFE 2017 International Conference on Human Factors and Ergonomics in Healthcare and Medical Devices, held on July 17–21, 2017, in Los Angeles, California, USA, the book is intended as a timely reference guide for both researchers involved in the design of healthcare systems and devices and for healthcare professionals working to deliver safe and effective health service. Moreover, by providing a useful survey of cutting-edge methods for improving organizational outcomes in healthcare settings, the book also represents a source of inspiration for healthcare counselors and international health organizations.

Advances in Human Factors and Ergonomics in Healthcare

Proceedings of the AHFE 2016 International Conference on Human Factors and Ergonomics in Healthcare, July 27-31, 2016, Walt Disney World®, Florida, USA
Author: Vincent G. Duffy,Nancy Lightner
Publisher: Springer
ISBN: 3319416529
Category: Computers
Page: 465
View: 586

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This book discusses the latest advances in human factors and ergonomics, focusing on methods for improving quality, safety, efficiency, and effectiveness in patient care. By emphasizing the physical, cognitive and organizational aspects of human factors and ergonomics applications, it reports on various perspectives, including those of clinicians, patients, health organizations and insurance providers. The book describes cutting-edge applications, highlighting the best practices of staff interactions with patients, as well as interactions with computers and medical devices. It also presents new findings related to improved organizational outcomes in healthcare settings, and approaches to modeling and analysis specifically targeting those work aspects unique to healthcare. Based on the AHFE 2016 International Conference on Human Factors and Ergonomics in Healthcare, held on July 27-31, 2016, in Walt Disney World®, Florida, USA, the book is intended as timely reference guide for both researchers involved in the design of healthcare systems and devices and healthcare professionals aiming at effective and safe health service delivery. Moreover, by providing a useful survey of cutting-edge methods for improving organizational outcomes in healthcare settings, the book also represents an inspiring reading for healthcare counselors and international health organizations.

The Role of Human Factors in Home Health Care:

Workshop Summary
Author: Board on Human-Systems Integration,Committee on the Role of Human Factors in Home Healthcare,Division of Behavioral and Social Sciences and Education,National Research Council
Publisher: National Academies Press
ISBN: 0309156297
Category: Medical
Page: 322
View: 4231

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The rapid growth of home health care has raised many unsolved issues and will have consequences that are far too broad for any one group to analyze in their entirety. Yet a major influence on the safety, quality, and effectiveness of home health care will be the set of issues encompassed by the field of human factors research--the discipline of applying what is known about human capabilities and limitations to the design of products, processes, systems, and work environments. To address these challenges, the National Research Council began a multidisciplinary study to examine a diverse range of behavioral and human factors issues resulting from the increasing migration of medical devices, technologies, and care practices into the home. Its goal is to lay the groundwork for a thorough integration of human factors research with the design and implementation of home health care devices, technologies, and practices. On October 1 and 2, 2009, a group of human factors and other experts met to consider a diverse range of behavioral and human factors issues associated with the increasing migration of medical devices, technologies, and care practices into the home. This book is a summary of that workshop, representing the culmination of the first phase of the study.

To Err Is Human:

Building a Safer Health System
Author: Committee on Quality of Health Care in America,Institute of Medicine
Publisher: National Academies Press
ISBN: 0309068371
Category: Medical
Page: 312
View: 3797

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Experts estimate that as many as 98,000 people die in any given year from medical errors that occur in hospitals. That's more than die from motor vehicle accidents, breast cancer, or AIDS--three causes that receive far more public attention. Indeed, more people die annually from medication errors than from workplace injuries. Add the financial cost to the human tragedy, and medical error easily rises to the top ranks of urgent, widespread public problems. To Err Is Human breaks the silence that has surrounded medical errors and their consequence--but not by pointing fingers at caring health care professionals who make honest mistakes. After all, to err is human. Instead, this book sets forth a national agenda--with state and local implications--for reducing medical errors and improving patient safety through the design of a safer health system. This volume reveals the often startling statistics of medical error and the disparity between the incidence of error and public perception of it, given many patients' expectations that the medical profession always performs perfectly. A careful examination is made of how the surrounding forces of legislation, regulation, and market activity influence the quality of care provided by health care organizations and then looks at their handling of medical mistakes. Using a detailed case study, the book reviews the current understanding of why these mistakes happen. A key theme is that legitimate liability concerns discourage reporting of errors--which begs the question, "How can we learn from our mistakes?" Balancing regulatory versus market-based initiatives and public versus private efforts, the Institute of Medicine presents wide-ranging recommendations for improving patient safety, in the areas of leadership, improved data collection and analysis, and development of effective systems at the level of direct patient care. To Err Is Human asserts that the problem is not bad people in health care--it is that good people are working in bad systems that need to be made safer. Comprehensive and straightforward, this book offers a clear prescription for raising the level of patient safety in American health care. It also explains how patients themselves can influence the quality of care that they receive once they check into the hospital. This book will be vitally important to federal, state, and local health policy makers and regulators, health professional licensing officials, hospital administrators, medical educators and students, health caregivers, health journalists, patient advocates--as well as patients themselves. First in a series of publications from the Quality of Health Care in America, a project initiated by the Institute of Medicine

Misadventures in Health Care

Inside Stories
Author: Marilyn Sue Bogner
Publisher: Psychology Press
ISBN: 1135665583
Category: Medical
Page: 266
View: 5658

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Misadventures in Health Care: Inside Stories presents an alternative approach to attributing the cause of medical error solely to the health care provider. That alternative, the systems approach, pursues why an incident occurs in terms of factors in the context of care that affect the care provider to induce an error. The basis for this approach is the fact that an error is an act, an act is behavior, and behavior is a function of the person interacting with the environment. Eleven vignettes illustrate the importance of the systems approach by describing health care incidents from the perspective of the care providers--the perspective that can identify the factors that actually affect the provider. These stories provide general readers with opportunities to apply their knowledge in analyzing incidents to identify error-inducing factors. This book is important reading for policymakers, researchers and practitioners in law and in all medical specialties, and professionals in the social sciences, human factors, and engineering. In addition to sensitizing the reader to the importance of contextual factors in error, Misadventures in Health Care is a case study reference to supplement texts in professional schools such as law and medicine, as well as the full range of academic disciplines. It also is important reading for the general public because it presents an approach for addressing a very pressing social problem-- that of misadventures in health care.

Crossing the Quality Chasm:

A New Health System for the 21st Century
Author: Committee on Quality of Health Care in America,Institute of Medicine
Publisher: National Academies Press
ISBN: 0309072808
Category: Medical
Page: 360
View: 8657

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Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.

Patient Safety

A Human Factors Approach
Author: Sidney Dekker
Publisher: CRC Press
ISBN: 143985226X
Category: Technology & Engineering
Page: 262
View: 2644

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Increased concern for patient safety has put the issue at the top of the agenda of practitioners, hospitals, and even governments. The risks to patients are many and diverse, and the complexity of the healthcare system that delivers them is huge. Yet the discourse is often oversimplified and underdeveloped. Written from a scientific, human factors perspective, Patient Safety: A Human Factors Approach delineates a method that can enlighten and clarify this discourse as well as put us on a better path to correcting the issues. People often think, understandably, that safety lies mainly in the hands through which care ultimately flows to the patient—those who are closest to the patient, whose decisions can mean the difference between life and death, between health and morbidity. The human factors approach refuses to lay the responsibility for safety and risk solely at the feet of people at the sharp end. That is where we should intervene to make things safer, to tighten practice, to focus attention, to remind people to be careful, to impose rules and guidelines. The book defines an approach that looks relentlessly for sources of safety and risk everywhere in the system—the designs of devices; the teamwork and coordination between different practitioners; their communication across hierarchical and gender boundaries; the cognitive processes of individuals; the organization that surrounds, constrains, and empowers them; the economic and human resources offered; the technology available; the political landscape; and even the culture of the place. The breadth of the human factors approach is itself testimony to the realization that there are no easy answers or silver bullets for resolving the issues in patient safety. A user-friendly introduction to the approach, this book takes the complexity of health care seriously and doesn’t over simplify the problem. It demonstrates what the approach does do, that is offer the substance and guidance to consider the issues in all their nuance and complexity.

Human Factors and Ergonomics of Prehospital Emergency Care


Author: Joseph R. Keebler,Elizabeth H. Lazzara,Paul Misasi
Publisher: CRC Press
ISBN: 1315280159
Category: Business & Economics
Page: 262
View: 5569

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This book provides an introduction to the field of human factors for individuals who are involved in the delivery and/or improvement of prehospital emergency care and describes opportunities to advance the practical application of human factors research in this critical domain. Relevant theories of human performance, including systems engineering principles, teamwork, training, and decision making are reviewed in light of the needs of current day prehospital emergency care. The primary focus is to expand awareness human factors and outlay the potential for novel and more effective solutions to the issues facing prehospital care and its practitioners.

The Role of Human Factors in Home Health Care:

Workshop Summary
Author: Board on Human-Systems Integration,Committee on the Role of Human Factors in Home Healthcare,Division of Behavioral and Social Sciences and Education,National Research Council
Publisher: National Academies Press
ISBN: 0309156297
Category: Medical
Page: 322
View: 914

Continue Reading →

The rapid growth of home health care has raised many unsolved issues and will have consequences that are far too broad for any one group to analyze in their entirety. Yet a major influence on the safety, quality, and effectiveness of home health care will be the set of issues encompassed by the field of human factors research--the discipline of applying what is known about human capabilities and limitations to the design of products, processes, systems, and work environments. To address these challenges, the National Research Council began a multidisciplinary study to examine a diverse range of behavioral and human factors issues resulting from the increasing migration of medical devices, technologies, and care practices into the home. Its goal is to lay the groundwork for a thorough integration of human factors research with the design and implementation of home health care devices, technologies, and practices. On October 1 and 2, 2009, a group of human factors and other experts met to consider a diverse range of behavioral and human factors issues associated with the increasing migration of medical devices, technologies, and care practices into the home. This book is a summary of that workshop, representing the culmination of the first phase of the study.

Handbook of Human Factors and Ergonomics in Health Care and Patient Safety, Second Edition


Author: Pascale Carayon
Publisher: CRC Press
ISBN: 1439830347
Category: Technology & Engineering
Page: 876
View: 5111

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The first edition of Handbook of Human Factors and Ergonomics in Health Care and Patient Safety took the medical and ergonomics communities by storm with in-depth coverage of human factors and ergonomics research, concepts, theories, models, methods, and interventions and how they can be applied in health care. Other books focus on particular human factors and ergonomics issues such as human error or design of medical devices or a specific application such as emergency medicine. This book draws on both areas to provide a compendium of human factors and ergonomics issues relevant to health care and patient safety. The second edition takes a more practical approach with coverage of methods, interventions, and applications and a greater range of domains such as medication safety, surgery, anesthesia, and infection prevention. New topics include: work schedules error recovery telemedicine workflow analysis simulation health information technology development and design patient safety management Reflecting developments and advances in the five years since the first edition, the book explores medical technology and telemedicine and puts a special emphasis on the contributions of human factors and ergonomics to the improvement of patient safety and quality of care. In order to take patient safety to the next level, collaboration between human factors professionals and health care providers must occur. This book brings both groups closer to achieving that goal.

Human-Centered Design of E-Health Technologies: Concepts, Methods and Applications

Concepts, Methods and Applications
Author: Ziefle, Martina
Publisher: IGI Global
ISBN: 1609601793
Category: Medical
Page: 426
View: 3744

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"This book unites researchers and industry practitioners from different disciplines to share their domain-specific knowledge and contribute to a holistic introduction into the area of human-centered design for e-health applications"--Provided by publisher.

Human Factors in Practice

Concepts and Applications
Author: Haydee M. Cuevas,Jonathan Velázquez,Andrew R. Dattel
Publisher: CRC Press
ISBN: 1317120213
Category: Technology & Engineering
Page: 160
View: 7819

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Human Factors in Practice: Concepts and Applications is written for the practitioner who wishes to learn about human factors (HF) but is more interested in application (applied research) than theory (basic research). Each chapter discusses the application of important human factors theories, principles and concepts, presented at a level that can be easily understood by layman readers with no prior knowledge or formal education in human factors. The book illustrates to the non-HF practitioner the many varied domains in which human factors has been applied as well as serving to showcase current research in these areas. All chapters address the common overarching theme of applying human factors theories, principles and concepts to address real-world problems, and follow a similar structure to ensure consistency across chapters. Standard sections within each chapter include a discussion of the scientific underpinnings, a description of relevant HF methods and guidance on sources of further information, case studies to illustrate application, and a summary of likely future trends. Each chapter concludes with a short list of key terms and definitions to enhance the reader’s understanding of the content. Featuring specialist contributors from a variety of disciplines and cultural backgrounds, the book represents a diverse range of perspectives on human factors and will appeal to a broad international audience. It is consciously not a classroom textbook but rather intended to be read at the workplace by non-HF practitioners, and written specifically with their needs in mind. Reading this book will give all practitioners a solid grounding in modern human factors and its application in real-world situations.

Handbook of Human Factors in Litigation


Author: Y. Ian Noy,Waldemar Karwowski
Publisher: CRC Press
ISBN: 0203490290
Category: Technology & Engineering
Page: 816
View: 6239

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Using ergonomics in forensics can help prevent the recurrence of system failures through engineering or administrative controls. It can also raise the level of concern among professionals and the public regarding product, workplace, and service safety due to perceived exposure to liability. Even with such a potentially important and broad impact, forensic human factors is a subject that is neither taught nor systematically practiced. There is little documentation to help develop a knowledge of the field in a systematic way, nor is there a large pool of qualified practitioners. The Handbook of Human Factors in Litigation provides a comprehensive reference that provides the tools necessary for the preparation, analysis, and presentation of forensic evidence. Compiled by experienced, internationally respected authors, this handbook represents the state-of-the-art in the application of ergonomics to forensic investigation. It contains information on the litigation process, forensic approaches and methods, important scientific data in the major application areas, and valuable case studies. For legal and forensic practitioners, this handbook will serve as an indispensable reference and as the foundation for further development of formal study in the field. For product and workplace designers and managers, it is a useful tool in the management of exposure to liability.

Organisation and Management of Intensive Care

A Prospective Study in 12 European Countries
Author: D. Reis Miranda,D.W. Ryan,Wilmar Schaufeli,V. Fidler
Publisher: Springer Science & Business Media
ISBN: 3642602703
Category: Medical
Page: 286
View: 6451

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From the viewpoint of a health economist, the intensive care unit (leU) is a particularly fascinating phenomenon. It is the epitome of "high-tech" medicine and frequently portrayed as the place where life-saving miracles are routinely wrought. But the popular imagina tion is also caught up in the darker side, when agonizing decisions have to be made to avoid futile and inhuman continuation of expen sive treatments. My analytical interests led me to approach these issues by asking what the evidence tells us about which leu activities are very bene ficial in relationship to their costs and which are not. This quickly translates into a slightly different question, namely, which patients are most appropriately treated in an leu and which not. Unfor tunately, it is very hard to answer these questions because it has pro ved very difficult to investigate these issues in the manner which is now regarded as the "gold standard:' namely by conducting rando mized clinical trials or alternative courses of action. I think this is a pity, and I am not at all convinced that it would be unethical to do so in many cases, because there is wide variation in practice and ge nuine doubt as to which practices are best -the two conditions that need to be fulfilled before such a trial is justifiable.

Beyond the Checklist

What Else Health Care Can Learn from Aviation Teamwork and Safety
Author: Suzanne Gordon,Patrick Mendenhall,Bonnie Blair O'Connor
Publisher: Cornell University Press
ISBN: 0801465788
Category: Medical
Page: 272
View: 8909

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The U.S. healthcare system is now spending many millions of dollars to improve "patient safety" and "inter-professional practice." Nevertheless, an estimated 100,000 patients still succumb to preventable medical errors or infections every year. How can health care providers reduce the terrible financial and human toll of medical errors and injuries that harm rather than heal? Beyond the Checklist argues that lives could be saved and patient care enhanced by adapting the relevant lessons of aviation safety and teamwork. In response to a series of human-error caused crashes, the airline industry developed the system of job training and information sharing known as Crew Resource Management (CRM). Under the new industry-wide system of CRM, pilots, flight attendants, and ground crews now communicate and cooperate in ways that have greatly reduced the hazards of commercial air travel. The coauthors of this book sought out the aviation professionals who made this transformation possible. Beyond the Checklist gives us an inside look at CRM training and shows how airline staff interaction that once suffered from the same dysfunction that too often undermines real teamwork in health care today has dramatically improved. Drawing on the experience of doctors, nurses, medical educators, and administrators, this book demonstrates how CRM can be adapted, more widely and effectively, to health care delivery. The authors provide case studies of three institutions that have successfully incorporated CRM-like principles into the fabric of their clinical culture by embracing practices that promote common patient safety knowledge and skills.They infuse this study with their own diverse experience and collaborative spirit: Patrick Mendenhall is a commercial airline pilot who teaches CRM; Suzanne Gordon is a nationally known health care journalist, training consultant, and speaker on issues related to nursing; and Bonnie Blair O'Connor is an ethnographer and medical educator who has spent more than two decades observing medical training and teamwork from the inside.