AHRQ Patient Safety Network

Glossary
Close Window

Definitions abound in the medical error and patient safety literature, with subtle and not-so-subtle variations in the meanings of important terms. We have tried to adopt the most straightforward terminology, with definitions that enjoy the widest use.


Crew Resource Management:
Crew resource management (CRM), also called crisis resource management in some contexts (e.g., anesthesia), encompasses a range of approaches to training groups to function as teams, rather than as collections of individuals. Originally developed in aviation, CRM emphasizes the role of human factors—the effects of fatigue, expected or predictable perceptual errors (such as misreading monitors or mishearing instructions), as well as the impact of different management styles and organizational cultures in high-stress, high-risk environments. CRM training develops communication skills, fosters a more cohesive environment among team members, and creates an atmosphere in which junior personnel will feel free to speak up when they think that something is amiss. Some CRM programs emphasize education on the settings in which errors occur and the aspects of team decision-making conducive to "trapping" errors before they cause harm. Other programs may provide more hands-on training involving simulated crisis scenarios followed by debriefing sessions in which participants assess their own and others' behavior.

Close Window