ArticleActa anaesthesiologica Scandinavica2015
Crew Resource Management in the Intensive Care Unit: a prospective 3-year cohort study.
Article in Acta anaesthesiologica Scandinavica, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.
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Who cites it
34 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Effectiveness of non-technical skills training in intensive care units: a systematic review.BMC medical education · 2025Pooled it
- Crew resource management training in healthcare: a systematic review of intervention design, training conditions and evaluation.BMJ open · 2019Pooled it
- A randomised study on the comparative performance of German paramedics after technical versus non-technical skills training.GMS journal for medical education · 2026Trial
- Crisis Resource Management and Non-Technical Skills Training in Anesthesia: A Narrative Review.Medical science monitor : international medical journal of experimental and clinical research · 2026Review
- Evaluation of the Critical Care Team Training and Clinical Excellence (TTrACE) Academy.Healthcare (Basel, Switzerland) · 2026Article
- Knowledge, attitudes, and practices of anesthesiology healthcare professionals regarding crisis resource management in Shanghai, China: a cross-sectional study.Scientific reports · 2026Article
- Building Safe Emergency Medical Teams with Emergency Crisis Resource Management (E-CRM): An Interprofessional Simulation-Based Study.Healthcare (Basel, Switzerland) · 2025Article
- The surprising costs of on-site surgical team CRM training: a Dutch example analyzed.Advances in simulation (London, England) · 2025Article
- How Performing Chest Compressions Influences Mental Arithmetic Capabilities: A Randomized Cross-Over Trial.Journal of clinical medicine · 2025Article
- [Nontechnical skills in anesthesiology-Implementation].Die Anaesthesiologie · 2025Article
- Escape room design in training crew resource management in acute care: a scoping review.BMC medical education · 2024Article
- Predictive enrichment for the need of renal replacement in sepsis-associated acute kidney injury: combination of furosemide stress test and urinary biomarkers TIMP-2 and IGFBP-7.Annals of intensive care · 2024Article
- Behavioral sciences applied to acute care teams: a research agenda for the years ahead by a European research network.BMC health services research · 2024Article
- Complex interplay between moral distress and other risk factors of burnout in ICU professionals: findings from a cross-sectional survey study.BMJ quality & safety · 2023Article
- Nontechnical skills training in intensive care units: Protocol for a systematic review and meta-analysis.PloS one · 2023Article
- Medical dispatchers' perception of the interaction with the caller during emergency calls - a qualitative study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2021Article
- Teaching non-technical skills: the patient centered approach.Journal of thoracic disease · 2021Review
- Prospective Observational Multisite Study of Handover in the Emergency Department: Theory versus Practice.The western journal of emergency medicine · 2021Observational
- Usage of power by different types of trainers in the education of paramedics - evaluation by means of a validated questionnaire.GMS journal for medical education · 2021Article
- Applying a Model of Teamwork Processes to Emergency Medical Services.The western journal of emergency medicine · 2020Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHuman factors account for the majority of adverse events in both aviation and medicine. Human factors awareness training entitled "Crew Resource Management (CRM)" is associated with improved aviation safety. We determined whether implementation of CRM impacts outcome in critically ill patients.
methodsWe performed a prospective 3-year cohort study in a 32-bed ICU, admitting 2500-3000 patients yearly. At the end of the baseline year, all personnel received CRM training, followed by 1 year of implementation. The third year was defined as the clinical effect year. All 7271 patients admitted to the ICU in the study period were included. The primary outcome measure was ICU complication rate. Secondary outcome measures were ICU and hospital length of stay, and standardized mortality ratio.
resultsOccurrence of serious complications was 67.1/1000 patients and 66.4/1000 patients during the baseline and implementation year respectively, decreasing to 50.9/1000 patients in the post-implementation year (P = 0.03). Adjusted odds ratios for occurrence of complications were 0.92 (95% CI 0.71-1.19, P = 0.52) and 0.66 (95% CI 0.51-0.87, P = 0.003) in the implementation and post-implementation year. The incidence of cardiac arrests was 9.2/1000 patients and 8.3/1000 patients during the baseline and implementation year, decreasing to 3.5/1000 patients (P = 0.04) in the post-implementation year, while cardiopulmonary resuscitation success rate increased from 19% to 55% and 67% (P = 0.02). Standardized mortality ratio decreased from 0.72 (95% CI 0.63-0.81) in the baseline year to 0.60 (95% CI 0.53-0.67) in the post-implementation year (P = 0.04).
conclusionOur data indicate an association between CRM implementation and reduction in serious complications and lower mortality in critically ill patients.
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