Dr Anita McCarron Consultant in Anaesthesia UCL Hospitals

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Presentation transcript:

Dr Anita McCarron Consultant in Anaesthesia UCL Hospitals Emergencies- Introduction to Crisis Resource Management (CRM) An Introduction to Anaesthesia 2018 Dr Anita McCarron Consultant in Anaesthesia UCL Hospitals

Outline What is CRM? Anaesthesia and Aviation Why do YOU need CRM? Video and analysis Principles of CRM and how to apply them

What is CRM? Crew Resource Management / Cockpit Resource Management 1970s- analysis of plane crashes in US showed that human error involved in 85% of events A management system which makes optimum use of all available resources – people, procedures, equipment- to promote safety and enhance efficiency of practice during a crisis situation.

Anaesthesia and Aviation

Why do YOU need CRM? TASK INDIVIDUAL TEAM ENVIRONMENT High stakes Fatigue Many players Interruptions Time critical Sleep deprivation Plurality of goals Noise Information overload Emotional disturbance- angry/stressed Hierarchical structure Handovers Incomplete information Ill-health Poor communication Equipment failures Inexperience Role confusion Knowledge gaps

Short video Errors which lead to the crisis? How can this be prevented?

Complex Interplay Patient Factors Anaesthetic Factors Surgical Factors

Key Principles of CRM Use all available information Prevent and manage fixation errors Cross (double) check Use cognitive aids Re-evaluate often Use good teamwork Allocate attention wisely Set priorities dynamically Know your environment Anticipate and plan Call for help early Exercise leadership and followership Distribute the workload wisely Make use of all available resources Communicate effectively Hang on- what does that mean for you every day though???

Hang on- what does that mean for you every day though??? Know your environment- and optimise it Anticipate, Share and Review the Plan My (very) little survey

Hang on- what does that mean for you every day though??? Call for help early Exercise Leadership and Followship

Hang on- what does that mean for you every day though??? Make use of all available resources / Use good team work Communication Learn names! Closed-loop communication Use cognitive aids

THANK YOU