As a pilot with a BS in aviation safety management, I was excited to read "View from the Cockpit: What the Airline Industry Can Teach Us about Patient Safety" (November 2006). The article provided a good basic understanding of crew resource management (CRM) and barriers to its effectiveness. I believe it should be implemented throughout the health care field.
I'd like to mention one other barrier to implementing CRM in the hospital setting. When I'm piloting an aircraft, I use CRM religiously because my life is on the line if I make a mistake. The same level of seriousness isn't present in the hospital setting. Until every nurse commits to meeting this high standard, CRM won't have maximal impact.
JOE MORROW, RN, BS