My Copilot Is a Nurse--Using Crew Resource Management in the OR

AORN J. 2006 Jan;83(1):179-80, 183-90, 193-8 passim; quiz 203-6. doi: 10.1016/s0001-2092(06)60239-1.


Crew resource management (CRM) has been used for more than 20 years in the aviation industry to teach individual error countermeasures by developing nontechnical (ie, cognitive, social) skills based on the observed traits of successful individuals and crews. The health care industry began to investigate aviation CRM after the Institute of Medicine's report, To Err is Human: Building a Safer Health System, recommended that medicine adopt aviation's approach to safety and error management. Initial results of implementing CRM in health care arenas have demonstrated reduced adverse outcomes, reduced errors, reduced length of stay, improved nurse retention, and changed attitudes and behaviors toward teamwork.

Publication types

  • Review

MeSH terms

  • Accidents, Aviation / prevention & control
  • Assertiveness
  • Attitude of Health Personnel
  • Aviation / standards
  • Communication
  • Conflict, Psychological
  • Decision Making, Organizational
  • Disclosure
  • Efficiency, Organizational
  • Health Care Sector / organization & administration
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Interprofessional Relations
  • Medical Errors / prevention & control*
  • Negotiating
  • Nursing Staff, Hospital / education
  • Nursing Staff, Hospital / organization & administration
  • Nursing Staff, Hospital / psychology
  • Operating Room Nursing / organization & administration*
  • Operating Rooms / organization & administration*
  • Organizational Culture
  • Patient Advocacy
  • Practice Guidelines as Topic
  • Professional Competence / standards
  • Safety Management / organization & administration*
  • Self-Assessment