Cultural Transformation After Implementation of Crew Resource Management: Is It Really Possible?

Am J Med Qual. 2017 Jul/Aug;32(4):384-390. doi: 10.1177/1062860616655424. Epub 2016 Jul 15.


Crew resource management (CRM) has the potential to improve safety culture and reduce patient safety errors across different hospitals and inherent cultures, but hospital-wide implementations have not been studied. The authors examined the impact of a systematic CRM implementation across 8 departments spanning 3 hospitals and 2 campuses. The Hospital Survey on Patient Safety Culture (HSOPS) was administered electronically to all employees before CRM implementation and about 2 years after; changes in percent positive composite scores were compared in pre-post analyses. Across all respondents, there was a statistically significant increase in composite score for 10 of the 12 HSOPS dimensions ( P < .05). These significant results persisted across the 8 departments studied and among both practitioners and staff. Consideration of score changes across dimensions reveals that the teamwork and communication dimensions of patient safety culture may be more highly influenced by CRM training than supervisor and management dimensions.

Keywords: crew resource management; organizational change; patient safety culture; quality improvement; teamwork.

MeSH terms

  • Academic Medical Centers / organization & administration
  • Attitude of Health Personnel
  • Communication
  • Humans
  • Inservice Training / organization & administration*
  • Organizational Culture*
  • Patient Care Team / organization & administration*
  • Patient Care Team / standards
  • Patient Safety / standards*
  • Quality Improvement
  • Safety Management / organization & administration*
  • Safety Management / standards