Improve surgical safety by using CRM

By Dirk H. Alander, MD; Robert Brooks, MD, PhD, MBA; David B. Carmack, MD; and Col. Joseph Legan, MD

Crew (team) resource management and the orthopaedic surgeon

Safety in the medical field has been a much debated topic since the late 1990s, due to a continuing and unacceptably large number of preventable medical errors. The traditional drivers for improving outcomes—retrospective analyses of morbidity and mortality—were insufficient to address the impact of technology and the explosion of diagnostic and treatment options. The publication of “Error in Medicine” by Lucien Leape in 1995 and the 1999 Institute of Medicine report To Err is Human: Building a safer health system triggered the modern patient safety movement.

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