Skip to main content
Erschienen in: Indian Journal of Pediatrics 6/2011

01.06.2011 | Special Article

Culture, Communication and Safety: Lessons from the Airline Industry

verfasst von: Lori G. d’Agincourt-Canning, Niranjan Kissoon, Mona Singal, Alexander F. Pitfield

Erschienen in: Indian Journal of Pediatrics | Ausgabe 6/2011

Einloggen, um Zugang zu erhalten

Abstract

Background

Communication is a critical component of effective teamwork and both are essential elements in providing high quality of care to patients. Yet, communication is not an innate skill but a process influenced by internal (personal/cultural values) as well as external (professional roles and hierarchies) factors.

Objective

To provide illustrative cases, themes and tools for improving communication.

Methods

Literature review and consensus opinion based on extensive experience.

Results

Professional autonomy should be de-emphasized. Tools such as SBAR and simulation are important in communication and teamwork.

Conclusion

Tools designed to improve communication and safety in the aviation industry may have applicability to the pediatric intensive care unit.
Literatur
1.
Zurück zum Zitat Gladwell M. Outliers: The story of success. New York: Little, Brown; 2008. p. 177–223. Gladwell M. Outliers: The story of success. New York: Little, Brown; 2008. p. 177–223.
2.
Zurück zum Zitat Nisbett RE, Cohen D. Culture of Honor: The Psychology of Violence in the South. Boulder: Westview Press Inc; 1996. xviii+119. Nisbett RE, Cohen D. Culture of Honor: The Psychology of Violence in the South. Boulder: Westview Press Inc; 1996. xviii+119.
3.
Zurück zum Zitat Helmreich RL, Merritt AC, Sherman PJ. Research project evaluates the effect of national culture on flight crew behaviour. ICAO J. 1996;51:14–6.PubMed Helmreich RL, Merritt AC, Sherman PJ. Research project evaluates the effect of national culture on flight crew behaviour. ICAO J. 1996;51:14–6.PubMed
4.
Zurück zum Zitat Hofstede G. Culture’s consequences, comparing values, behaviors, institutions, and organizations across nations. Thousand Oaks: Sage Publications; 2001. p. 100–20. Hofstede G. Culture’s consequences, comparing values, behaviors, institutions, and organizations across nations. Thousand Oaks: Sage Publications; 2001. p. 100–20.
6.
Zurück zum Zitat Lingard L, Espin S, Whyte S, et al. Communication failures in the operating room: an observational classification of recurrent types and effects. Qual Saf Health Care. 2004;13:330–4.PubMedCrossRef Lingard L, Espin S, Whyte S, et al. Communication failures in the operating room: an observational classification of recurrent types and effects. Qual Saf Health Care. 2004;13:330–4.PubMedCrossRef
7.
Zurück zum Zitat Donchin Y, Gopher D, Olin M, et al. A look into the nature and causes of human errors in the intensive care unit. Crit Care Med. 1995;23:294–300.PubMedCrossRef Donchin Y, Gopher D, Olin M, et al. A look into the nature and causes of human errors in the intensive care unit. Crit Care Med. 1995;23:294–300.PubMedCrossRef
8.
Zurück zum Zitat Donchin Y, Gopher D, Olin M, et al. A look into the nature and causes of human errors in the intensive care unit. Qual Saf Health Care. 2003;12:143–7.PubMedCrossRef Donchin Y, Gopher D, Olin M, et al. A look into the nature and causes of human errors in the intensive care unit. Qual Saf Health Care. 2003;12:143–7.PubMedCrossRef
9.
Zurück zum Zitat Reader TW, Flin R, Mearns K, Cuthbertson BH. Interdisciplinary communication in the intensive care unit. Br J Anaesth. 2007;3:347–52.CrossRef Reader TW, Flin R, Mearns K, Cuthbertson BH. Interdisciplinary communication in the intensive care unit. Br J Anaesth. 2007;3:347–52.CrossRef
10.
Zurück zum Zitat Valentin A, Capuzzo M, Guidet B, Research Group on Quality Improvement of the European Society of Intensive Care Medicine (ESICM); Sentinel Events Evaluation (SEE) Study Investigators, et al. Errors in the administration of parenteral drugs in intensive care units: multinational prospective study. BMJ. 2009;338:b814. doi:10.1136/bmj.b814.PubMedCrossRef Valentin A, Capuzzo M, Guidet B, Research Group on Quality Improvement of the European Society of Intensive Care Medicine (ESICM); Sentinel Events Evaluation (SEE) Study Investigators, et al. Errors in the administration of parenteral drugs in intensive care units: multinational prospective study. BMJ. 2009;338:b814. doi:10.​1136/​bmj.​b814.PubMedCrossRef
12.
Zurück zum Zitat Sexton JB, Helmreich RL, Thomas EJ. Error, stress, and teamwork in medicine and aviation: cross sectional surveys. BMJ. 2000;320:745–9.PubMedCrossRef Sexton JB, Helmreich RL, Thomas EJ. Error, stress, and teamwork in medicine and aviation: cross sectional surveys. BMJ. 2000;320:745–9.PubMedCrossRef
13.
Zurück zum Zitat Gaba DM, Howard SK, Flanagan B, et al. Assessment of clinical performance during simulated crises using both technical and behavioural ratings. Anesthes. 1998;89:8–18.CrossRef Gaba DM, Howard SK, Flanagan B, et al. Assessment of clinical performance during simulated crises using both technical and behavioural ratings. Anesthes. 1998;89:8–18.CrossRef
14.
Zurück zum Zitat Small SD, Wuerz RC, Simon R, et al. Demonstration of high-fidelity simulation team training for emergency medicine. Acad Emerg Med. 6:312–323. Small SD, Wuerz RC, Simon R, et al. Demonstration of high-fidelity simulation team training for emergency medicine. Acad Emerg Med. 6:312–323.
15.
Zurück zum Zitat Salas E, Sims DE, Klein C, Burke CS. Can teamwork enhance patient safety? Forum. July, 2003:5–9. Salas E, Sims DE, Klein C, Burke CS. Can teamwork enhance patient safety? Forum. July, 2003:5–9.
16.
Zurück zum Zitat Leonard M, Graham S, Bonacum D. The human factor: the critical importance of effective teamwork and communication in providing safe care. Qual Saf Health Care. 2004;13:i85–90.PubMedCrossRef Leonard M, Graham S, Bonacum D. The human factor: the critical importance of effective teamwork and communication in providing safe care. Qual Saf Health Care. 2004;13:i85–90.PubMedCrossRef
17.
Zurück zum Zitat Murray D. Simulation-based performance assessment: scenarios, raters, and scoring Forum. 2008; December:12–13. Murray D. Simulation-based performance assessment: scenarios, raters, and scoring Forum. 2008; December:12–13.
18.
Zurück zum Zitat Bleakley A. A common body of care: the ethics and politics of teamwork in the operating theater are inseparable. J Med Philos. 2006;31:305–22.PubMedCrossRef Bleakley A. A common body of care: the ethics and politics of teamwork in the operating theater are inseparable. J Med Philos. 2006;31:305–22.PubMedCrossRef
19.
Zurück zum Zitat Flin R, Maran N. Identifying and training non-technical skills for teams in acute medicine. Qual Saf Health Care. 2004;13:i80–4.PubMedCrossRef Flin R, Maran N. Identifying and training non-technical skills for teams in acute medicine. Qual Saf Health Care. 2004;13:i80–4.PubMedCrossRef
22.
Zurück zum Zitat Sutcliffe KM, Lewton E, Rosenthal MM. Communication failures: an insidious contributor to medical mishaps. Acad Med. 2004;79:186–94.PubMedCrossRef Sutcliffe KM, Lewton E, Rosenthal MM. Communication failures: an insidious contributor to medical mishaps. Acad Med. 2004;79:186–94.PubMedCrossRef
23.
Zurück zum Zitat Joint Commission on Accreditation of Healthcare Organizations. Sentinel event statistics, June 29, 2004. Joint Commission on Accreditation of Healthcare Organizations. Sentinel event statistics, June 29, 2004.
24.
Zurück zum Zitat Bleakley A, Boyden J, Hobbs A, Walsh L, Allard J. Improving teamwork climate in operating theatres: the shift from multiprofessionalism to interprofessionalism. J Interprof Care. 2006;20:461–70.PubMedCrossRef Bleakley A, Boyden J, Hobbs A, Walsh L, Allard J. Improving teamwork climate in operating theatres: the shift from multiprofessionalism to interprofessionalism. J Interprof Care. 2006;20:461–70.PubMedCrossRef
25.
Zurück zum Zitat Lingard L, Espin S, Evans C, Hawryluck L. The rules of the game: interprofessional collaboration on the intensive care unit team. Crit Care. 2004;8:R403–8.PubMedCrossRef Lingard L, Espin S, Evans C, Hawryluck L. The rules of the game: interprofessional collaboration on the intensive care unit team. Crit Care. 2004;8:R403–8.PubMedCrossRef
26.
Zurück zum Zitat Miller PA. Nurse-physician collaboration in an intensive care unit. Am J Crit Care. 2001;10:341–50.PubMed Miller PA. Nurse-physician collaboration in an intensive care unit. Am J Crit Care. 2001;10:341–50.PubMed
27.
Zurück zum Zitat Thomas EJ, Sexton JB, Helmreich RL. Discrepant attitudes about teamwork among critical care nurses and physicians. Crit Care Med. 2003;31:956–9.PubMedCrossRef Thomas EJ, Sexton JB, Helmreich RL. Discrepant attitudes about teamwork among critical care nurses and physicians. Crit Care Med. 2003;31:956–9.PubMedCrossRef
28.
Zurück zum Zitat Kobayashi H, Pian-Smith M, Sato M, Sawa R, Takeshita T, Raemer D. A cross-cultural survey of residents’ perceived barriers in questioning/challenging authority. Quality Saf Health Care. 2006;15:277–83.CrossRef Kobayashi H, Pian-Smith M, Sato M, Sawa R, Takeshita T, Raemer D. A cross-cultural survey of residents’ perceived barriers in questioning/challenging authority. Quality Saf Health Care. 2006;15:277–83.CrossRef
29.
Zurück zum Zitat Catchpole KR, Giddings AEB, Wilkinson M, Hirst G, Dale T, de Leval MR. Improving patient safety by identifying latent failures in successful operations. Surg. 2007;142:102–10.CrossRef Catchpole KR, Giddings AEB, Wilkinson M, Hirst G, Dale T, de Leval MR. Improving patient safety by identifying latent failures in successful operations. Surg. 2007;142:102–10.CrossRef
30.
Zurück zum Zitat Marx D. Patient safety and the “Just culture:” a Primer for Health care Executives. NY; Columbia University, 2001:1–28. Marx D. Patient safety and the “Just culture:” a Primer for Health care Executives. NY; Columbia University, 2001:1–28.
31.
Zurück zum Zitat Weinstock PH, Kappus LJ, Kleinman ME, et al. Toward a new paradigm in hospital-based pediatric education: the development of an onsite simulator program. Pediatr Crit Care Med. 2005;6:635–41.PubMedCrossRef Weinstock PH, Kappus LJ, Kleinman ME, et al. Toward a new paradigm in hospital-based pediatric education: the development of an onsite simulator program. Pediatr Crit Care Med. 2005;6:635–41.PubMedCrossRef
32.
Zurück zum Zitat Rudy SJ, Polomano R, Murray WB, et al. Team management training using crisis resource management results in perceived benefits by healthcare workers. J Contin Educ Nurs. 2007;38:219–26.PubMed Rudy SJ, Polomano R, Murray WB, et al. Team management training using crisis resource management results in perceived benefits by healthcare workers. J Contin Educ Nurs. 2007;38:219–26.PubMed
33.
Zurück zum Zitat Blum RH, Raemer DB, Carroll JS, et al. A method for measuring the effectiveness of simulation-based team training for improving communication skills. Anesth Analg. 2005;100:1375–80.PubMedCrossRef Blum RH, Raemer DB, Carroll JS, et al. A method for measuring the effectiveness of simulation-based team training for improving communication skills. Anesth Analg. 2005;100:1375–80.PubMedCrossRef
34.
Zurück zum Zitat Fox-Robichaud AE, Nimmo GR. Education and simulation techniques for improving reliability of care. Curr Opin Crit Care. 2007;13:737–41.PubMedCrossRef Fox-Robichaud AE, Nimmo GR. Education and simulation techniques for improving reliability of care. Curr Opin Crit Care. 2007;13:737–41.PubMedCrossRef
35.
Zurück zum Zitat Shapiro MJ, Morey JC, Small SD, et al. Simulation based teamwork training for emergency department staff: does it improve clinical team performance when added to an existing didactic teamwork curriculum? Qual Saf Health Care. 2004;13:417–21.PubMedCrossRef Shapiro MJ, Morey JC, Small SD, et al. Simulation based teamwork training for emergency department staff: does it improve clinical team performance when added to an existing didactic teamwork curriculum? Qual Saf Health Care. 2004;13:417–21.PubMedCrossRef
36.
Zurück zum Zitat Martin WF. Is your hospital safe? Disruptive behavior and workplace bullying. Hosp Top. 2008;86:21–8.PubMedCrossRef Martin WF. Is your hospital safe? Disruptive behavior and workplace bullying. Hosp Top. 2008;86:21–8.PubMedCrossRef
37.
Zurück zum Zitat Saxton R, Hines T, Enriquez M. The negative impact of nurse-physician disruptive behavior on patient safety: a review of the literature. J Patient Saf. 2009;5:180–3.PubMedCrossRef Saxton R, Hines T, Enriquez M. The negative impact of nurse-physician disruptive behavior on patient safety: a review of the literature. J Patient Saf. 2009;5:180–3.PubMedCrossRef
38.
Zurück zum Zitat Porto G, Lauve L. Disruptive clinician behavior; A persistent threat to patient safety. Pat Saf Qual Health 2006; July-Aug: 1–11. Porto G, Lauve L. Disruptive clinician behavior; A persistent threat to patient safety. Pat Saf Qual Health 2006; July-Aug: 1–11.
39.
Zurück zum Zitat Dominique P, Reeves S, LeBlanc V. Stressful intensive care unit medical crises: how individual responses impact on team performance. Crit Care Med. 2009;37:1251–5.CrossRef Dominique P, Reeves S, LeBlanc V. Stressful intensive care unit medical crises: how individual responses impact on team performance. Crit Care Med. 2009;37:1251–5.CrossRef
40.
Zurück zum Zitat Swiggart WH, Dewey CM, Hickson GB, et al. A plan for identification, treatment, and remediation of disruptive behaviors in physicians. Front Health Serv Manage. 2009;25:3–11.PubMed Swiggart WH, Dewey CM, Hickson GB, et al. A plan for identification, treatment, and remediation of disruptive behaviors in physicians. Front Health Serv Manage. 2009;25:3–11.PubMed
41.
Zurück zum Zitat Marx D. Patient safety and the “Just culture:” A primer for health care executives. NY; Columbia University, 2001:1–28. Marx D. Patient safety and the “Just culture:” A primer for health care executives. NY; Columbia University, 2001:1–28.
42.
Zurück zum Zitat Rosenstein A, O’Daniel M. Dirsuptive behaviors and clinical outcomes: perceptions of nurses and physicians. Nurs Manag. 2005;36:18–29. Rosenstein A, O’Daniel M. Dirsuptive behaviors and clinical outcomes: perceptions of nurses and physicians. Nurs Manag. 2005;36:18–29.
43.
Zurück zum Zitat Grogan EL, Stiles RA, France DJ, et al. The impact of aviation-based teamwork training on the attitudes of health-care professionals. J Am Coll Surg. 2004;199:843–8.PubMedCrossRef Grogan EL, Stiles RA, France DJ, et al. The impact of aviation-based teamwork training on the attitudes of health-care professionals. J Am Coll Surg. 2004;199:843–8.PubMedCrossRef
44.
Zurück zum Zitat Sundar E, Sundar S, Pawlowski J, et al. Crew resource management and team training. Anesthesiol Clin. 2007;25:283–300.PubMedCrossRef Sundar E, Sundar S, Pawlowski J, et al. Crew resource management and team training. Anesthesiol Clin. 2007;25:283–300.PubMedCrossRef
45.
Zurück zum Zitat Blum RH, Raemer DB, Carroll JS, et al. Crisis resource management training for an anaesthesia faculty: a new approach to continuing education. Med Educ. 2004;38:45–55.PubMedCrossRef Blum RH, Raemer DB, Carroll JS, et al. Crisis resource management training for an anaesthesia faculty: a new approach to continuing education. Med Educ. 2004;38:45–55.PubMedCrossRef
46.
Zurück zum Zitat Powell SM, Hohenhaus SM. Multidisciplinary team training and the art of communication. Clin Ped Emerg Med. 2006;7:238–40.CrossRef Powell SM, Hohenhaus SM. Multidisciplinary team training and the art of communication. Clin Ped Emerg Med. 2006;7:238–40.CrossRef
47.
Zurück zum Zitat Morey JC, Simon R, Jay G, et al. Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project. Health Serv Res. 2002;37:1553–81.PubMedCrossRef Morey JC, Simon R, Jay G, et al. Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project. Health Serv Res. 2002;37:1553–81.PubMedCrossRef
48.
Zurück zum Zitat Bleakley A, Hobbs A, Boyden J, Walsh L. Safety in operating theatres: improving teamwork through team resource management. J Workplace Learn. 2004;16:83–91.CrossRef Bleakley A, Hobbs A, Boyden J, Walsh L. Safety in operating theatres: improving teamwork through team resource management. J Workplace Learn. 2004;16:83–91.CrossRef
49.
Zurück zum Zitat McCulloch P, Mishra A, Handa A, Dale T, Hirst G, Catchpole K. The effects of aviation-style non-technical skills training on technical performance and outcome in the operating theatre. Qual Saf Health Care. 2009;18:109–15.PubMedCrossRef McCulloch P, Mishra A, Handa A, Dale T, Hirst G, Catchpole K. The effects of aviation-style non-technical skills training on technical performance and outcome in the operating theatre. Qual Saf Health Care. 2009;18:109–15.PubMedCrossRef
Metadaten
Titel
Culture, Communication and Safety: Lessons from the Airline Industry
verfasst von
Lori G. d’Agincourt-Canning
Niranjan Kissoon
Mona Singal
Alexander F. Pitfield
Publikationsdatum
01.06.2011
Verlag
Springer-Verlag
Erschienen in
Indian Journal of Pediatrics / Ausgabe 6/2011
Print ISSN: 0019-5456
Elektronische ISSN: 0973-7693
DOI
https://doi.org/10.1007/s12098-010-0311-y

Weitere Artikel der Ausgabe 6/2011

Indian Journal of Pediatrics 6/2011 Zur Ausgabe

Neuer Typ-1-Diabetes bei Kindern am Wochenende eher übersehen

23.04.2024 Typ-1-Diabetes Nachrichten

Wenn Kinder an Werktagen zum Arzt gehen, werden neu auftretender Typ-1-Diabetes und diabetische Ketoazidosen häufiger erkannt als bei Arztbesuchen an Wochenenden oder Feiertagen.

Neue Studienergebnisse zur Myopiekontrolle mit Atropin

22.04.2024 Fehlsichtigkeit Nachrichten

Augentropfen mit niedrig dosiertem Atropin können helfen, das Fortschreiten einer Kurzsichtigkeit bei Kindern zumindest zu verlangsamen, wie die Ergebnisse einer aktuellen Studie mit verschiedenen Dosierungen zeigen.

Spinale Muskelatrophie: Neugeborenen-Screening lohnt sich

18.04.2024 Spinale Muskelatrophien Nachrichten

Seit 2021 ist die Untersuchung auf spinale Muskelatrophie Teil des Neugeborenen-Screenings in Deutschland. Eine Studie liefert weitere Evidenz für den Nutzen der Maßnahme.

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

18.04.2024 Pädiatrische Notfallmedizin Nachrichten

Im Choosing-Wisely-Programm, das für die deutsche Initiative „Klug entscheiden“ Pate gestanden hat, sind erstmals Empfehlungen zum Umgang mit Notfällen von Kindern erschienen. Fünf Dinge gilt es demnach zu vermeiden.

Update Pädiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.