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Biomedical subjects

J Mather

Publications and source records attributed to J Mather.

39 records · Page 3Linked to original sources

Does crew resource management training work?

INTRODUCTION: Effective crew resource management (CRM) may play a major role in decreasing the number of accidents and increasing overall safety of air medical programs. The purpose of the study was to compare the responses of crew members, in a variety of situations, who received CRM training and those who did not. The numerical results of the responses were used to evaluate the effectiveness of CRM in increasing crew awareness and promoting team concepts. METHOD: During a 12-month period, crew members of randomly selected air medical programs (fixed- and rotor-wing) were surveyed by questionnaire. Participants were asked if they had received CRM, effective communication, and team-building training. The next 15 questions pertained to crew interaction/communication in everyday and emergent situations and were scored on a Likert scale (1 = strongly agree and 5 = strongly disagree). A lower total score indicated a greater understanding of team awareness and effective communication. RESULTS: The mean score of crew members who received the three identified areas of training (initial CRM, team-building, effective communications) (37.96, SD +/- 7.67) was found to be significantly lower than the mean score of those who had received none of the training (44.13, SD +/- 5.0) and P < .05. CONCLUSION: Based on the results, CRM training increases crew awareness and promotes team concepts in both everyday and emergent situations.

Air Ambulances↗

Scheduled inspection of electromedical equipment. Planning and assessment.

Scheduled inspections help ensure the safety and efficacy of medical equipment. To ensure the regular checking of all items we developed a practical and realizable protocol consisting of basic safety and functional tests. Non-productive time spent searching for equipment was reduced enlisting the help of ward staff. Record keeping was simplified using monthly checklists detailing the tests to be performed. Clear labels distinguished items checked and the ward was informed about missing items. The effectiveness of the programme was assessed by auditing the number of items due for inspection, the average time per inspection, the number of faults found, and the incidence of breakdown repairs. The average inspection time per item was reduced to half an hour and the number of items due for inspection to below 10%. The programme was effective in fault detection (7% of items checked) and the incidence of breakdown repairs decreased from 75 to 53%.

Biomedical Engineering↗