Mac;
Thanks for your comments, esp. on CRM in the OR.
Atul Gawande has written two books entitled, "Complications", and "Better" in which he discusses the use of aviation-based CRM techniques to help in avoiding human error. I've spoken with enough medical people to know that the communications and SOP techniques employed in aviation to make it safer still have a long way to go but the path is at least set and that is very positive.
Do you have any thoughts on this approach as to utility, realistic/practical implementation, resistance and training regimes? For us, "CRM" began around 1991 or so - quite late really, and has progressed through about 3 stages. "SMS", safety management systems, means collecting data rather than relying solely upon standard procedures and regulatory obedience - in other words, the approach to safety is reality-based rather than ideologically-based though there remains at some organizations and within some individuals, stiff resistance to such situational awareness.
Thanks,
PJ2