Crisis Resource Management (CRM)

  • Teamwork in Medicine – What’s the Downside?

    By Marjorie Stiegler on April 7, 2015
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    Teamwork has long been promoted as the panacea to medical errors and suboptimal care processes in medicine. For about two decades now, healthcare institutions have invested heavily in team training of various sorts, with a particular emphasis on communication and “speaking up” for patient safety. As well, there is a current trend towards “flattening the hierarchy” – reducing the preconceived levels of rank, authority, and power that exist explicitly or implied, and are typically informed by discipline, age or seniority, educational background, and title.
  • Add “Vulnerable” to the List of Desired Traits in Your Doctor

    By Marjorie Stiegler on December 14, 2014
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    What do Oprah and Dr. Brené Brown know about improving patient safety and medical decisions? They described vulnerability as the cornerstone of courage, confidence, and innovation. Right. At first, that seems counterintuitive, since society tends to view vulnerability as weakness - something to be squelched, especially if you are a leader. As I thought about it, this idea really resonated with me. Many of the current best practices in medicine and patient safety now require us to embrace vulnerability, going against the grain of traditional medical training...
  • Go Cardinals!

    By Marjorie Stiegler on April 30, 2014
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    Recently, I ad the pleasure of speaking at a perioperative safety culture conference in St. Louis. (Go Cardinals!) Are quality and safety the same thing? Sometimes yes, and sometimes no. Certainly, some safety measures cost money and do not immediately demonstrate benefit, as they are latent conditions that function as safety nets. Lean Six Sigma principles must seek out waste to eliminate, but not eliminate safety measures...
  • Standardized Patients Take New Role to Increase Simulation Fidelity

    By Marjorie Stiegler on January 7, 2014
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    Below is an excerpt from an article written by Zach Read and originally published on the UNC School of Medicine website. Highlighted is our program's use of SPs as actors to play roles of surgeon, nurse, tech, and other OR team members, with the aim of increasing realism of high-fidelity simulation training. As the director of this program, I am very proud of this enhancement. We are putting creativity and resources where they are needed most, faculty are getting energized, and residents love it. Here's a bit about how we do it...
  • SAMBA Annual Meeting 2013, Phoenix AZ

    By Marjorie Stiegler on April 15, 2013
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    The Society for Ambulatory Anesthesia meeting at the Camelback Inn in Phoenix was a treat! Beautiful setting, delicious food. I taught two workshops on simulation for MOCA (Maintenance of Certification in Anesthesiology), with the aim of preparing board certified anesthesiologists for the simulation portion of the recertification process. We did a few emergency scenarios using generously donated CAE equipment, and […]
  • American Society of Anesthesiologists Annual Meeting 2012

    By Marjorie Stiegler on October 13, 2012
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    This year’s meeting is just packed! First, I’m exciting to represent the University of North Carolina at Chapel Hill! I left UCLA in June to join the faculty here at UNC, but haven’t been active very long because my husband and I welcomed a baby girl in August. She’s seven weeks old now, and it is very hard to be […]
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