Changes in diabetes care processes following implementation of crew resource management
| Pre-CRM | Post-CRM |
|---|---|
| APN, advanced practice nurse; CRM, crew resource management. | |
| Diabetes care protocol: | Diabetes care checklist: |
| No defined work steps | Defined work steps |
| No assigned responsibilities | Assigned tasks and responsibilities |
| No visible patient treatment targets | Visible patient treatment targets |
| Different APNs used different processes | One standardised process |
| Competing tasks during APN visit | Role redefinition |
| Work redistribution | |
| Clear expectations | |
| Omissions of care | Checklist |
| Situational awareness | |
| Fragmented care | Briefing to prepare the day’s work |
| Checklist | |
| Crosschecks | |
| Missing or poor communication | Communication strategy: |
| Checklist | |
| Daily briefing | |
| “I am concerned…” | |
| Complexity of training | Transparent simple training |
| Checklist with visible cues | |