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The Case for Training Veterans Administration Frontline Nurses in Crew Resource Management

Sculli, Gary L. MSN, RN, ATP; Fore, Amanda M. MS, RN; Neily, Julia MS, MPH, RN; Mills, Peter D. PhD, MS; Sine, David M. MA, CSP, ARM, CPHRM

Journal of Nursing Administration: December 2011 - Volume 41 - Issue 12 - p 524–530
doi: 10.1097/NNA.0b013e3182378b93

Using cultural analysis, the authors present a rationale for a nursing-focused crew resource management (CRM) program in the Veterans Health Administration. Although the value of CRM in aviation is well documented and CRM has been successfully applied in healthcare settings to improve communication and teamwork, there is little evidence outlining the implementation of CRM on nursing units with nursing as the primary focus. This article describes the preproject data supporting a nursing-focused CRM program called nursing CRM. This is the first in a series of 2 articles highlighting this program.

Author Affiliations: Program Manager (Mr Sculli), Nurse Coordinator/Program Analyst (Ms Fore), Manager, Product Recall Office (Mr Sine), Department of Veterans Affairs National Center for Patient Safety, Ann Arbor, Michigan; Associate Director(Ms Neily), Director (Dr Mills), Department of Veterans Affairs National Center for Patient Safety Field Office, White River Junction, Vermont; Adjunct Associate Professor, Dartmouth Medical School, Hanover, New Hampshire (Dr Mills).

The authors declare no conflict of interest.

Correspondence: Ms Fore, Department of Veterans Affairs National Center for Patient Safety, 24 Frank Lloyd Wright Dr, Suite M 2100, Ann Arbor, MI 48106 (

© 2011 Lippincott Williams & Wilkins, Inc.