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[Rethinking Endoscopy: Strategies from Aviation and their Transfer to Medicine - An Overview].

Dominik Schweikart1, Matthias Baur2, Dominique Walter2

  • 1Universitätsklinikum Ulm, Ulm, Germany.

Zeitschrift Fur Gastroenterologie
|March 28, 2025
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This summary is machine-generated.

Crew Resource Management (CRM) and Threat and Error Management (TEM) from aviation can enhance patient safety in endoscopy. Applying these principles improves communication, teamwork, and decision-making for safer procedures.

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Area of Science:

  • Medical Safety
  • Healthcare Management
  • Endoscopic Procedures

Background:

  • Modern endoscopy faces increasing demands from complex interventional procedures and evolving work environments.
  • Maintaining high safety and quality standards in endoscopy is crucial.
  • Civil aviation, a highly complex field, offers valuable safety concepts.

Purpose of the Study:

  • To explore the application of civil aviation safety concepts, specifically Crew Resource Management (CRM) and Threat and Error Management (TEM), to improve endoscopy practices.
  • To identify strategies for enhancing safety, communication, and teamwork within endoscopy units.

Main Methods:

  • Adaptation of CRM and TEM principles from civil aviation for medical settings.
  • Development of tailored workshops with professional CRM trainers for endoscopy units.
  • Implementation of measures such as standardized communication guidelines, safety checklists, and team timeouts.

Main Results:

  • CRM and TEM elements have the potential to foster better communication, situational awareness, and decision-making in endoscopic teams.
  • Structured teamwork and an open error culture can be promoted through these aviation-derived strategies.
  • The implementation of tailored measures can lead to safer and higher-quality endoscopic interventions.

Conclusions:

  • Transferring concepts like CRM and TEM from civil aviation offers a promising approach to enhance safety and quality in endoscopy.
  • Collaborative development and regular evaluation of implemented measures are key to long-term success.
  • These strategies can significantly contribute to a safer and more efficient endoscopic practice.