title: [Shuttle Challenger disaster: what lessons can be learned for management of patients in the operating room?].
abstract: For many years hospitals have been implementing crew resource management (CRM) programs, inspired by the aviation industry, in order to improve patient safety. However, while contributing to improved patient care, CRM programs are controversial because of their limited impact, a decrease in effectiveness over time, and the underinvestment by some caregivers. By analyzing the space shuttle Challenger accident, the objective of this article is to show the potential impact of the professional culture in decision-making processes. In addition, to present an approach by cultural factors which are an essential complement to current CRM programs in order to enhance the safety of care.
authors: Domizio
authors: D
authors: Suva
authors: Germain
authors: G
authors: Poizat
mesh_terms: D000060:Accidents, Aviation / Q000517:prevention & control; D001359:Aviation / Q000458:organization & administration / Q000592:standards*; D003657:Decision Making; D006761:Hospitals / Q000592:standards; D006801:Humans; D009873:Operating Rooms / Q000458:organization & administration / Q000592:standards*; D015279:Organizational Culture; D005791:Patient Care / Q000592:standards; D061214:Patient Safety / Q000592:standards*; D016730:Program Development; D012449:Safety / Q000592:standards; D013026:Space Flight / Q000592:standards