Why is the Implementation of Crew Resource Management through Checklists in Healthcare not Systematically Successful? An Answer from Cognitive Systems Engineering
Bernard CI and Morineau T*
Journal Title:Ergonomics International Journal
Medical checklists come from researches on Crew Resource Management originally performed in the aviation domain. Despite significant benefits brought by checklists, difficulties have appeared in practice through the emergence of individual resistance, passive non-compliance, or partial application of instructions. Our hypothesis is that the medical field differs significantly from the aviation field. Contrary to the aviation field, healthcare systems are loosely coupled systems in which standardization of practices with checklists can be inappropriate. Through cognitive work analysis, Cognitive Systems Engineering can provide alternative methodological frameworks to consider this issue.