TY - CHAP M1 - Book, Section TI - Contingency Team A1 - Hernandez, Josephine M. A1 - Craft, Susan A1 - Guarino, Janet C. A2 - Hess, Philip E. A2 - Li, Yunping A2 - Kowalczyk, John J. A2 - Stiles, Justin K. Y1 - 2023 N1 - T2 - Obstetric Anesthesia: Quick References & Practical Guides AB - In 1999, the Institute of Medicine estimated that medical errors accounted for up to 98,000 deaths each year in the United States,1 with the Joint Commission reporting that over 70% of adverse obstetric outcomes were due to failures in teamwork and communication.2 In 2001, the Beth Israel Deaconess Medical Center (BIDMC) Department of Obstetrics and Gynecology teamed up with the Department of Defense and the Risk Management Foundation to develop a Crew Management Resource (CMR) team-based training curriculum in Obstetrics. The Labor and Delivery Unit was the first in obstetrics and one of the first in healthcare to apply CMR to clinical medicine. When BIDMC later reviewed its own Adverse Outcome Index (AOI) and Weighted Adverse Outcome Score (WAOS) data prior to this new CMR curriculum and training (from 1999 to 2001) and after CRM implementation (from 2003 to 2006), they found a 23% decrease in AOI and a 33.2% decrease in WAOS. That translates to 300 fewer women who experienced adverse events after CMR team training was implemented.3 SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/11/03 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1199673786 ER -