The Role of Nurses in Anesthesia Crisis Resource Management: A Review Study
Abstract
Background: Anesthesia Crisis Resource Management (ACRM), adapted from aviation's Crew Resource Management, enhances patient safety in high-risk perioperative care by emphasizing non-technical competencies like communication and collaboration. Nurses, particularly perioperative nurses and certified registered nurse anesthetists (CRNAs), are key members of multidisciplinary ACRM teams, yet their roles are underinvestigated. Aim: This review evaluates nurses' contributions to ACRM, focusing on patient surveillance and team coordination to reduce perioperative errors. Methods: A narrative synthesis of studies from 2015–2025, sourced from PubMed, Scopus, and Web of Science, was conducted, reviewing historical trends, ACRM principles, role-specific effects, training, and future trends.
Results: Nurses enhance situational awareness, identifying crises early and reducing response times by 20%. Simulation training, including virtual reality, improves team performance by 25–30%. Barriers include nursing workload constraints and hierarchical challenges in the operating room (OR). Conclusion: Nurses are central to ACRM, improving outcomes through vigilant monitoring and effective coordination. Standardized multidisciplinary protocols and AI tool integration in future research could address barriers.
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References
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Authors
Copyright (c) 2024 Maryam Ibrahim Hadi Zabani, Fawaz Abdarab alnaby AL-Qariqri, Ibrahim Yahya Mohamed Alwdani, Rayan Abdullah Ali Almotiri, Naif Hassan Mohammed Alzahrani, Hanan Ali Al Maqadi, Najaw Abduaalh Rashed Alsubai, Najwa Mohammed Ahmed Hadi, Hasnah Ibrahim Mohammed Alqasimi, Saeed Mohammed Alzhrani, Yahya Ali Yahya Alsawadi, Salam Muthes Saif AL-Dosari, Abdulaziz Ahmed Hassan Al-Zahrani Al-Zahrani, Mohammad Yahya Mohammad Al-Wadani, Nouf Mohammed Jubran Al-Subyani, Bandar Mohammed Ramadan Hawsawi
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