关键词：临床医学；飞行外科医生；医药
摘 要：Crew resource management (CRM) is the effective use of all available resources-human, equipment, and information to ensure mission completion and reduce mishaps. The purpose of this study was to describe patient safety- related attitudes of U.S. Air Force flight surgeons and family physicians and ascertain the impact of Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS), Patient Centered Medical Home (PCMH), and aviation CRM (aCRM) training on those attitudes. Active duty Air Force flight and family medicine physicians were surveyed in a cross-sectional manner with a web-based, Air Force enhanced Safety Attitudes Questionnaire (SAQ). Responses were scored according to published SAQ computation scales and analyzed with Excel statistical tools and SPSS statistical software. Attitudes among Air Force flight surgeons and family physicians were similar to one another, generally positive with regard to teamwork, safety, and stress recognition, and less so in other SAQ domains. Training in TeamSTEPPS, PCMH, and aCRM was not associated with more positive patient safety-related attitudes. Air Force physicians trained in CRM-related concepts did not perceive higher levels of teamwork, safety, job satisfaction, stress recognition, confidence in leadership, or work conditions. Rank and major command as covariates were weakly associated with differences in attitudes. Training in TeamSTEPPS, PCMH, or aCRM was not associated with improvement in safety-related attitudes among Air Force flight surgeons or family physicians. Further study is warranted to ascertain the effectiveness of such programs, either in their concepts, deployment, and/or sustainment.