As a pilot with a BS in aviation safety management, I was excited to read "View from the Cockpit: What the Airline Industry Can Teach Us about Patient Safety" (November 2006). The article provided a good basic understanding of crew resource management (CRM) and barriers to its effectiveness. I believe it should be implemented throughout the health care field.

I'd like to mention one other barrier to implementing CRM in the hospital setting. When I'm piloting an aircraft, I use CRM religiously because my life is on the line if I make a mistake. The same level of seriousness isn't present in the hospital setting. Until every nurse commits to meeting this high standard, CRM won't have maximal impact.

JOE MORROW, RN, BS

Noblesville, Ind.