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Parallels in safety between aviation and healthcare
- Source :
- Journal of Pediatric Surgery. 53:875-878
- Publication Year :
- 2018
- Publisher :
- Elsevier BV, 2018.
-
Abstract
- Aviation and healthcare are complex industries and share many similarities: the cockpit and the operating theater, the captain and the surgeon. While North American commercial aviation currently enjoys a tremendous safety record, it was not always this way. A spike of accidents in 1973 caused 3214 aviation-related fatalities. Over the past 20years, the rate of fatal accidents per million flights fell by a factor of five, while air traffic increased by more than 86%. There have been no fatalities on a U.S. carrier for over 12years. Last year, there were 251,454 deaths in the United States owing to medical error. Pilots pioneered ways to address risks through crew resource management (CRM), and threat and error management (TEM). Both strategies, which are aimed at minimizing risk and optimizing safety, are applicable to surgery and the healthcare industry. These strategies as well as the Swiss Cheese Model, Checklists and the Normalization of Deviance will be reviewed in this article.
- Subjects :
- medicine.medical_specialty
Inservice Training
Aviation
Decision Making
Crew resource management
Aviation safety
03 medical and health sciences
0302 clinical medicine
Operating theater
Humans
Medicine
Operations management
030212 general & internal medicine
030504 nursing
business.industry
General Medicine
Swiss cheese model
Air traffic control
United States
Accidents, Aviation
Pediatrics, Perinatology and Child Health
Aerospace Medicine
Commercial aviation
Surgery
Aviation medicine
0305 other medical science
business
Delivery of Health Care
Subjects
Details
- ISSN :
- 00223468
- Volume :
- 53
- Database :
- OpenAIRE
- Journal :
- Journal of Pediatric Surgery
- Accession number :
- edsair.doi.dedup.....59492b1ce8d11f658ed7b1a8deb67234