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Parallels in safety between aviation and healthcare.
J Pediatr Surg. 2018 May; 53(5):875-878.JP

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.

Authors+Show Affiliations

Airbus Captain and the Managing Director of Aviation Safety, United Airlines, 233S. Wacker Drive, CSC-Willis Tower, Chicago, IL 60606. Electronic address: Claudia.Gerstle@united.com.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

29506813

Citation

Gerstle, Claudia R.. "Parallels in Safety Between Aviation and Healthcare." Journal of Pediatric Surgery, vol. 53, no. 5, 2018, pp. 875-878.
Gerstle CR. Parallels in safety between aviation and healthcare. J Pediatr Surg. 2018;53(5):875-878.
Gerstle, C. R. (2018). Parallels in safety between aviation and healthcare. Journal of Pediatric Surgery, 53(5), 875-878. https://doi.org/10.1016/j.jpedsurg.2018.02.002
Gerstle CR. Parallels in Safety Between Aviation and Healthcare. J Pediatr Surg. 2018;53(5):875-878. PubMed PMID: 29506813.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Parallels in safety between aviation and healthcare. A1 - Gerstle,Claudia R, Y1 - 2018/02/08/ PY - 2018/01/08/received PY - 2018/02/01/accepted PY - 2018/3/7/pubmed PY - 2018/9/18/medline PY - 2018/3/7/entrez KW - Aviation safety KW - CAPS KW - Healthcare safety SP - 875 EP - 878 JF - Journal of pediatric surgery JO - J Pediatr Surg VL - 53 IS - 5 N2 - 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. SN - 1531-5037 UR - https://www.unboundmedicine.com/medline/citation/29506813/Parallels_in_safety_between_aviation_and_healthcare_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0022-3468(18)30056-3 DB - PRIME DP - Unbound Medicine ER -