Navigating towards improved surgical safety using aviation-based strategies

被引:44
作者
Kao, Lillian S. [1 ,3 ]
Thomas, Eric J. [2 ,3 ]
机构
[1] Univ Texas Houston, Hlth Sci Ctr, Dept Surg, Houston, TX 77026 USA
[2] Univ Texas Houston, Hlth Sci Ctr, Dept Gen Med, Houston, TX 77026 USA
[3] Univ Texas Houston, Hlth Sci Ctr, Ctr Clin Res & Evidence Based Med, Houston, TX 77026 USA
关键词
safety management; aviation; health services research; computer simulation; quality assurance; surgery; attitude of health personnel;
D O I
10.1016/j.jss.2007.02.020
中图分类号
R61 [外科手术学];
学科分类号
摘要
Safety practices in the aviation industry are being increasingly adapted to healthcare in an effort to reduce medical errors and patient harm. However, caution should be applied in embracing these practices because of limited experience in surgical disciplines, lack of rigorous research linking these practices to outcome, and fundamental differences between the two industries. Surgeons should have an in-depth understanding of the principles and data supporting aviation-based safety strategies before routinely adopting them. This paper serves as a review of strategies adapted to im prove surgical safety, including the following: imple-mentation of crew resource management in training operative teams; incorporation of simulation in training of technical and nontechnical skills; and analysis of contributory factors to errors using surveys, behavioral marker systems, human factors analysis, and incident reporting. Avenues and challenges for future research are also discussed. (C) 2008 Elsevier Inc. All rights reserved.
引用
收藏
页码:327 / 335
页数:9
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