Surgeons Are Not Pilots: Is the Aviation Safety Paradigm Relevant to Modern Surgical Practice?
Surgeons Are Not Pilots: Is the Aviation Safety Paradigm Relevant to Modern Surgical Practice?
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DOI：
10.1016/j.jsurg.2021.01.016
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发表时间：
2021-09-06
影响因子：
2.9
通讯作者：
Mamode, Nizam
中科院分区：
文献类型：
--
作者：
Gogalniceanu, Petrut;Calder, Francis;Mamode, Nizam
手术中的错误很常见，尽管并不总是产生后果。手术结果经常与商业航空的安全数据进行比较。这一行业的表现经常被认为是高可靠性的例子，应该在临床实践中复制。因此，航空外科类比形成了许多患者安全研究的概念框架，倡导将航空安全工具转化为医疗保健环境。然而，过度使用或不正确地应用此范例可能会产生误导，并可能导致无效的质量改进干预措施。本文讨论了航空-外科比较的有效性和相关性，为改进其在床边的应用提供了必要的背景。它涉及技术和人的因素培训，以及更新的绩效领域，如专业文化和操作员条件的优化。这些被用来确定航空外科类比是一个有价值的跨专业学习来源，还是仅仅是另一个安全陈词滥调。(C)2021年外科方案主任协会。爱思唯尔公司出版，版权所有。
Error in surgery is common, although not always consequential. Surgical outcomes are often compared to safety data from commercial aviation. This industry's performance is frequently referenced as an example of high-reliability that should be reproduced in clinical practice. Consequently, the aviation-surgery analogy forms the conceptual framework for much patient safety research, advocating for the translation of aviation safety tools to the healthcare setting. Nevertheless, overuse or incorrect application of this paradigm can be misleading and may result in ineffective quality improvement interventions. This article discusses the validity and relevance of the aviation-surgery comparison, providing the necessary context to improve its application at the bedside. It addresses technical and human factors training, as well as more novel performance domains such as professional culture and optimization of operators' condition. These are used to determine whether the aviation-surgery analogy is a valuable source of cross-professional learning or simply another safety cliche. (C) 2021 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.