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Journal of anesthesia · Apr 2018
Lessons from the sky: an aviation-based framework for maximizing the delivery of quality anesthetic care.
- Ashley Szabo Eltorai.
- Yale University School of Medicine, 333 Cedar Street, TMP 3, P.O. Box 208051, New Haven, CT, 06520-8051, USA. Ashley.Eltorai@yale.edu.
- J Anesth. 2018 Apr 1; 32 (2): 263-268.
AbstractThough aviation is practiced in airplanes and anesthesiology in operating rooms, the two professions have substantial parallels. Both require readiness to manage a crisis situation, where lives are at stake, at a moment's notice and with incomplete information. The determinants of quality performance in both professions extend far beyond knowledge base and formal training. The science of human factors, a prominent cornerstone of the aviation industry, has not yet found the same place in medicine, but it could change the understanding and execution of medical decision-making in profound ways. This article reviews specific components of crisis management and root cause analysis in aviation that can serve as models for improving those same aspects within anesthesiology.
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