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MedLine Citation:
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PMID: 18972171 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: An increased awareness of the need for safety in medicine in general and in surgery in particular has prompted comparisons between the cockpit and the operating room. These comparisons seem to make sense but tend to be oversimplified. DISCUSSION: Attempts in healthcare to mimic programs that have been credited for the safety of commercial aviation have met with varying results. The risk here is that oversimplified application of an aviation model may result in the abandonment of good ideas in medicine. This paper describes in more depth the differences between medicine and commercial aviation: from the hiring process, through initial operating experience, recurrent training, and the management of emergencies. These programs add up to a cultural difference. Aviation assumes that personnel are subject to mistake making and that systems and culture need to be constructed to catch and mitigate error; medicine is still focused on the perfection of each individual's performance. The implications of these differences are explored. |
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Authors:
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Richard C Karl |
Publication Detail:
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Type: Journal Article; Review Date: 2008-10-30 |
Journal Detail:
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Title: Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract Volume: 13 ISSN: 1873-4626 ISO Abbreviation: J. Gastrointest. Surg. Publication Date: 2009 Jan |
Date Detail:
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Created Date: 2008-12-19 Completed Date: 2009-04-07 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9706084 Medline TA: J Gastrointest Surg Country: United States |
Other Details:
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Languages: eng Pagination: 6-8 Citation Subset: IM |
Affiliation:
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University of South Florida Department of Surgery, 12901 Bruce B Downs, MDC Box 16, Tampa, FL 33612, USA. karl@moffitt.org |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aerospace Medicine
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education* Aviation / education, standards* Delivery of Health Care / standards* General Surgery / education* Humans Risk Assessment / methods* Surgical Procedures, Operative / education, standards* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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