Document Detail

The nuclear power industry as an alternative analogy for safety in anaesthesia and a novel approach for the conceptualisation of safety goals.
MedLine Citation:
PMID:  16229697     Owner:  NLM     Status:  MEDLINE    
Safety practices in health care have not kept pace with the increasing complexity of medical technology. Although anaesthesia is generally considered to be a leader in the improvement of patient safety, more powerful safety strategies must be found and employed. From an analysis of system characteristics, the nuclear power industry is proposed as an alternative analogy for safety in anaesthesia, and a novel diagrammatic approach is developed for the conceptualisation of safety goals. The nuclear power industry has spent vastly more time and money than has health care on the development of safety, and has progressed through significant safety milestones approximately three times more quickly than has anaesthesia. The greatest scope for the improvement of safety in anaesthesia lies in the appropriate re-design of medical systems and the lowering of the threshold for the reporting of incidents to include accident precursors, thus allowing the identification of dangerous systems before accidents occur.
C S Webster
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Anaesthesia     Volume:  60     ISSN:  0003-2409     ISO Abbreviation:  Anaesthesia     Publication Date:  2005 Nov 
Date Detail:
Created Date:  2005-10-18     Completed Date:  2005-11-15     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  England    
Other Details:
Languages:  eng     Pagination:  1115-22     Citation Subset:  AIM; IM    
The Compucology Project, PO Box 25-380, Christchurch, New Zealand.
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MeSH Terms
Accidents, Occupational
Anesthesia / standards*,  trends
Power Plants / standards*
Safety Management / methods*
Systems Theory
Comment In:
Anaesthesia. 2006 Mar;61(3):308-9; author reply 309   [PMID:  16480378 ]
Anaesthesia. 2006 Jun;61(6):619; author reply 619-20   [PMID:  16704625 ]

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