On Error Management Lessons From Aviation
Health Search databasePMCAll DatabasesAssemblyBioProjectBioSampleBioSystemsBooksClinVarCloneConserved DomainsdbGaPdbVarESTGeneGenomeGEO DataSetsGEO ProfilesGSSGTRHomoloGeneMedGenMeSHNCBI Web SiteNLM CatalogNucleotideOMIMPMCPopSetProbeProteinProtein ClustersPubChem BioAssayPubChem CompoundPubChem SubstancePubMedPubMed HealthSNPSparcleSRAStructureTaxonomyToolKitToolKitAllToolKitBookToolKitBookghUniGeneSearch termSearch Advanced Journal list Help Journal ListBMJv.320(7237); 2000 Mar 18PMC1117774 BMJ. 2000 Mar 18; 320(7237): 781–785. PMCID: PMC1117774On error management: lessons from aviationRobert L Helmreich, professor of psychologyDepartment of Psychology, University of Texas at Austin, Austin, TX 78712, USAude.saxetu.ysp@hciermlehAuthor information ► Copyright and License information ►Copyright © 2000, British Medical JournalThis article has been cited by other articles in PMC.Pilots and doctors operate in complex environments where teams interact with technology. In both domains, risk varies from low to high with threats coming from a variety of sources in the environment. Safety is paramount for both professions, but cost issues can influence the commitment of resources for safety efforts. Aircraft accidents are infrequent, highly visible, and often involve massive loss of life, resulting in exhaustive investigation into causal factors, public reports, and remedial action. Research by the National Aeronautics and Space Administration into aviation accidents has found that 70% involve human error.1In contrast, medical adverse events happen to individual patients and seldom receive national publicity. More importantly, there is no standardised method of investigation, documentation, and dissemination. The US Institute of Medicine estimates that each year between 44 000 and 98 000 people die as a resul
Me Forgot Password? Login or Sign up for a Free Account My Topics of Interest My CME My Profile Sign Out Home Topics Issues WebM&M Cases Perspectives Primers Submit Case CME / CEU Training Catalog Info Glossary About PSNet Help & FAQ Contact PSNet Email Updates Editorial Team Technical Expert/Advisory Panel Terms & Conditions / Copyright PSNet Privacy Policy External Link Disclaimer Commentary Published March 2000 On error management: lessons from aviation. Classic Helmreich RL. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1117774/ BMJ. 2000;320:781-785. Topics Resource Type Journal Article › Commentary Approach to Improving Safety Error Analysis Communication Improvement Teamwork Target Audience Physicians Origin/Sponsor United States of America More Cite Copy Citation: Helmreich RL.On error management: lessons from aviation. BMJ. 2000; 320: 781-785 Download Citation File: RIS (Zotero) EndNote BibTex Medlars ProCite RefWorks Reference https://psnet.ahrq.gov/resources/resource/1482 Manager Share Facebook Twitter Linkedin Email Print In this perspective, the author draws on analogies from aviation to frame the issues of patient safety and medical errors. Helmreich provides background on the methods and use of error data in aviation, and how those processes catalyzed improvements in safety practices and programs. Within that construct, the author discusses behaviors that put patients at risk, including communication and leadership failures, interpersonal conflicts, and ineffective preparation, planning, and attention to detail. The author explains the importance of accepting the inevitability of human error and understanding the importance of reliable data on error, both of which are necessary if providers are to systematically reduce the frequency and severity of adverse events. Incorporating lessons from aviation, such as focusing on teamwork and communication skills, Helmreich proposes a series of steps for creating error management programs. This article is from a British Medical Journal special issue on patient safety. PubMed citation Available
Commands Skip to main content This site is best http://www.ihi.org/resources/Pages/Publications/OnerrormanagementLessonsfromaviation.aspx viewed with Internet Explorer version 8 or greater. Check your http://www.checklistboards.com/article.cfm?ArticleNumber=5 browser compatibility mode if you are using Internet Explorer version 8 or greater. Log In / Register Extranet Newsletter Sign Up Newsletter Sign Up close Sign up for IHI's Email Services updating ... Blog Careers Improving Health and Health Care on error Worldwide Home About Us Topics Education Resources Regions Engage with IHI My IHI Home About Us Vision, Mission, Values History Science of Improvement Innovation People How to Get Involved Finances In the News Supporters Careers Contact FAQs Topics All Topics A-Z Improvement Capability Person-/Family-Centered Care Patient Safety Quality, Cost, and Value on error management Triple Aim for Populations Education Education Overview Conferences In-Person Training Virtual Training Audio and Video Programs Passport to IHI Training IHI Open School Resources Resources Overview How to Improve Measures Changes Improvement Stories Tools Publications IHI White Papers Case Studies Audio and Video Presentations Posterboards Other Websites Regions Regions Overview Africa Asia-Pacific Europe Latin America Middle East North America Engage with IHI Engage with IHI Overview Collaboratives Initiatives Membership Programs Fellowship Programs Strategic Partnerships Customized Services Blog User Groups Home / Resources / Publications / On error management: Lessons from aviation Publications Resources Resources How to Improve Measures Changes Improvement Stories Tools Publications IHI White Papers Case Studies Audio and Video Presentations Posterboards Other Websites IHI LR Wide On error management: Lessons from aviation Page ContentHelmreich RL. On error management: Lessons from aviation. British Medical Journal. 2000;320(7237):781-785.This article states that the medical field can learn much from the a
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