Department of Health (UK)

Francis, Sabil

doi:10.4135/9781412972093.n87

Cited by 1 publication

(2 citation statements)

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“…17 It is widely accepted that along these dimensions the organisational culture in aviation has changed dramatically over the past 30–40 years, but in healthcare organisations such as the NHS in the UK there is still the feeling that hierarchies and fear of speaking out persist and that the lack of accountability for those who have transgressed, together with the absence of any apology, perpetuates these cultural limitations. 18 Sullenberger 19 has referred to an era in aviation where pilots ‘acted like gods with a little “g” and cowboys with a capital “C”’. Sadly, some of this culture would still appear to remain in parts of healthcare.…”

Section: Review Frameworkmentioning

confidence: 99%

“… 11 Staff may suffer distress and ill-health for a variety of reasons, ranging from distress following major complications of a treatment they have carried out 21 to suicide in the context of undergoing investigations by a regulatory body. 22 The Francis Report into whistleblowing in the NHS 18 referred to many cases of whisteblowers and others being badly treated, and sometimes being subject to ‘kangaroo courts’ by NHS management, with no allowance for Plurality, Independence and Expertise principles to ensure fairness. Invariably, such cases may not only impinge on patient safety and staff wellbeing but may also involve significant expenditure from public funds coupled with financial hardship to staff who have to pay for their own legal costs.…”

Section: Review Frameworkmentioning

confidence: 99%

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Aviation and healthcare: a comparative review with implications for patient safety

et al. 2016

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Safety in aviation has often been compared with safety in healthcare. Following a recent article in this journal, the UK government set up an Independent Patient Safety Investigation Service, to emulate a similar well-established body in aviation. On the basis of a detailed review of relevant publications that examine patient safety in the context of aviation practice, we have drawn up a table of comparative features and a conceptual framework for patient safety. Convergence and divergence of safety-related behaviours across aviation and healthcare were derived and documented. Key safety-related domains that emerged included Checklists, Training, Crew Resource Management, Sterile Cockpit, Investigation and Reporting of Incidents and Organisational Culture. We conclude that whilst healthcare has much to learn from aviation in certain key domains, the transfer of lessons from aviation to healthcare needs to be nuanced, with the specific characteristics and needs of healthcare borne in mind. On the basis of this review, it is recommended that healthcare should emulate aviation in its resourcing of staff who specialise in human factors and related psychological aspects of patient safety and staff wellbeing. Professional and post-qualification staff training could specifically include Cognitive Bias Avoidance Training, as this appears to play a key part in many errors relating to patient safety and staff wellbeing.

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Section: Review Frameworkmentioning

confidence: 99%