Aviation's Normal Operations Safety Audit: a safety management and educational tool for health care? Results of a small-scale trial.pdf (699.36 kB)
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Aviation’s Normal Operations Safety Audit: a safety management and educational tool for health care? Results of a small-scale trial

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journal contribution
posted on 12.03.2018, 10:05 by Simon A. Bennett
BACKGROUND: A National Health Service (NHS) contingent liability for medical error claims of over £26 billion. OBJECTIVES: To evaluate the safety management and educational benefits of adapting aviation's Normal Operations Safety Audit (NOSA) to health care. METHODS: In vivo research, a NOSA was performed by medical students at an English NHS Trust. After receiving training from the author, the students spent 6 days gathering data under his supervision. RESULTS: The data revealed a threat-rich environment, where errors - some consequential - were made (359 threats and 86 errors were recorded over 2 weeks). The students claimed that the exercise improved their observational, investigative, communication, teamworking and other nontechnical skills. CONCLUSION: NOSA is potentially an effective safety management and educational tool for health care. It is suggested that 1) the UK General Medical Council mandates that all medical students perform a NOSA in fulfillment of their degree; 2) the participating NHS Trusts be encouraged to act on students' findings; and 3) the UK Department of Health adopts NOSA as a cornerstone risk assessment and management tool.

History

Citation

Risk Management and Healthcare Policy, 2017, 10, pp. 147-165

Author affiliation

/Organisation/COLLEGE OF SOCIAL SCIENCES, ARTS AND HUMANITIES/School of Management

Version

VoR (Version of Record)

Published in

Risk Management and Healthcare Policy

Publisher

Dove Medical Press

eissn

1179-1594

Acceptance date

21/04/2017

Copyright date

2017

Available date

12/03/2018

Publisher version

https://www.dovepress.com/aviations-normal-operations-safety-audit-a-safety-management-and-educa-peer-reviewed-article-RMHP

Language

en