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Mindful Application of Aviation Practices in Healthcare

journal contribution
posted on 20.04.2018, 14:10 by N. Powell-Dunford, P. A. Brennan, M. F. Peerally, N. Kapur, J. M. Hynes, P. D. Hodkinson, Middle Wallop UK Army Aviation Centre
INTRODUCTION: Evidence supports the efficacy of incorporating select recognized aviation practices and procedures into healthcare. Incident analysis, debrief, safety brief, and crew resource management (CRM) have all been assessed for implementation within the UK healthcare system, a world leader in aviation-based patient safety initiatives. Mindful application, in which aviation practices are specifically tailored to the unique healthcare setting, show promise in terms of acceptance and long-term sustainment. METHODS: In order to establish British healthcare applications of aviation practices, a PubMed search of UK authored manuscripts published between 2005-2016 was undertaken using search terms 'aviation,' 'healthcare,' 'checklist,' and 'CRM.' A convenience sample of UK-authored aviation medical conference presentations and UK-authored patient safety manuscripts were also reviewed. RESULTS: A total of 11 of 94 papers with UK academic affiliations published between 2005-2016 and relevant to aviation modeled healthcare delivery were found. The debrief process, incident analysis, and CRM are the primary practices incorporated into UK healthcare, with success dependent on cultural acceptance and mindful application. CRM training has gained significant acceptance in UK healthcare environments. DISCUSSION: Aviation modeled incident analysis, debrief, safety brief, and CRM training are increasingly undertaken within the UK healthcare system. Nuanced application, in which the unique aspects of the healthcare setting are addressed as part of a comprehensive safety approach, shows promise for long-term success. The patient safety brief and aviation modeled incident analysis are in earlier phases of implementation, and warrant further analysis.

History

Citation

Aerospace medicine and human performance, 2017, 88 (12), pp. 1107-1116

Author affiliation

/Organisation/COLLEGE OF LIFE SCIENCES/School of Medicine/Department of Health Sciences

Version

AM (Accepted Manuscript)

Published in

Aerospace medicine and human performance

Publisher

Aerospace Medical Association

issn

2375-6314

eissn

2375-6322

Acceptance date

31/08/2017

Copyright date

2017

Publisher version

http://www.ingentaconnect.com/content/asma/amhp/2017/00000088/00000012/art00010

Notes

The file associated with this record is under a permanent embargo in accordance with the publisher's policy. The full text may be available through the publisher links provided above.

Language

en

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