Airlines go two years with no fatalities – but a plane goes down into Hudson River few minutes ago

When I attend the 9th IMSH meeting at Florida, read the story about the safety record set by the airline industry. Airlines go two years with no fatalities. It is pretty amazing see their years efforts on safety made a difference.  But just  back to office today and head the news about  Planes goes down [...]

ACS NSQIP

The ACS NSQIP provides a good model to systematic collect, analyze and act on outcomes data from daily practice. A paper published by Annals of Surgery gave a detail metrics to measure surgical quality and safety.

The Self-Designing High-Reliability Organization: Aircraft Flight Operations at Sea by Gene I. Rochlin, Todd R. La Porte, and Karlene H. Roberts

Navy did this by young solders with system safety process.
The Self-Designing High-Reliability Organization: Aircraft Flight Operations at Sea by Gene I. Rochlin, Todd R. La Porte, and Karlene H. Roberts

WHO | World Alliance for Patient Safety

Global efforts to improve patient safety. 
WHO | World Alliance for Patient Safety

Human Factors in Health Care

Just attend a meeting of Applying Human Factors in Health Care. Learned a lot from people from different perspectives: doctors, nurse, perfusionist, engineers, psychologists, etc. More and more people start to look this discipline on the impact of patient safety. There are several very interested questions discussed during the session: should all the cardiac surgeons [...]

A randomized trial using medical simulation.

A randomized trial using medical simulation technology beyond medical education.  This is a great example using simulation applications for human factors and system evaluation suggested by Dr. Small.

Books about medical errors

Both books “Avoiding Common Anesthesia Errors” and “Avoiding Common ICU Errors” are very interesting. Could be a great source to create simulation scenarios.

clipped from www.amazon.com

 

Building a Better Delivery System: A New Engineering/Health Care Partnership

National Academy of Engineering and the Institute of Medicine published this book emphasized the need for two disciplines working together to address the health care and patient safety issues.

New Vistas in Patient Safety and Simulation

New Vistas in Patient Safety and Simulation is a good resource for update collections of medical simulation in patient safety.

Public awareness of patient safety

Patient safety issue appeared on recent 60-Minutes story of Dennis Quaid family. Also see the WSJ.