Journal Article
Commentary

Chasing the 6-sigma: drawing lessons from the cockpit culture.

Hickey EJ; Halvorsen F; Laussen PC; Hirst G; Schwartz S; Van Arsdell GS.

Aviation safety relies on systems improvement rather than individual blame to understand and mitigate failure. This commentary applies principles key to that philosophy from commercial aviation to medicine. The authors highlight vigilance, team performance, and nontechnical skill development as strategies to improve reliability in critical care and surgery.