From aviation to medicine: applying concepts of aviation safety to risk management in ambulatory care.

R. Wilf-Miron; I. Lewenhoff; Z. Benyamini; A. Aviram

Study

From aviation to medicine: applying concepts of aviation safety to risk management in ambulatory care.

March 6, 2005

Wilf-Miron R, Lewenhoff I, Benyamini Z, et al. Qual Saf Health Care. 2003;12(1):35-9.

View more articles from the same authors.

PubMed citation

Available at

Free full text

Related Resources From the Same Author(s)

Task errors by emergency physicians are associated with interruptions, multitasking, fatigue and working memory capacity: a prospective, direct observation study.

January 31, 2018

Improving our understanding of multi-tasking in healthcare: drawing together the cognitive psychology and healthcare literature.

March 29, 2017

Are interventions to reduce interruptions and errors during medication administration effective?: a systematic review.

September 11, 2013

Undergraduate baccalaureate nursing students' self-reported confidence in learning about patient safety in the classroom and clinical settings: an annual cross-sectional study (2010–2013).

June 17, 2015

Underlying risk factors for prescribing errors in long-term aged care: a qualitative study.

December 9, 2015

Standardising the classification of harm associated with medication errors: the Harm Associated with Medication Error Classification (HAMEC).

May 15, 2019

How effective are electronic medication systems in reducing medication error rates and associated harm among hospital inpatients? A systematic review and meta-analysis.

December 2, 2020

Patient-led training on patient safety: a pilot study to test the feasibility and acceptability of an educational intervention.

September 4, 2013

Safety issues in combined gynecologic and plastic surgical procedures.

August 15, 2007

Mapping changes in surgical mortality over 9 years by peer review audit.

July 20, 2005

Nurses' attitudes to a medical emergency team service in a teaching hospital.

December 20, 2006

Effectiveness of a 'Do not interrupt' bundled intervention to reduce interruptions during medication administration: a cluster randomised controlled feasibility study.

March 15, 2017

Stepped-wedge cluster RCT to assess the effects of an electronic medication system on medication administration errors.

March 13, 2024

Higher accuracy of complex medication reconciliation through improved design of electronic tools.

January 31, 2018

A patient safety checklist for the cardiac catheterisation laboratory.

January 7, 2015

John M. Eisenberg Patient Safety Awards. System innovation: Veterans Health Administration National Center for Patient Safety.

March 6, 2005

Surgical safety checklists: do they improve outcomes?

June 20, 2012

Reducing surgical mortality in Scotland by use of the WHO Surgical Safety Checklist.

May 8, 2019

Application of lean thinking to health care: issues and observations.

September 23, 2009

Understanding the effect of resident duty hour reform: a qualitative study.

August 13, 2014

Cognitive errors in diagnosis: instantiation, classification, and consequences.

March 6, 2005

Patient safety incidents associated with equipment in critical care: a review of reports to the UK National Patient Safety Agency.

October 8, 2008

Identification of in-hospital complications from claims data. Is it valid?

March 6, 2005

Will my patient fall?

January 17, 2007

Medication safety in the operating room: literature and expert-based recommendations.

February 22, 2017

Challenging authority and speaking up in the operating room environment: a narrative synthesis.

February 27, 2019

Gaps in the continuity of care and progress on patient safety.

March 6, 2005

Patient safety begins with proper planning: a quantitative method to improve hospital design.

November 24, 2010

Gender, power and leadership: the effect of a superior's gender on respiratory therapists' ability to challenge leadership during a life-threatening emergency.

December 13, 2017

Point prevalence of surgical checklist use in Europe: relationship with hospital mortality.

February 25, 2015

Do associations between staff and inpatient feedback have the potential for improving patient experience? An analysis of surveys in NHS acute trusts in England.

October 28, 2009

Blind spots in the science of safety.

May 8, 2019

Effect of day of the week on short- and long-term mortality after emergency general surgery.

April 5, 2017

Potentially inappropriate medication use and healthcare expenditures in the US community-dwelling elderly.

May 16, 2007

Residual anaesthesia drugs in intravenous lines—a silent threat?

July 17, 2013

Distractions and the anaesthetist: a qualitative study of context and direction of distraction.

May 22, 2013

Managing competing demands through task-switching and multitasking: a multi-setting observational study of 200 clinicians over 1000 hours.

February 26, 2014

Sign-out snapshot: cross-sectional evaluation of written sign-outs among specialties.

January 15, 2014

The cost of pneumonia after acute stroke.

June 13, 2007

Negligent care and malpractice claiming behavior in Utah and Colorado.

March 27, 2005

Handover after pediatric heart surgery: a simple tool improves information exchange.

June 1, 2011

Changes to supervision in community pharmacy: pharmacist and pharmacy support staff views.

June 26, 2013

Impact of a standard medication chart on prescribing errors: a before-and-after audit.

December 16, 2009

Power and conflict: the effect of a superior's interpersonal behaviour on trainees' ability to challenge authority during a simulated airway emergency.

December 2, 2015

Momentary interruptions can derail the train of thought.

January 30, 2013

A prospective controlled trial of the effect of a multi-faceted intervention on early recognition and intervention in deteriorating hospital patients.

May 12, 2010

Wrong-side thoracentesis: lessons learned from root cause analysis.

July 2, 2014

The impact of health information technology on the management and follow-up of test results—a systematic review.

May 8, 2019

Promoting patient safety through prospective risk identification: example from peri-operative care.

March 17, 2010

What constitutes a prescribing error in paediatrics?

October 19, 2005

Identifying potential patient safety issues from the Federal Electronic Health Record Surveillance Program

January 29, 2020

Global oximetry: an international anaesthesia quality improvement project.

October 21, 2009

Missed diagnosis of cancer in primary care: insights from malpractice claims data.

August 7, 2019

(How) do we learn from errors? A prospective study of the link between the ward's learning practices and medication administration errors.

August 21, 2013

Evaluation of the implementation of the alert issued by the UK National Patient Safety Agency on the storage and handling of potassium chloride concentrate solution.

June 29, 2005

Challenging authority during a life-threatening crisis: the effect of operating theatre hierarchy.

December 19, 2012

'Not another safety culture survey': using the Canadian patient safety climate survey (Can-PSCS) to measure provider perceptions of PSC across health settings.

November 13, 2013

Application of root cause analysis on malpractice claim files related to diagnostic failures.

December 15, 2010

Using EMR-enabled computerized decision support systems to reduce prescribing of potentially inappropriate medications: a narrative review.

October 10, 2018

Pediatric faculty knowledge and comfort discussing diagnostic errors: a pilot survey to understand barriers to an educational program.

June 12, 2019

Diagnostic errors and temporal stability in bipolar disorder.

September 24, 2008

Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients in hospital.

March 29, 2012

Avoidable iatrogenic complications of urethral catheterization and inadequate intern training in a tertiary-care teaching hospital.

May 13, 2009

Supporting clinicians after adverse events: development of a clinician peer support program.

September 5, 2018

Survey shows that at least some physicians are not always open or honest with patients.

February 22, 2012

The prevalence of dose errors among paediatric patients in hospital wards with and without health information technology: a systematic review and meta-analysis.

October 24, 2018

Drug error in anaesthetic practice: a review of 896 reports from the Australian Incident Monitoring Study database.

April 21, 2005

Use of strategies from high-reliability organisations to the patient hand-off by resident physicians: practical implications.

August 12, 2009

Changes in the diagnostic process during 40 years of clinicopathologic conferences.

March 27, 2005

Prevention and treatment of bile duct injuries during laparoscopic cholecystectomy: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES).

October 31, 2012

Emergency physician perceptions of electronic health record usability and safety.

May 12, 2021

Central venous catheter guidewire retention: lessons from England's never event database.

May 4, 2022

Family participation during intensive care unit rounds: goals and expectations of parents and health care providers in a tertiary pediatric intensive care unit.

October 8, 2014

Microbiological evaluation of two hand hygiene procedures achieved by healthcare workers during routine patient care: a randomized study.

May 4, 2005

Impact of pharmacist-provided medication therapy management on healthcare quality and utilization in recently discharged elderly patients.

September 28, 2016

Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people.

October 21, 2009

Core competencies for patient safety research: a cornerstone for global capacity strengthening.

February 2, 2011

Errors in the administration of intravenous medications in hospital and the role of correct procedures and nurse experience.

July 13, 2011

Using human factors design principles and industrial engineering methods to improve accuracy and speed of drug selection with medication trays.

October 19, 2016

Communication through the electronic health record: frequency and implications of free text orders.

July 29, 2020

Critical events in the lives of interns.

November 19, 2008

Patient safety strategies: a call for physician leadership.

March 13, 2013

Dangers of diagnostic overshadowing.

June 5, 2019

Interruptions and multi-tasking: moving the research agenda in new directions.

September 10, 2014

New technologies in radiation therapy: ensuring patient safety, radiation safety and regulatory issues in radiation oncology.

November 12, 2008

Improving health care quality and safety for people with disabilities: an interview with Lisa Iezzoni.

June 28, 2006

Safe operation as a social construct.

January 1, 1999

Medication safety messages for patients via the web portal: the MedCheck intervention.

July 11, 2007

The effect of computerized provider order entry systems on clinical care and work processes in emergency departments: a systematic review of the quantitative literature.

May 22, 2013

Overdiagnosis: how our compulsion for diagnosis may be harming children.

December 3, 2014

From research to practice: factors affecting implementation of prospective targeted injury-detection systems.

June 8, 2011

Checking anaesthetic equipment 2012: Association of Anaesthetists of Great Britain and Ireland.

May 23, 2012

Incidence of potentially avoidable urgent readmissions and their relation to all-cause urgent readmissions.

September 28, 2011

Characteristics of medication errors with parenteral cytotoxic drugs.

April 4, 2012

"Out of sight, out of mind": housestaff perceptions of quality-limiting factors in discharge care at teaching hospitals.

July 18, 2012

"Learning by Doing"—resident perspectives on developing competency in high-quality discharge care.

June 20, 2012

Evaluation of feedback modalities and preferences regarding feedback on decision-making in a pediatric emergency department.

July 6, 2022

A national survey of safe practice with epidural analgesia in obstetric units.

May 7, 2008

Tracing the foundations of a conceptual framework for a patient safety ontology.

September 22, 2010

Improving ambulatory prescribing safety with a handheld decision support system: a randomized controlled trial.

April 26, 2006

Related Resources

Annual Perspective

Equity in Patient Safety

March 27, 2024

Patient Safety Innovations

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

July 31, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Predictors and outcomes of patient safety culture: a cross-sectional comparative study.

July 27, 2022

Biasing influence of 'mental shortcuts' on diagnostic decision-making: radiologists can overlook breast cancer in mamograms when prior diagnostic information is available.

March 30, 2022

Textbook of Patient Safety and Clinical Risk Management.

January 20, 2021

Bundle interventions including nontechnical skills for surgeons can reduce operative time and improve patient safety.

December 9, 2020

What has been the impact of Covid-19 on safety culture? A case study from a large metropolitan healthcare trust.

September 2, 2020

Preventing critical failure. Can routinely collected data be repurposed to predict avoidable patient harm? A quantitative descriptive study.

January 29, 2020

Barriers and facilitators to incident reporting in mental healthcare settings: a qualitative study.

November 13, 2019

Can patients contribute to safer care in meetings with healthcare professionals? A cross-sectional survey of patient perceptions and beliefs.

May 15, 2019

Usability testing of a mobile app to report medication errors anonymously: mixed-methods approach.

January 16, 2019

Understanding procedural violations using Safety-I and Safety-II: the case of community pharmacies.

August 22, 2018

Effectiveness of a clinical knowledge support system for reducing diagnostic errors in outpatient care in Japan: a retrospective study.

March 28, 2018

The consequences of whistle-blowing: an integrative review.

July 26, 2017

An improvement approach to integrate teaching teams in the reporting of safety events.

May 10, 2017

Severe drug interactions and potentially inappropriate medication usage in elderly cancer patients.

November 9, 2016

Psychological responses, coping and supporting needs of healthcare professionals as second victims.

November 2, 2016

Explanation and elaboration of the SQUIRE (Standards for Quality Improvement Reporting Excellence) Guidelines, V.2.0: examples of SQUIRE elements in the healthcare improvement literature.

May 25, 2016

Safer Healthcare: Strategies for the Real World.

February 24, 2016

Higher quality of care and patient safety associated with better NICU work environments.

September 2, 2015

Impact of a warning CPOE system on the inappropriate pill splitting of prescribed medications in outpatients.

January 21, 2015

An observational study: associations between nurse-reported hospital characteristics and estimated 30-day survival probabilities.

May 21, 2014

A prospective study to evaluate awareness about medication errors amongst health-care personnel representing North, East, West Regions of India.

March 26, 2014

Confronting safety gaps across labor and delivery teams.

January 15, 2014

The Orthopaedic Error Index: development and application of a novel national indicator for assessing the relative safety of hospital care using a cross-sectional approach.

December 18, 2013

Impact of contact isolation for multidrug-resistant organisms on the occurrence of medical errors and adverse events.

October 23, 2013

The proportion of clinically relevant alarms decreases as patient clinical severity decreases in intensive care units: a pilot study.

September 25, 2013

Quantifying and characterizing adverse events in dermatologic surgery.

May 15, 2013

A multicenter, multidisciplinary, high-alert medication collaborative to improve patient safety: the Singapore experience.

May 8, 2013

See More About The Topic

Ambulatory Care

Risk Managers

Quality Improvement Strategies

Error Reporting

From aviation to medicine: applying concepts of aviation safety to risk management in ambulatory care.

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

From aviation to medicine: applying concepts of aviation safety to risk management in ambulatory care.

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site