title: Safety management as a foundation for evidence-based aeromedical standards and reporting of medical events.
abstract: The different interpretations by States (countries) of the aeromedical standards established by the International Civil Aviation Organization has resulted in a variety of approaches to the development of national aeromedical policy, and consequently a relative lack of harmonization. However, in many areas of aviation, safety management systems have been recently introduced and may represent a way forward. A safety management system can be defined as "A systematic approach to managing safety, including the necessary organizational structures, accountabilities, policies, and procedures" (1). There are four main areas where, by applying safety management principles, it may be possible to better use aeromedical data to enhance flight safety. These are: 1) adjustment of the periodicity and content of routine medical examinations to more accurately reflect aeromedical risk; 2) improvement in reporting and analysis of routine medical examination data; 3) improvement in reporting and analysis of in-flight medical events; and 4) support for improved reporting of relevant aeromedical events through the promotion of an appropriate culture by companies and regulatory authorities. This paper explores how the principles of safety management may be applied to aeromedical systems to improve their contribution to safety.
authors.affiliation: International Civil Aviation Organization, Montreal H3C 5H7, Canada. aevans@icao.int
authors.forename: Anthony D
authors.initials: AD
authors.lastname: Evans
authors.forename: Dougal B
authors.initials: DB
authors.lastname: Watson
authors.forename: Sally A
authors.initials: SA
authors.lastname: Evans
authors.forename: John
authors.initials: J
authors.lastname: Hastings
authors.forename: Jarnail
authors.initials: J
authors.lastname: Singh
authors.forename: Claude
authors.initials: C
authors.lastname: Thibeault
mesh_terms: D000337:Aerospace Medicine / Q000331:legislation & jurisprudence / Q000592:standards*; D002568:Certification; D003657:Decision Making; D006304:Health Status; D006801:Humans; D007391:International Cooperation; D015279:Organizational Culture; D010808:Physical Examination; D017751:Safety Management