Applying lessons from commercial aviation safety and operations to resuscitation.
Both commercial aviation and resuscitation are complex activities in which team members must respond to unexpected emergencies in a consistent, high quality manner. Lives are at stake in both activities and the two disciplines have similar leadership structures, standard setting processes, training methods, and operational tools. Commercial aviation crews operate with remarkable consistency and safety, while resuscitation team performance and outcomes are highly variable. This commentary provides the perspective of two physician-pilots showing how commercial aviation training, operations, and safety principles can be adapted to resuscitation team training and performance.
Virginia Commonwealth University, Department of Emergency Medicine, Main Hospital, 2nd Floor, Suite 500, 1250 East Marshall Street, Richmond, VA 23298-0401, United States; Richmond Ambulance Authority, Richmond Fire & EMS, Henrico Fire, United States. Electronic address: ornato@aol.com.
Joseph P
JP
Ornato
Virginia Commonwealth University, Department of Emergency Medicine, Main Hospital, 2nd Floor, Suite 500, 1250 East Marshall Street, Richmond, VA 23298-0401, United States; Departments of Internal Medicine (Cardiology) and Emergency Medicine, United States. Electronic address: mpeberdy@aol.com.
Mary Ann
MA
Peberdy
D001359:Aviation; D016887:Cardiopulmonary Resuscitation / Q000193:education* / Q000592:standards*; D057189:Checklist; D003142:Communication; D017598:Efficiency, Organizational; D006804:Ergonomics; D006801:Humans; D010348:Patient Care Team / Q000458:organization & administration; D011785:Quality Assurance, Health Care; D017751:Safety Management
Aviation; Outcomes; Resuscitation; Safety; Simulation