Pilot training and surgical education: flying towards a brighter future
Hanad Ahmed1, Alexander Scott2
1Faculty of Medicine, University of Southampton, Southampton SO17 1BJ, UK Ha1g14@soton.ac.uk.
Postgraduate Medical Journal
|November 12, 2020
Summary
Lessons from aviation human factors can improve surgical patient safety. Understanding stress, communication, and emotion is key to enhancing clinical practice and learning in high-pressure environments.
Area of Science:
- Human factors research
- Surgical safety
- Aviation safety
Background:
- Human factors, surgery, and aviation share common themes of error, risk, and interpersonal dynamics.
- Individual research in these fields is extensive, but cross-disciplinary lessons remain underexplored.
Purpose of the Study:
- To explore shared lessons between aviation and surgery regarding human factors.
- To identify how these lessons can enhance patient safety and clinical practice.
Main Methods:
- A structured, thematic literature review was conducted.
- Searches were performed across major medical databases (PubMed, EMBASE, Ovid MEDLINE) and health organization online databases.
Main Results:
- Checklists are increasingly used, yet the impact of stress, communication, and emotion on learning and practice requires further attention.
- High-pressure environments in aviation and surgery present similar challenges related to these human factors.
Conclusions:
- Extrapolating aviation's human factors knowledge can significantly improve patient safety outcomes in surgery.
- The 'Software, Hardware, Environment, Liveware' (SHELL) model is proposed as a tool to aid practice and understanding.
Keywords:
Medical education & training
Related Concept Videos
01:30Endoscopic Studies I: Bronchoscopy and Thoracoscopy
364
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
364
01:30Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
295
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
295
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
325
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
325
01:20Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation
2.3K
Evaluation of the teaching process enables the nurse to determine if the patient's learning needs were met and if training was effective. If the expected outcomes are not met, the care plan is revised, and additional education or reinforcement is provided. Nurses can ask questions after the session or obtain feedback to assess the patient's understanding of the topic.
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning,...
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning,...
2.3K
01:24Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation
1.8K
Planning for learning involves the development of a teaching plan. Teaching plans are similar to nursing care plans—both follow the steps of the nursing process. Planning in the teaching process involves setting goals and outcomes. Here, goals identify what a patient needs to achieve to understand a healthcare topic better, whereas the outcomes are the action to be performed by the patient to achieve the goal within a timeframe. For example, if the goal is to educate the patient about...
1.8K