Mindful Application of Aviation Practices in Healthcare.

Abstract:

INTRODUCTION:Evidence supports the efficacy of incorporating select recognized aviation practices and procedures into healthcare. Incident analysis, debrief, safety brief, and crew resource management (CRM) have all been assessed for implementation within the UK healthcare system, a world leader in aviation-based patient safety initiatives. Mindful application, in which aviation practices are specifically tailored to the unique healthcare setting, show promise in terms of acceptance and long-term sustainment. METHODS:In order to establish British healthcare applications of aviation practices, a PubMed search of UK authored manuscripts published between 2005-2016 was undertaken using search terms 'aviation,' 'healthcare,' 'checklist,' and 'CRM.' A convenience sample of UK-authored aviation medical conference presentations and UK-authored patient safety manuscripts were also reviewed. RESULTS:A total of 11 of 94 papers with UK academic affiliations published between 2005-2016 and relevant to aviation modeled healthcare delivery were found. The debrief process, incident analysis, and CRM are the primary practices incorporated into UK healthcare, with success dependent on cultural acceptance and mindful application. CRM training has gained significant acceptance in UK healthcare environments. DISCUSSION:Aviation modeled incident analysis, debrief, safety brief, and CRM training are increasingly undertaken within the UK healthcare system. Nuanced application, in which the unique aspects of the healthcare setting are addressed as part of a comprehensive safety approach, shows promise for long-term success. The patient safety brief and aviation modeled incident analysis are in earlier phases of implementation, and warrant further analysis.Powell-Dunford N, Brennan PA, Peerally MF, Kapur N, Hynes JM, Hodkinson PD. Mindful application of aviation practices in healthcare. Aerosp Med Hum Perform. 2017; 88(12):1107-1116.

journal_name

Aerosp Med Hum Perform

authors

Powell-Dunford N,Brennan PA,Peerally MF,Kapur N,Hynes JM,Hodkinson PD

doi

10.3357/AMHP.4911.2017

subject

Has Abstract

pub_date

2017-12-01 00:00:00

pages

1107-1116

issue

12

eissn

2375-6314

issn

2375-6322

journal_volume

88

pub_type

杂志文章,评审
  • Solar Eye Protection Practices of Civilian Aircrew.

    abstract:INTRODUCTION:There is good evidence that long term exposure to ultraviolet (UV) radiation increases the risk of cataracts. The 'blue light hazard' is considered a risk factor for retinal changes similar to those seen in macular degeneration. Previous studies ascertaining the prevalence of radiation related ocular disea...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.4357.2015

    authors: Chorley AC,Evans BJ,Benwell MJ

    更新日期:2015-11-01 00:00:00

  • You're the Flight Surgeon.

    abstract::Casstevens EA. You're the flight surgeon: an unexpected twist. Aerosp Med Hum Perform. 2017; 88(9):884-887. ...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.4836.2017

    authors:

    更新日期:2017-09-01 00:00:00

  • Mortality Among International Astronauts.

    abstract::INTRODUCTION: Research on the mortality of space explorers has focused exclusively on U.S. astronauts and Soviet and Russian cosmonauts. However, other nations have organized space programs over the last 40 yr and the European Space Agency, the Canadian Space Agency, the China National Space Administration, and the Ja...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.5369.2019

    authors: Reynolds RJ,Day SM

    更新日期:2019-07-01 00:00:00

  • You're the Flight Surgeon.

    abstract::Vu PD. You're the flight surgeon: nephrolithiasis. Aerosp Med Hum Perform. 2018; 89(7):664-667. ...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.5074.2018

    authors:

    更新日期:2018-07-01 00:00:00

  • You're the Flight Surgeon.

    abstract::Woolford JS. You're the flight surgeon: epilepsy. Aerosp Med Hum Perform. 2015; 86(4):500-503. ...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.4235.2015

    authors:

    更新日期:2015-01-01 00:00:00

  • Aircrew Fatigue Perceptions, Fatigue Mitigation Strategies, and Circadian Typology.

    abstract::BACKGROUND: Human fatigue is an important factor within aviation, leading organizations to develop strategies to assess and mitigate associated risks. The U.S. Air Force's Air Mobility Command (AMC) conducted the current pilot study to assess fatigue-related risks and issues in mobility operations. Specifically, we ex...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.5396.2020

    authors: Morris MB,Howland JP,Amaddio KM,Gunzelmann G

    更新日期:2020-04-01 00:00:00

  • High-Altitude Decompression Sickness Treated with Hyperbaric Therapy and Extracorporeal Oxygenation.

    abstract::BACKGROUND: High-altitude decompression sickness (HADCS) is a rare condition that has been associated with aircraft accidents. To the best of our knowledge, the present paper is the first case report of a patient treated for severe HADCS using recompression therapy and veno-venous extracorporeal oxygenation (VV-ECMO) ...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.5457.2020

    authors: Siewiera J,Szałański P,Tomaszewski D,Kot J

    更新日期:2020-02-01 00:00:00

  • Selective Auditory Attention and Spatial Disorientation Cues Effect on Flight Performance.

    abstract::INTRODUCTION: The auditory system is not as heavily involved in the pilot's spatial orientation as the visual and vestibular systems; however, it plays a significant role in the cockpit for communication and warning information. The aim of this research was to investigate the combined effect of selective auditory atte...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.5153.2018

    authors: Lewkowicz R,Stróżak P,Bałaj B,Francuz P,Augustynowicz P

    更新日期:2018-11-01 00:00:00

  • Emergency Highway Landings in General Aviation and the Possible Role of Media Reports.

    abstract:BACKGROUND:To examine the causes and factors of airplane landings on highways and the dangers to occupants of vehicles on the ground. METHODS:The U.S. National Transportation Safety Board online database provided 133 accidents involving a highway landing dating from 2000 to 2013. Supplemental information was sought in...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.4728.2017

    authors: Holzman E,de Voogt A

    更新日期:2017-05-01 00:00:00

  • Statistical Evaluation of Causal Factors Associated with Astronaut Shoulder Injury in Space Suits.

    abstract:INTRODUCTION:Shoulder injuries due to working inside the space suit are some of the most serious and debilitating injuries astronauts encounter. Space suit injuries occur primarily in the Neutral Buoyancy Laboratory (NBL) underwater training facility due to accumulated musculoskeletal stress. We quantitatively explored...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.4220.2015

    authors: Anderson AP,Newman DJ,Welsch RE

    更新日期:2015-07-01 00:00:00

  • Concept of Operations Evaluation for Using Remote-Guidance Ultrasound for Exploration Spaceflight.

    abstract:BACKGROUND:Remote-guidance (RG) techniques aboard the International Space Station (ISS) have enabled astronauts to collect diagnostic-level ultrasound (US) images. Exploration-class missions will likely require nonformally trained sonographers to operate with greater autonomy given longer communication delays (> 6 s fo...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章,随机对照试验

    doi:10.3357/AMHP.3244.2015

    authors: Hurst VW,Peterson S,Garcia K,Ebert D,Ham D,Amponsah D,Dulchavsky S

    更新日期:2015-12-01 00:00:00

  • Time Course of Simulator Sickness in Asian Military Pilots.

    abstract::INTRODUCTION: This study sought to determine the incidence, severity, and time-course of simulator sickness (SS) among Asian military pilots following flight simulator training.METHODS: A survey was conducted on Republic of Singapore Air Force pilots undergoing simulator training. Each subject completed a questionnair...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.5674.2020

    authors: Qi Loi JE,Ling Lee ML,Chuan Tan BB,See B

    更新日期:2020-11-01 00:00:00

  • CT Coronary Angiography vs. Coronary Artery Calcium Scoring for the Occupational Assessment of Military Aircrew.

    abstract:INTRODUCTION:To ensure flight safety military aircrew undergo regular clinical and occupational assessment. Coronary artery calcium scoring (CACS) has been established as an imaging modality to noninvasively assess coronary artery disease (CAD). CT coronary angiography (CTCA) potentially offers a more accurate assessme...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.4636.2017

    authors: Parsons I,Pavitt C,Chamley R,d'Arcy J,Nicol E

    更新日期:2017-02-01 00:00:00

  • You're the Flight Surgeon: lateral epicondylitis.

    abstract::Wolf SJ. You're the flight surgeon: lateral epicondylitis. Aerosp Med Hum Perform. 2015; 86(12):1077-1080. ...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.4312.2015

    authors: Wolf SJ

    更新日期:2015-12-01 00:00:00

  • Integration of a Vestibular Model for the Disorientation Research Device Motion Algorithm Application.

    abstract::INTRODUCTION: Spatial disorientation (SD) remains a leading cause of Class A mishaps and fatalities in aviation. Motion-based flight simulators and other research devices provide the capacity to rigorously study SD in order to develop effective countermeasures. By applying mathematical models of human orientation perc...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.5416.2019

    authors: Dixon JB,Etgen CA,Horning DS,Clark TK,Folga RV

    更新日期:2019-10-01 00:00:00

  • Evaluation of the Helicopter Emergency Breathing Apparatus on Egress Performance.

    abstract::BACKGROUND: Emergency helicopter landing at sea is dangerous. Specialized training, known as helicopter underwater escape training (HUET), prepares occupants to quickly exit the helicopter, which often inverts and sinks. In most jurisdictions, helicopter occupants are equipped with a helicopter underwater egress breat...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.5704.2020

    authors: King M,Sanli E,Mugford K,Martina S,Brown R,Carnahan H

    更新日期:2020-12-01 00:00:00

  • Hemoglobin Oxygen Saturation with Mild Hypoxia and Microgravity.

    abstract:INTRODUCTION:Microgravity (μG) exposure and even early recovery from μG in combination with mild hypoxia may increase the alveolar-arterial oxygen (O2) partial pressure gradient. METHODS:Four male astronauts on STS-69 (1995) and four on STS-72 (1996) were exposed on Earth to an acute sequential hypoxic challenge by br...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.4804.2017

    authors: Conkin J,Wessel JH 3rd,Norcross JR,Bekdash OS,Abercromby AFJ,Koslovsky MD,Gernhardt ML

    更新日期:2017-06-01 00:00:00

  • Postural Instability and Seasickness in a Motion-Based Shooting Simulation.

    abstract::BACKGROUND: Motion sickness is a problem for many; however, it is especially pressing for military personnel who need to operate in life and death environments. The current study investigated the underlying cause of motion sickness by testing postural instability theory.METHODS: Subjects experienced realistic motion p...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.5539.2020

    authors: Pettijohn KA,Pistone DV,Warner AL,Roush GJ,Biggs AT

    更新日期:2020-09-01 00:00:00

  • The Ecology of Medical Care Among Israeli Military Aviators.

    abstract:BACKGROUND:The ecology of medical care model has been used in various populations with varying results. We aimed to apply this model in the population of Israeli Air Force (IAF) aviators. METHODS:An anonymous questionnaire was presented to all Israeli Air Force aviators during their mandatory yearly check-up over 1 yr...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.4406.2016

    authors: Gordon B,Levy Y,Yemini T,Carmon E,Erlich Y,Hermoni D

    更新日期:2016-12-01 00:00:00

  • Assessment of a Prototype Apache Flight Eyewear.

    abstract:BACKGROUND:Apache pilots needing refractive correction are issued modified HGU-4/P aviator spectacles. However, a recently published survey found field of view (FOV) dissatisfaction with the current spectacles when sighting in with a Helmet Display Unit (HDU). A current Air Force flight frame was modified in-lab and th...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.4581.2016

    authors: Walsh DV,Jurek GM,McLean WE,Statz JK,Allen RL,Riggs DW

    更新日期:2016-09-01 00:00:00

  • Ultrasound Guided Lumbar Puncture and Remote Guidance for Potential In-Flight Evaluation of VIIP/SANS.

    abstract::INTRODUCTION: Changes of visual function/neuro-opthalmic structures during spaceflight have been described as visual impairment and intracranial pressure syndrome (VIIP)/spaceflight-associated neuro-ocular syndrome (SANS). Although theories are suggested, the mechanism is unknown. Only indirect measurements of intracr...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.5170.2019

    authors: Lerner DJ,Chima RS,Patel K,Parmet AJ

    更新日期:2019-01-01 00:00:00

  • Safety Implications of 6-Month vs. 1-Year First-Class Aeromedical Certificates.

    abstract::INTRODUCTION: This study explores the safety risk due to delayed detection of hazardous health conditions that would result from increasing the duration of U.S. first-class aeromedical certificates from 6 mo to 12 mo for pilots ages 40 yr old through 60 yr old.METHODS: All pilots who submitted a U.S. first-class appli...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.5268.2019

    authors: Mills WD,DeJohn CA

    更新日期:2019-05-01 00:00:00

  • Severe Arthritic Changes Following Acetabular Labral Repair and Femoroplasty in an Air Force Pilot.

    abstract:BACKGROUND:Acetabular labral tears in the hip have become an increasingly common finding in active duty members due to improved diagnostic capabilities. This has led to a dramatic increase in operative management despite a lack of evidence to support clear long-term benefits. Literature review demonstrated overwhelming...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.4883.2018

    authors: Sardon CJ,Resnick ML

    更新日期:2018-02-01 00:00:00

  • Noise Exposure and Hearing Impairment in Air Force Pilots.

    abstract::OBJECTIVE: The goal of this study was to estimate noise exposure and hearing impairments in Swedish military pilots. It also aimed to analyze possible relations between noise exposure and hearing impairments.METHODS: The study group was an open cohort of 337 male pilots. They were longitudinally followed with pure ton...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.5353.2019

    authors: Muhr P,Johnson AC,Selander J,Svensson E,Rosenhall U

    更新日期:2019-09-01 00:00:00

  • Squamous Cell Papilloma in a Student Aviator.

    abstract::BACKGROUND: Although oropharyngeal squamous cell papilloma (OSCP) is not uncommon in the general population, reports of OSCP in aviators are rare. This case report serves as a call for flight surgeons to consider all oropharyngeal pathology as a potential source of airway compromise during flight, and highlights regio...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.5429.2019

    authors: Swinson K,Burlile J,Pavelites J

    更新日期:2019-11-01 00:00:00

  • Fearless Temperament and Overconfidence in an Unsuccessful Special Forces Polar Expedition.

    abstract:BACKGROUND:Assessment of the influence of personality and decision processes on the performance of two-person expedition teams has application for the composition of small teams for planetary exploration and potentially responding to off-nominal situations. CASE REPORT:We studied a two-man Special Forces team with a g...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.4256.2015

    authors: Leon GR,Venables NC

    更新日期:2015-06-01 00:00:00

  • Prostate Cancer in Pilots.

    abstract:BACKGROUND:Aviation exposes pilots to various occupationally related hazards, including ionizing radiation and chemical combustion. The possibility of increased prostate cancer incidence and mortality among pilots is a subject of debate. This systematic review and meta-analysis aims to summarize the supporting evidence...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章,meta分析,评审

    doi:10.3357/AMHP.4453.2016

    authors: Raslau D,Abu Dabrh AM,Summerfield DT,Wang Z,Steinkraus LW,Murad MH

    更新日期:2016-06-01 00:00:00

  • Data-Driven Estimation of the Impact of Diversions Due to In-Flight Medical Emergencies on Flight Delay and Aircraft Operating Costs.

    abstract::INTRODUCTION: In-flight medical emergencies (IFMEs) average 1 of every 604 flights and are expected to increase as the population ages and air travel increases. Flight diversions, or the rerouting of a flight to an alternate destination, occur in 2 to 13% of IFME cases, but may or may not be necessary as determined af...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.5720.2021

    authors: Lewis BA,Gawron VJ,Esmaeilzadeh E,Mayer RH,Moreno-Hines F,Nerwich N,Alves PM

    更新日期:2021-02-01 00:00:00

  • Working Memory Capacity and Surgical Performance While Exposed to Mild Hypoxic Hypoxemia.

    abstract:INTRODUCTION:Medical Emergency Response Team (MERT) helicopters fly at altitudes of 3000 m in Afghanistan (9843 ft). Civilian hospitals and disaster-relief surgical teams may have to operate at such altitudes or even higher. Mild hypoxia has been seen to affect the performance of novel tasks at flight levels as low as ...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章,随机对照试验

    doi:10.3357/AMHP.4761.2017

    authors: Parker PJ,Manley AJ,Shand R,O'Hara JP,Mellor A

    更新日期:2017-10-01 00:00:00

  • Hypertension and Obesity Among Civil Aviation Pilots.

    abstract::BACKGROUND: Raised blood pressure (BP) is a risk factor for cardiovascular disease, which is a common cause of sudden in-flight incapacitation among pilots. Prevalence of hypertension (HT) among pilots as per new criteria is largely unknown. This study aims to understand the prevalence of hypertension and obesity in c...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.5374.2019

    authors: Bhat KG,Verma N,Pant P,Singh Marwaha MP

    更新日期:2019-08-01 00:00:00