Ontology highlight
ABSTRACT: Background
A National Health Service (NHS) contingent liability for medical error claims of over £26 billion.Objectives
To evaluate the safety management and educational benefits of adapting aviation's Normal Operations Safety Audit (NOSA) to health care.Methods
In vivo research, a NOSA was performed by medical students at an English NHS Trust. After receiving training from the author, the students spent 6 days gathering data under his supervision.Results
The data revealed a threat-rich environment, where errors - some consequential - were made (359 threats and 86 errors were recorded over 2 weeks). The students claimed that the exercise improved their observational, investigative, communication, teamworking and other nontechnical skills.Conclusion
NOSA is potentially an effective safety management and educational tool for health care. It is suggested that 1) the UK General Medical Council mandates that all medical students perform a NOSA in fulfillment of their degree; 2) the participating NHS Trusts be encouraged to act on students' findings; and 3) the UK Department of Health adopts NOSA as a cornerstone risk assessment and management tool.
SUBMITTER: Bennett SA
PROVIDER: S-EPMC5558587 | biostudies-literature | 2017
REPOSITORIES: biostudies-literature
Risk management and healthcare policy 20170808
<h4>Background</h4>A National Health Service (NHS) contingent liability for medical error claims of over £26 billion.<h4>Objectives</h4>To evaluate the safety management and educational benefits of adapting aviation's Normal Operations Safety Audit (NOSA) to health care.<h4>Methods</h4>In vivo research, a NOSA was performed by medical students at an English NHS Trust. After receiving training from the author, the students spent 6 days gathering data under his supervision.<h4>Results</h4>The data ...[more]