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Aviation's Normal Operations Safety Audit: a safety management and educational tool for health care? Results of a small-scale trial.


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

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Publications

Aviation's Normal Operations Safety Audit: a safety management and educational tool for health care? Results of a small-scale trial.

Bennett Simon A SA  

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]

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