An NTSB for health care: learning from innovation: debate and innovate or capitulate

Journal of Patient Safety
Charles R DenhamJohn J Nance

Abstract

Economic and medical risks threaten the national security of America. The spiraling costs of United States' avoidable healthcare harm and waste far exceed those of any other nation. This 2-part paper, written by a group of aviators, is a national call to action to adopt readily available and transferable safety innovations we have already paid for that have made the airline industry one of the safest in the world. This first part supports the debate for a National Transportation Safety Board (NTSB) for health care, and the second supports more cross-over adoption by hospitals of methods pioneered in aviation. A review of aviation and healthcare leadership best practices and technologies was undertaken through literature review, reporting body research, and interviews of experts in the field of aviation principles applied to medicine. An aviation cross-over inventory and consensus process led to a call for action to address the current crisis of healthcare waste and harm. The NTSB, an independent agency established by the United States Congress, was developed to investigate all significant transportation accidents to prevent recurrence. Certain NTSB publications known as "Blue Cover Reports" used by pilots and airlines to drive ...Continue Reading

References

Jul 1, 1987·British Journal of Anaesthesia·M F Allnutt
Nov 19, 2009·Journal of Patient Safety·Charles R Denham
Nov 19, 2009·Journal of Patient Safety·Charles R Denham
Jan 1, 2010·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Carolyn M Clancy
Apr 7, 2010·Health Affairs·Jane MetzgerDavid C Classen
Aug 23, 2011·Journal of Patient Safety·Charles R Denham
Sep 9, 2011·Health Affairs·David I Auerbach, Arthur L Kellermann
Sep 17, 2011·Journal of Patient Safety·Charles R Denham
Nov 15, 2011·Journal of Patient Safety·Hardeep SinghDean F Sittig
Mar 1, 2010·Journal of Patient Safety·Dennis QuaidCharles R Denham
Mar 1, 2010·Journal of Patient Safety·David ClassenCharles R Denham
Mar 1, 2010·Journal of Patient Safety·Charles R Denham

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Citations

Oct 12, 2013·Biomedical Instrumentation & Technology·Marc EgethMohamed Rehman
Nov 10, 2013·Fertility and Sterility·David R Meldrum, Dominique de Ziegler
Sep 12, 2015·Annual Review of Psychology·Denise M Rousseau, Brian C Gunia
Oct 10, 2014·Applied Clinical Informatics·G ZuccottiA Wright
Jun 13, 2014·Journal of Patient Safety·James R Duncan, David Tabriz
Oct 21, 2015·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Eugenia K PallottoBeverly Brozanski
Feb 27, 2016·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Marc T Edwards
Feb 12, 2017·Journal of Patient Safety·Kevin T KavanaghKim Westerman
Nov 20, 2014·Journal of Patient Safety·Albert W WuDavid W Bates
Jun 23, 2020·Currents in Pharmacy Teaching & Learning·Daniel R MalcomA Shaun Rowe

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