Seager Leonie, Smith Dave W, Patel Anish, Brunt Howard, Brennan Peter A
Department of Oral and Maxillofacial Surgery, Queen Alexandra Hospital, Portsmouth, UK.
Br J Oral Maxillofac Surg. 2013 Jan;51(1):8-13. doi: 10.1016/j.bjoms.2011.11.024. Epub 2012 Jan 10.
There are many similarities between flying commercial aircraft and surgery, particularly in relation to minimising risk, and managing potentially fatal or catastrophic complications, or both. Since 1979, the development of Crew Resource Management (CRM) has improved air safety significantly by reducing human factors that are responsible for error. Similar developments in the operating theatre have, to a certain extent, lagged behind aviation, and it is well recognised that we can learn much from the industry. An increasing number of publications on aviation factors relate to surgery but to our knowledge there is a lack of research in our own specialty. We discuss how aviation principles related to human factors can be translated to the operating theatre to improve teamwork and safety for patients. Clinical research is clearly needed to develop this fascinating area more fully.
乘坐商用飞机与进行外科手术有许多相似之处，尤其是在将风险降至最低以及处理潜在的致命或灾难性并发症方面，或在这两方面都有相似之处。自1979年以来，机组资源管理（CRM）的发展通过减少导致失误的人为因素，显著提高了航空安全。手术室的类似发展在一定程度上落后于航空领域，而且人们普遍认识到我们可以从该行业学到很多东西。越来越多关于航空因素的出版物与外科手术相关，但据我们所知，我们自己的专业领域缺乏相关研究。我们讨论了与人为因素相关的航空原则如何能够应用于手术室，以改善团队协作并提高患者安全。显然需要开展临床研究，以便更全面地发展这一引人入胜的领域。
