Eltorai Ashley Szabo
Yale University School of Medicine, 333 Cedar Street, TMP 3, P.O. Box 208051, New Haven, CT, 06520-8051, USA.
J Anesth. 2018 Apr;32(2):263-268. doi: 10.1007/s00540-018-2467-y. Epub 2018 Feb 23.
Though aviation is practiced in airplanes and anesthesiology in operating rooms, the two professions have substantial parallels. Both require readiness to manage a crisis situation, where lives are at stake, at a moment's notice and with incomplete information. The determinants of quality performance in both professions extend far beyond knowledge base and formal training. The science of human factors, a prominent cornerstone of the aviation industry, has not yet found the same place in medicine, but it could change the understanding and execution of medical decision-making in profound ways. This article reviews specific components of crisis management and root cause analysis in aviation that can serve as models for improving those same aspects within anesthesiology.
尽管航空活动在飞机上进行，麻醉学实践在手术室开展，但这两个职业有很多相似之处。两者都需要随时准备好在生命受到威胁的危机情况下，在接到通知的瞬间且信息不完整时进行应对。这两个职业中优质表现的决定因素远远超出了知识基础和正规培训的范畴。人为因素科学是航空业的一个重要基石，但在医学领域尚未占据同样的地位，不过它可能会深刻改变对医疗决策的理解和执行方式。本文回顾了航空领域危机管理和根本原因分析的具体组成部分，这些可作为改进麻醉学领域相同方面的范例。
