It concludes by looking at some of the broader issues associated with the management of CRM. The book's readership includes those who design, deliver or manage CRM and safety-related training within airlines and other companies.
Author: Norman MacLeod
Building Safe Systems in Aviation provides a single source for those who need to progress beyond current models of Crew Resource Management (CRM) to developing safe systems in critical industries. Although the primary focus is on airline pilots, the principles apply to all sectors of aviation, particularly maintenance and cabin crew, as well as other high-risk industries. It systematically sets out the context of CRM and safe systems, the conduct of training, the resources needed by the facilitator and the processes required for the measurement of outcomes. Part One reviews the development of the human factors/CRM domain and examines the concepts of risk and safety. Part Two, primarily for new instructors, gives a guide to training delivery and also considers non-classroom situations, the role of debriefing, facilitation and the design of human factors courses. Part Three examines the measurement of training effectiveness, the design and implementation of behavioural markers and standardizing assessors. It concludes by looking at some of the broader issues associated with the management of CRM. The book's readership includes those who design, deliver or manage CRM and safety-related training within airlines and other companies.
Innovation and Consolidation in Aviation. Aldershot: Ashgate. KLM (1996)
Feedback and Appraisal System. Amsterdam: KLM Internal Paper. Macleod, N. (
2005) Building Safe Systems in Aviation. A CRM Developer's Handbook.
Author: Rhona Flin
Publisher: CRC Press
Many 21st century operations are characterised by teams of workers dealing with significant risks and complex technology, in competitive, commercially-driven environments. Informed managers in such sectors have realised the necessity of understanding the human dimension to their operations if they hope to improve production and safety performance. While organisational safety culture is a key determinant of workplace safety, it is also essential to focus on the non-technical skills of the system operators based at the 'sharp end' of the organisation. These skills are the cognitive and social skills required for efficient and safe operations, often termed Crew Resource Management (CRM) skills. In industries such as civil aviation, it has long been appreciated that the majority of accidents could have been prevented if better non-technical skills had been demonstrated by personnel operating and maintaining the system. As a result, the aviation industry has pioneered the development of CRM training. Many other organisations are now introducing non-technical skills training, most notably within the healthcare sector. Safety at the Sharp End is a general guide to the theory and practice of non-technical skills for safety. It covers the identification, training and evaluation of non-technical skills and has been written for use by individuals who are studying or training these skills on CRM and other safety or human factors courses. The material is also suitable for undergraduate and post-experience students studying human factors or industrial safety programmes.
The aviation industry has focused on building safe systems since World War II. It
has succeeded in turning a formerly hazardous activity into an extremely safe
experience, something that healthcare has often not achieved. Risk management
Author: Stephen J. Mayall
Therapeutic risk management of medicines is an authoritative and practical guide on developing, implementing and evaluating risk management plans for medicines globally. It explains how to assess risks and benefit-risk balance, design and roll out risk minimisation and pharmacovigilance activities, and interact effectively with key stakeholders. A more systematic approach for managing the risks of medicines arose following a number of high-profile drug safety incidents and a need for better access to effective but potentially risky treatments. Regulatory requirements have evolved rapidly over the past decade. Risk management plans (RMPs) are mandatory for new medicinal products in the EU and a Risk Evaluation and Mitigation Strategy (REMS) is needed for certain drugs in the US. This book is an easy-to-read resource that complements current regulatory guidance, by exploring key areas and practical implications in greater detail. It is structured into chapters encompassing a background to therapeutic risk management, strategies for developing RMPs, implementation of RMPs, and the continuing evolution of the risk management field.The topic is of critical importance not only to the pharmaceutical and biotechnology industries, but also regulators and healthcare policymakers.Some chapters feature contributions from selected industry experts. An up-to-date practical guide on conceiving, designing, and implementing global therapeutic risk management plans for medicines A number of useful frameworks are presented which add impact to RMPs (Risk Management Plans), together with regional specific information (European Union, United States, and Japan) A comprehensive guide for performing risk management more effectively throughout a product’s life-cycle
Building a Safer Health System Institute of Medicine, Committee on Quality of
Health Care in America Molla S. ... The next section describes how attention to
safety issues has been applied in two areas: aviation and occupational health.
Author: Institute of Medicine
Publisher: National Academies Press
Experts estimate that as many as 98,000 people die in any given year from medical errors that occur in hospitals. That's more than die from motor vehicle accidents, breast cancer, or AIDS--three causes that receive far more public attention. Indeed, more people die annually from medication errors than from workplace injuries. Add the financial cost to the human tragedy, and medical error easily rises to the top ranks of urgent, widespread public problems. To Err Is Human breaks the silence that has surrounded medical errors and their consequence--but not by pointing fingers at caring health care professionals who make honest mistakes. After all, to err is human. Instead, this book sets forth a national agenda--with state and local implications--for reducing medical errors and improving patient safety through the design of a safer health system. This volume reveals the often startling statistics of medical error and the disparity between the incidence of error and public perception of it, given many patients' expectations that the medical profession always performs perfectly. A careful examination is made of how the surrounding forces of legislation, regulation, and market activity influence the quality of care provided by health care organizations and then looks at their handling of medical mistakes. Using a detailed case study, the book reviews the current understanding of why these mistakes happen. A key theme is that legitimate liability concerns discourage reporting of errors--which begs the question, "How can we learn from our mistakes?" Balancing regulatory versus market-based initiatives and public versus private efforts, the Institute of Medicine presents wide-ranging recommendations for improving patient safety, in the areas of leadership, improved data collection and analysis, and development of effective systems at the level of direct patient care. To Err Is Human asserts that the problem is not bad people in health care--it is that good people are working in bad systems that need to be made safer. Comprehensive and straightforward, this book offers a clear prescription for raising the level of patient safety in American health care. It also explains how patients themselves can influence the quality of care that they receive once they check into the hospital. This book will be vitally important to federal, state, and local health policy makers and regulators, health professional licensing officials, hospital administrators, medical educators and students, health caregivers, health journalists, patient advocates--as well as patients themselves. First in a series of publications from the Quality of Health Care in America, a project initiated by the Institute of Medicine
The NRC Workshop on Aviation Fuels with Improved Fire Safety was held on
November 19 and 20, 1996, ... Topics included fuel chemistry and rheology, new
fuel additives, airframe and fuel system design, post-crash fuel dispersal, and
modeling postcrash scenarios. ... Because the flash point temperature for home
heating oil must be at least 120°F to meet local building safety codes (Blake,
1982), the ...
Author: National Research Council
Publisher: National Academies Press
The reduction of the fire hazard of fuel is critical to improving survivability in impact-survivable aircraft accidents. Despite current fire prevention and mitigation approaches, fuel flammability can overwhelm post-crash fire scenarios. The Workshop on Aviation Fuels with Improved Fire Safety was held November 19-20, 1996 to review the current state of development, technological needs, and promising technology for the future development of aviation fuels that are most resistant to ignition during a crash. This book contains a summary of workshop discussions and 11 presented papers in the areas of fuel and additive technologies, aircraft fuel system requirements, and the characterization of fuel fires.
systems which would make a worthwhile improvement in safety would be
prevented or unduly delayed . aircraft . ... have been developed from many years
of experience of incidents and accidents is a major factor in building safe systems
Author: PEP (Professional Engineering Publishers)
Based on papers presented at a meeting organized by the Engineering Manufacturing Industries Division of the Institution of Mechanical Engineers in association with the Hazards Forum, this book looks at various strategies for the management of safety. Some of the topics looked at include the impetus from legislation, the community's contribution as regards safety and health in the context of completion of the internal market - the social point of view, assessment of a company for safety and minimization of losses, quality risk and safety, the role of human factors and safety culture in safety management, managing professionally and company strategy for the management of safety.
The most notable are the Institute of Medicine (IOM) reports, To Err Is Human:
Building a Safer Healthcare System1 and ... safe than other industries and the
risk of dying in the health care system is much greater than dying in an airline
Author: Cheryl Jones
Publisher: Elsevier Health Sciences
Covering the financial topics all nurse managers need to know and use, this book explains how financial management fits into the healthcare organization. Topics include accounting principles, cost analysis, planning and control management of the organization's financial resources, and the use of management tools. In addition to current issues, this edition also addresses future directions in financial management. Nursing-focused content thoroughly describes health care finance and accounting from the nurse manager’s point of view. Numerous worksheets and tables including healthcare spreadsheets, budgets, and calculations illustrate numerous financial and accounting methods. Chapter opener features include learning objectives and an overview of chapter content to help you organize and summarize your notes. Key concepts definitions found at the end of each chapter help summarize your understanding of chapter content. Suggested Readings found at the end of each chapter give additional reading and research opportunities. NEW! Major revision of chapter 2 (The Health Care Environment), with additions on healthcare reform, initiatives to stop paying for hospital or provider errors, hospice payment, and funding for nursing education; plus updates of health care expenditure and pay for performance; provide a strong start to this new edition. NEW! Major revision of chapter 5 (Quality, Costs, and Financing), with updates to quality-financing, Magnet organizations, and access to care, provides the most up-to-date information possible. NEW! Reorganization and expansion of content in chapter 15 (Performance Budgeting) with updated examples better illustrates how performance budgeting could be used in a pay-for-performance environment. NEW! Major revision of the variance analysis discussion in chapter 16 (Controlling Operating Results) offers a different approach for computation of variances that is easier to understand. NEW! Addition of comparative effectiveness research to chapter 18 (Benchmarking, Productivity, and Cost Benefit and Cost Effectiveness Analysis) covers a recently developed approach informs health-care decisions by providing evidence on the effectiveness of different treatment options. NEW! Addition of nursing intensity weights, another approach for costing nursing services, to chapter 9 (Determining Health Care Costs and Prices), lets you make decisions about what method works best for you.
J. Bryan Sexton and Eric J. Thomas University of Texas Center of Excellence for
Patient Safety Research and Practice and ... As climate researchers in quality of
care, our task is to identify (with methodological rigor) the systems and cultural
influences that affect the safe delivery of care. ... in commercial aviation, the Flight
Management Attitudes Questionnaire (FMAQ) (Helmreich et al., 1993; Merritt,
Author: Institute of Medicine
Publisher: National Academies Press
In a joint effort between the National Academy of Engineering and the Institute of Medicine, this books attempts to bridge the knowledge/awareness divide separating health care professionals from their potential partners in systems engineering and related disciplines. The goal of this partnership is to transform the U.S. health care sector from an underperforming conglomerate of independent entities (individual practitioners, small group practices, clinics, hospitals, pharmacies, community health centers et. al.) into a high performance "system" in which every participating unit recognizes its dependence and influence on every other unit. By providing both a framework and action plan for a systems approach to health care delivery based on a partnership between engineers and health care professionals, Building a Better Delivery System describes opportunities and challenges to harness the power of systems-engineering tools, information technologies and complementary knowledge in social sciences, cognitive sciences and business/management to advance the U.S. health care system.
Aircraft, Hangars, Fixed-Base Operations, Flight Schools, and Airports Ph.D,
Daniel J. Benny ... Integrated Fire Protection Sensors Almost all protection
systems now include intrusion detection and fire safety in one integrated system.
The fire ... The pull station will activate the audible and visual strobe fire
protection enunciators in the building and notify the central station or emergency
dispatch for the fire ...
Author: Ph.D, Daniel J. Benny
Publisher: CRC Press
After 9/11, the initial focus from the U.S. government, media, and the public was on security at commercial airports and aboard commercial airlines. Soon, investigation revealed the hijackers had trained at flight schools operating out of general aviation airports, leading to a huge outcry by the media and within the government to mandate security
The publication of the Institute of Medicine's To Err is Human: Building a Safer
Health System in 1993 has made QA in ... The Air Safety Reporting System (
ASRS) is a national error-reporting system in which the Commercial Aviation
Author: Charles M. Washington
Publisher: Elsevier Health Sciences
The only radiation therapy text written by radiation therapists, Principles and Practice of Radiation Therapy, 4th Edition helps you understand cancer management and improve clinical techniques for delivering doses of radiation. A problem-based approach makes it easy to apply principles to treatment planning and delivery. New to this edition are updates on current equipment, procedures, and treatment planning. Written by radiation therapy experts Charles Washington and Dennis Leaver, this comprehensive text will be useful throughout your radiation therapy courses and beyond. Comprehensive coverage of radiation therapy includes a clear introduction and overview plus complete information on physics, simulation, and treatment planning. Spotlights and shaded boxes identify the most important concepts. End-of-chapter questions provide a useful review. Chapter objectives, key terms, outlines, and summaries make it easier to prioritize, understand, and retain key information. Key terms are bolded and defined at first mention in the text, and included in the glossary for easy reference. UPDATED chemotherapy section, expansion of What Causes Cancer, and inclusions of additional cancer biology terms and principles provide the essential information needed for clinical success. UPDATED coverage of post-image manipulation techniques includes new material on Cone beam utilization, MR imaging, image guided therapy, and kV imaging. NEW section on radiation safety and misadministration of treatment beams addresses the most up-to-date practice requirements. Content updates also include new ASRT Practice Standards and AHA Patient Care Partnership Standards, keeping you current with practice requirements. UPDATED full-color insert is expanded to 32 pages, and displays images from newer modalities.