Article Text

Safety in the endoscopy suite: lessons from the aviation industry
  1. Jonathan L Brown
  1. Correspondence to Prof Jonathon L Brown, (Instrument rated private pilot) Director of Gastroenterology, Gloucestershire Hospitals NHS Trust, Gloucester GL1 3NN, UK, and Cranfield Health, Cranfield University, Bedfordshire MK43 0AL, UK; jonathan.brown{at}

Statistics from

Human error is inevitable. Although society's sense of justice is satisfied by counselling, retraining, suspending or dismissing defective perpetrators and compensating victims, healthcare professionals have been slow to adopt alternative strategies to address iatrogenic morbidity and mortality. In recent years, the concept that human factor techniques validated in the aviation industry may be relevant to medicine has gained some momentum1 2 3. In this issue of the journal, Dr Gordon reminds us that 75% of aviation accidents have human error as a co-factor with poor interpersonal communication, decision making and leadership as major themes. She explains why standard operating procedures, crew resource management, incentivised no-fault reporting and the confidential human factors incident reporting programme have become an integral part of pilot training and how the concepts could be applied to the National Health Service.

Implementation of the WHO surgical safety checklist …

View Full Text

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.