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On Dec 15, 7:50 pm, Tom Gardner wrote:
On Dec 14, 3:52 pm, jeplane wrote: Well, I'll be the one who didn't get it. This article is about intensive care, and how in modern times, medicine does wonders. But what does that has to do with soaring? I think the parallels for 1,2,3 (below) between hospitals and gliding are obvious. 1) experienced, highly skilled, and highly self confident people 2) those people doing similar (but slightly different) tasks over and over again 3) unnecessarily high Bad Things happening After... a) introducing *multiple* checklists, one for each task b) providing an atmosphere in which *everybody* *checked* the highly skilled people followed the checklists every time c) actually following the checklists ...Bad Things almost completely stopped happening Overall, it was a well written article, unfortunately spread over 8 pages One of the key things seemed to be empowering the nurses to prompt the doctors where necessary - they often knew the doctors were not following the procedure but for various reasons didn't intervene. (In fact I read it that they ended up with a 'checklist' nurse who checked it all on a clipboard as the procedure was executed) The same occurs on the flight deck - there have been accidents with commercial traffic where the FO has realised something is wrong and either not told the PIC or been overruled. The same attitude of humility is needed there, and of course in a 2-seat glider. |
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I spoke to a doctor who recently attended a medical seminar during which
cockpit communications between pilot/copilot/engineer were used to demonstrate the hazards of misused terminology and too much deference to authority during incidents and accidents. "Cats" wrote in message ... On Dec 15, 7:50 pm, Tom Gardner wrote: On Dec 14, 3:52 pm, jeplane wrote: Well, I'll be the one who didn't get it. This article is about intensive care, and how in modern times, medicine does wonders. But what does that has to do with soaring? I think the parallels for 1,2,3 (below) between hospitals and gliding are obvious. 1) experienced, highly skilled, and highly self confident people 2) those people doing similar (but slightly different) tasks over and over again 3) unnecessarily high Bad Things happening After... a) introducing *multiple* checklists, one for each task b) providing an atmosphere in which *everybody* *checked* the highly skilled people followed the checklists every time c) actually following the checklists ...Bad Things almost completely stopped happening Overall, it was a well written article, unfortunately spread over 8 pages One of the key things seemed to be empowering the nurses to prompt the doctors where necessary - they often knew the doctors were not following the procedure but for various reasons didn't intervene. (In fact I read it that they ended up with a 'checklist' nurse who checked it all on a clipboard as the procedure was executed) The same occurs on the flight deck - there have been accidents with commercial traffic where the FO has realised something is wrong and either not told the PIC or been overruled. The same attitude of humility is needed there, and of course in a 2-seat glider. |
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On Dec 16, 9:00 am, Cats wrote:
One of the key things seemed to be empowering the nurses to prompt the doctors where necessary - they often knew the doctors were not following the procedure but for various reasons didn't intervene. (In fact I read it that they ended up with a 'checklist' nurse who checked it all on a clipboard as the procedure was executed) Yes, exactly. The same occurs on the flight deck - there have been accidents with commercial traffic where the FO has realised something is wrong and either not told the PIC or been overruled. A famous such crash occurred near to me - the PapaIndia Trident crash at Staines. Cause was overbearing P1 that was subtly incapacitated by a heart attack; P1 overruled the P2 and the Trident entered a deep stall. |
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