Inpatient Safety On Board

Idea
History
In recent years, many large hospitals in the United States and in some European nations have begun to collaborate with pilots and other professionals in the aviation industry to study the possible application of some tools and techniques of air safety in working methods of health personnel (CRM training, incident reporting). The project, called "Inpatient Safety On Board" is born with the intent to prevent errors, and damage to the patient; transferring well-established methodology in aviation that has possible to reduce errors due to defects in communication and consolidate its leadership in the operating field. In line with the Recommendations of the Ministerial and the manual safety in the room operative, the initiative aims to transfer the principles the "Quality and Safety Management System" (QMS & SMS) and the "Human Factor" from the world of civil aviation in the context of health hospital.
Mission
ISOB's mission is to help improve the quality and safety of surgical services in health care organizations through the transfer of principles of 'Quality and Safety Management System' and the Human Factor from the world of civil aviation to healthcare realities. Through the export of a successful model from one sector to another, is expected to achieve in the long run, the same results as in aviation.
The ISOB Program at the Neurological Institute “C. Besta” is becoming more and more competitive and demanding, where an amateur attitude is considered unacceptable, in almost every aspect of any professional career. In this context, Neurosurgery may represent a paradigm of a high-risk and high-performance surgical specialty, where no room for improvisation is left, and where Patients constantly demand for better outcomes. Despite all efforts, 3% to 16% of all Patients still experience some unintentional harmful event during their hospital stay. Patient harm is most likely to happen in the operating room (O.R.), which ends up to be a not-so-safe environment for Patients.
Target
* Increase the quality and safety of surgical performance by developing special training programs for CRM and Safety Culture
* Reduce and prevent surgical errors through the use of tools such as checklists in the operating room revisited in aeronautical instruments detection / classification /tracking of adverse events
* Improve the economic performance of the company through: a) the reduction of postoperative complications in terms of morbidity and mortality; b) reducing the time of admission; c) the reduction of commitment nursing care; d) reducing the number of kings interventions
* Improve the quality of documentation tools in use through the integration of best practices in commercial air transport industry
Proposal
This project is the result of collaboration between Neurosurgery health professionals and a group of experts in the field of aviation safety management (including both military and civilian airplane pilots along with an astronaut). The goal is to promote both a basic “safety culture" and an advanced “Crew Resource Management”, which was adapted to the healthcare environment and switched into “Team Resource Management” (TRM).
ISOB offers a service that is structured on several levels:
- initial audit for the evaluation of the complexity of the structure present in critical areas
- activation of a training plan addressed to the critical area of health care by adopting a mixed approach both frontal and FAD divided on the issue of "safety culture"
- implemetazione of CRM (Crew Resource Management) declined for the medical team of critical care (surgery, resuscitation, first aid)
- activation of the Reporting System and the management panel

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