Sunday, March 8, 2009

Hudson River Plane Landing (US Airways 1549) Animation with Audio

The training and improved patient safety we want for Healthcare is often compared to the aerospace industry. A pilot can fly a route thousands of times and the surgeon can do the same operation thousands of times but when something goes wrong you need to fall back on checklists, protocols, standards in communication and calm thinking. This landing is SICK (in the good way my 14 year old says sick). The pilot's calm, crisp, clear communication gives me chills. I want surgeons to have the same training and protocols for surgery outcomes.


Kellie said...

Absolutely AMAZING!! The directions being discussed with the control tower about the emergency landing sounded like it was a normal situation.

I guess the surgeon's role is like the pilot and control tower communicationg with the surgical team and anesthesiologist, so the incision is made in the right part of the body,correct meds are given and instruments, sutures and sponges are accounted for as not to be left in. Like the two RN's cross matching and double checking right blood type of the patient wrist band, chart and label on the unit of blood that goes on before a needle of a unit of blood is inserted to be started for transfusion in a patient.

Lisa said...

I loved that...thanks for posting

ERP said...

Yeah, it is like when you are running a code on a young, healthy person (whose impending death is totally unexpected). You just (hopefully) go into cool ,calculated mode and not "holy f**ing sh**!" mode.

Anonymous said...

This is a great video and reenactment. I have played it several times. Hearing how they communicate with the air traffic control is an eye opener. No wasted words at all and such focus and calm. Thanks Dr. B.

Jonathan said...

As a patient, and (full disclosure) a non-professional pilot, I’m pleased to see the safety oriented, cockpit checklist being adopted for use in surgical settings, which you noted in your blog Surgical Checklist For Patient Safety .

The aviation model also offers another worthy facet: the post accident analysis by the NTSB to prevent further similar accidents. Everyone knows about the black box and cockpit voice recorder, but typically out of the public eye is the cross disciplinary analysis that covers “structures, systems, powerplants , human performance, fire and explosion, meteorology, radar data, event recorders, and witness statements, among others” (See the NTSB website).

In short, the NTSB represents a comprehensive, national center of excellence on accident analyses and prevention.

Given the medical profession’s adaptation of the checklist, I’m wondering if the profession has an analogous national authority and process for the investigation, analysis, and recommendations on the prevention of medical errors.

Lastly, the results of an NTSB investigation report are available on their website, that is the information is public. In a similar vein, I think we’d all benefit by knowing how medical safety procedures and its feedback mechanisms work. Knowledge such as, for example, whether Hospital A has incorporated Recommendation 12 into their safety protocol would be useful. After all, we’re being asked as healthcare consumers to make more and more choices about physicians, procedures, hospitals and medications, and yet we really have precious little information on which to base our decisions, which is to say how we vote with our dollars.

Toni Brayer MD said...

Jonathan: You have really brought up a number of interesting aspects of health care safety. First of all, yes there is a protocol called Root Cause Analysis (RCA0 that is undertaken after every serious mistake, usually within 24 hours and it is very comprehensive with changes instituted to prevent further errors. But our industry is way behind the aerospace industry in transparency and sharing of opportunities for improvement (aka: errors). There are some websites ( and Medicare websites that show some hospital outcomes for certain things like heart attack or mortality but they are difficult to navigate and they don't really tell you how safe a doctor or hospital is.
We have a long way to go but I am happy to say the quality and safety movement is sweeping the country and the internet will play a big role in shining the light on unsafe practices.

Jonathan said...

Dr. Brayer: A belated thanks for your reply. I'm busy reading about RCA.