Intended for healthcare professionals

Letters Healthcare and the aviation industry

Safety investigation practices can be adapted from aviation for use in healthcare

BMJ 2018; 361 doi: (Published 29 June 2018) Cite this as: BMJ 2018;361:k2822
  1. Kevin Stewart, medical director,
  2. Carl Macrae, associate director of research and evaluation,
  3. Nick Toff, principle national clinical investigator
  1. Healthcare Safety Investigation Branch, Farnborough GU14 0LE, UK
  1. kevin.stewart{at}

Oliver is right about healthcare being different from aviation1; it is also different from firefighting, deep sea fishing, oil exploration, and every other high risk industry. Attempts to implement safety practices from other industries are often naive, failing to appreciate the need to adapt to the very different context of healthcare. Moreover, one safety model will not fit all of healthcare …

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