Are you surgically current? Lessons from aviation for returning to non-urgent surgery following COVID-19

Hardie, J.A.; Brennan, Peter A.

doi:10.1016/j.bjoms.2020.06.012

Cited by 14 publications

(10 citation statements)

References 13 publications

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“…Airports are also extending the validity of airside driving permits, although at the time of writing owing to UK social distancing requirements, they cannot undertake new tests or perform revalidation checks. In terms of flight and cabin crew, there is substantial evidence that long layoffs in safety critical sectors such as medical surgery and aviation impact on an individual's skills and staff need to retain (or regain) professional ‘currency’ before resuming normal duties (see Hardie and Brennan, 2020 ). For pilots and cabin crew, high fidelity flightdeck and cabin simulators may be required to retain currency (see Budd and Adey, 2009 ).…”

Section: Findings and Discussionmentioning

confidence: 99%

Grounded aircraft: An airfield operations perspective of the challenges of resuming flights post COVID

Adrienne

Budd

Ison

2020

Journal of Air Transport Management

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The global COVID pandemic, national lockdowns and unprecedented decline in passenger demand worldwide has led to airlines cancelling services, furloughing staff, applying for financial support and placing aircraft into temporary storage. However, with finite space available, and up to two-thirds of the world's total passenger fleet grounded for an indeterminate period of time, airlines have been forced to park their aircraft in unusual places, sometimes at airports they do not normally serve and in volumes never normally experienced. The aim of this paper is to investigate the extent of grounded aircraft at UK airports and explore the challenges, from an airfield operations perspective, of resuming flights post-COVID.

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Section: Findings and Discussionmentioning

confidence: 99%

Grounded aircraft: An airfield operations perspective of the challenges of resuming flights post COVID

Adrienne

Budd

Ison

2020

Journal of Air Transport Management

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“…Similarly, surgeons returning to normal operating after the restrictions imposed by COVID-19 may have a valid licence to practice and be on the specialist register through GMC revalidation and appraisal, but may have lost ‘currency’. 11 …”

Section: Reduced ‘Currency’mentioning

confidence: 99%

“…A surgical skills currency barometer, adapted from general aviation (GA), prompts surgeons to reflect on their experience over the past 12 months to assess their currency when planning a return to complex non-urgent surgery. 11 Given skill fade over prolonged periods without adequate practice and rehearsal of skills, 10 the currency barometer is a useful reflective exercise that could help to highlight areas of currency deficit.…”

Section: Lessons From Aviation For ‘Getting Current’mentioning

confidence: 99%

Dual surgeon operating to improve patient safety

Ellis

Hardie

Summerton

et al. 2021

British Journal of Oral and Maxillofacial Surgery

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The COVID-19 pandemic resulted in an unprecedented reduction in the delivery of surgical services worldwide, especially in non-urgent, non-cancer procedures. A prolonged period without operating (or ‘layoff period’) can result in surgeons experiencing skill fade (both technical and non-technical) and a loss of confidence. While senior surgeons in the UK may be General Medical Council (GMC) validated and capable of performing a procedure, a loss of ‘currency’ may increase the risk of error and intraoperative patient harm, particularly if unexpected or adverse events are encountered. Dual surgeon operating may mitigate risks to patient safety as surgeons regain currency while returning to non-urgent operating and may also be beneficial after the greatly reduced activity observed during the COVID-19 pandemic for low-volume complex operations. In addition, it could be a useful tool for annual appraisal, sharing updated surgical techniques and helping team cohesion. This paper explores lessons from aviation, a leading industry in human factors principles, for regaining surgical skills currency. We discuss real and perceived barriers to dual surgeon operating including finance, training, substantial patient waiting lists, and intraoperative power dynamics.

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“…This is a challenge as while commercial air transport operations lend themselves well to high levels of regulation, they cannot be translated literally to healthcare, with its associated unknowns and variables (Hardie & Brennan, 2020). The world's community suggested different measures to stabilize the situation and ensure the possibility for its further differently directed development.…”

Section: Introductionmentioning

confidence: 99%

Legal technologies as instruments of civil aviation safety improvement in conditions of the fight against COVID-2019

Myronets

Olefir²,

Golosnichenko

et al. 2021

RDLUZ

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Purpose of the paper is to determine current issues and prospective directions of the legal technologies’ use for civil aviation safety improvement and future development under modern COVID-2019, post-pandemic challenges and conditions of the new world’s order. By using the dialectical method, the current conceptual framework and issues of the legal technologies as instruments of civil aviation safety improvement have been formulated. The formal-dogmatic method contributed to the development of the authors’ explanation of the current state, issues, challenges, and practical role of the legal technologies for the further improvement of civil aviation safety under the fight against COVID-2019. In the paper modern challenges to the legal technologies’ use for civil aviation safety improvement in pandemic and post-pandemic conditions have been analyzed. Prospects of the legal technologies’ effective implementation for the future civil aviation safety improvement in conditions of pandemic, post-pandemic and new world’s order have been suggested.

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Are you surgically current? Lessons from aviation for returning to non-urgent surgery following COVID-19

Cited by 14 publications

References 13 publications

Grounded aircraft: An airfield operations perspective of the challenges of resuming flights post COVID

Grounded aircraft: An airfield operations perspective of the challenges of resuming flights post COVID

Dual surgeon operating to improve patient safety

Legal technologies as instruments of civil aviation safety improvement in conditions of the fight against COVID-2019

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