Dr. Adam Shehata (former professional pilot turned physician) and Dr. Amir Hamid (anesthetist and emergency medicine physician) discuss how to improve our healthcare system by integrating human factors into systems safety, including medical incident investigation and proactive safety measures.
Ep 14 - Assessing CRM in Aviation with Capt. Mike Schuster
Send us Fan Mail Show Notes CRM definitions (From TC Approved Check Pilot Manual): Situational Awareness: an ability to accurately perceive what is taking place inside and outside the aircraftSystem AwarenessEnvironmental AwarenessAwareness of time and anticipation of future eventsCooperationTeam building and maintainingConsideration of othersSupport of othersResolving conflictsDecision MakingProblem diagnosisOption generationRisk assessmentOption selectionOutcome reviewLeadership and M...
27 Sept 2026
Ep 13 - The NCEPOD with Dr. Marisa Mason
Send us Fan Mail Show Notes The National Confidential Enquiry into Patient Outcome and Death (NCEPOD) is an independent UK charity and company that started in 1988 that reviews medical and surgical care in the UK to improve care for patients Started with anesthetists focused on post-operative outcomes, in response to post operative deaths eventually adopted by surgeons, and finally into all medical practices Periodically release reports on key topics related to quality of careConsis...
13 Sept 2026
Ep 12 - The NCEPOD Common Themes 2024 Report
Send us Fan Mail Show Notes The National Confidential Enquiry into Patient Outcomes and Death (NCEPOD) - Common Themes 2024 ReportThe NCEPOD Common Themes Report was first published in 2018 as a “living report” of key topics to be discussed in the care of hospital patients. It was subsequently updated in 2024 to the current edition with a stronger focus on communication, transition planning, and follow-up. Common Thread: health care often does not fail due to technical proficiency, rath...
6 Sept 2026
Ep 11 - Colon Cancer Screening Systemic Risks with the SGFP
Send us Fan Mail Show notes Colon Cancer ScreeningColon cancer screening is conducted in Ontario with the Fecal Immunochemical Test (FIT). The test detects microscopic blood in the stool.An abnormal FIT leads to a colonoscopy which can detect colon cancer or polyps before they turn into cancer.Screening testsA screening test is used to test populations that are at average risk for a disease. It is difficult to design a screening test, because they have criteria.A good screening test targets a...
30 Aug 2026
Ep 10 - The HSSIB with CEO Dr. Rosie Benneyworth
Send us Fan Mail Show notes The Health Services Safety Investigations Body (HSSIB) investigates patient safety concerns in the UK. They are an independent body with the aim of making healthcare safer.Excellent care is one goal, but well-connected and easy to navigate care is an entirely different matter.In the current healthcare system, it is practitioners that are keeping people safe by filling in the cracks in the system, rather than the system helping to make it easy for practitioners to g...
16 Aug 2026
Ep 9 - HSSIB Retained Sponges Report - Part II
Send us Fan Mail Show notes Risk management principles: Key elements of risk managementIdentifying hazards, or risk identificationThese are the things that could cause harm or problemsassessing the riskThe likelihood of a hazard causing harmPutting in place controls or making a decisionImplementation of solutions that lead to risk reduction or preventionDocumenting the management decisionsA recording of the findings and outcomes of your intervention; if you don’t measure it, it doesn't matter...
2 Aug 2026
Ep 8 - HSSIB Retained Sponges Report - Part I
Send us Fan Mail Show notes The reference event: Helen’s CABGHelen had heart surgery (CABG x3 “triple bypass open heart surgery”).The day after the procedure, Helen had trouble breathing and a Chest X-Ray (CXR) taken for another reason, identified a retained sponge.She was taken back to the OR and had the sponge removed. As she was quite unstable, the decision was made not to X-ray her in the OR and to close her chest and stabilize her. At 7:30 pm, a CXR identified a second sponge in the same...
19 Jul 2026
Ep 7 - "A Life in Error" - Remembering Professor James Reason
Show notes Errors occur when a planned sequence of events fails to achieve its goal without an element of chance.Slips and lapses are absentmindedness.Trips and fumbles are maladroitness.Mistakes involve higher order cognitionMain classification of errors:Skill-based slipsRule-based mistakesKnowledge-based mistakesExamples of skill-based slips: putting cat food in the teapot, getting into the bath with your socks on, trying to open a door with the wrong key.Examples of rule-based mistakes: pr...
5 Jul 2026
Ep 6 - Patient Safety with Captain Martin Bromiley
Show notes Elaine BromileyHealthy 37 year old woman for elective sinus surgery in the UK in 2005Can’t Intubate Can’t OxygenateExperienced anesthesiologist + another who joined when help was called for + a head and neck surgeon in the room + experienced OR nursesElaine’s oxygenation fell and the team could not get oxygen to her through intubation, face mask ventilation, or by using a laryngeal mask airway (LMA or rescue airway device)Several minutes went by, meanwhile a nurse brought in a cric...
21 Jun 2026
Ep 5 - Simulation in Medicine with Dr. Jesse Guscott
Show notes How to make simulation effectiveAlthough equipment is expensive and may seem like a barrier to establishing a simulation program, the emphasis of a simulation focused on CRM principles should be communication and having skilled debriefers who can facilitate skills developmentUsing simulation to have someone experience a crisis and reflecting on why things didn’t go well, with the help of a skilled debriefer/facilitator is key in identifying systems we can put in place to mitigate t...
14 Jun 2026
Ep 4 - Escalating Language of Concern with Dr. Katie Lin
What is Crisis Resource Management (CRM)?It is a set of skills that helps improve team performance through communication, leadership, and interpersonal skills.It can help build a common language and shortcuts so that even people that have not worked together before can work well together. Used well, it can improve efficiency.While it is more formalized in other industries (aviation, military), it exists in medicine and has existed for some time, but is more practitioner-dependent.Order of pri...
3 Jun 2026
Ep 3 - CRM with Captain Mike Schuster
Aspects of CRMMaking a welcoming environment, so that others feel they can speak upCRM is not about being perfect. It’s about identifying and mitigating the times of increased risk of making mistakes and identifying why a particular mistake was made.The perceived tension between performance and “soft skills” (CRM)Some people view these non-technical skills as costing time and money and not contributing to patient safety or as detracting from efficiency. The reality is that good CRM skills mak...
20 May 2026
Ep 2 - Aviation Parallels to the Elaine Bromiley Case
In this episode Amir and Adam discuss three aviation accidents that parallel the Elaine Bromiley case. Human factors in medicine: As Captain Bromiley put it, this was not an individual failure. It was a system failure. It was a failure of human performance. In aviation, 75% of airline accidents are due to human factors rather than mechanical failure. Eastern Airlines Flight 401 (1972)Fixation-induced loss of situational awareness.Troubleshooting a landing gear light indicator problem in ...
7 May 2026
Ep 1 - The Elaine Bromiley Case
Welcome to the Medical Safety Podcast where we aim to improve the safety of our healthcare system through the integration of human factors into medical incident investigation and proactive safety measures. This podcast is hosted by two Canadian anesthetists, Drs. Adam Shehata and Amir Hamid. In the inaugural episode, we take a look at the 2005 death of Elaine Bromiley and the lessons learned from it. Elaine Bromiley Healthy 37 year old woman for elective sinus surgery in the UK in 2005Can’t I...
Reach and audience
Public platform figures. Ratings count people who left a rating, not total listeners.
Apple Podcasts (US)
5.0 / 5
1 ratings
Spotify
5.0 / 5
9 ratings
Contact Medical Safety Podcast
Guest appearances
Books guests
Based on episode analysis; this does not confirm that the show is currently accepting guests.
Pod Engine is an independent podcast discovery and analytics service and is not affiliated with or endorsed by this podcast. Artwork and show content belong to their owners. Full legal notice.
Explore this show Podcast research with Pod Engine
