We were able to improve our vulnerable processes by translating good practice found in two industries – aviation and motor racing – into healthcare. We were able to do this by taking into account the subtle complexities of healthcare and developing a solution upon multiple dimensions, rather than a single one, while sensitively involving all the major stakeholders in the implementation of change, and conducting a detailed evaluation to show that it worked. Change in healthcare is not easy, as safety improvements are constantly threatened by organisational and financial pressures to be more efficient; however, accepting things as they are and failing to learn from mistakes is something that should not be excused. Whether that inspiration comes from fast cars or jet aircraft, it is essential for the future of healthcare.

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