PPRuNe Forums - View Single Post - Debris Found in Undelivered 737MAx FUEL TANKS
Old 19th Feb 2020, 15:21
  #20 (permalink)  
Join Date: Apr 2018
Location: Sudbury, Suffolk
Posts: 169
Originally Posted by V12 View Post
Just as in the med/surgical world: none of us would take too kindly for the scalpel to be left inside after the op. In the past, the medical world has benefited from aviation's practice of confidential reporting. Time for the aviation world to learn from the medical one. Given the potential seriousness of the most minor error, one wonders that any management who didn't enforce accountability of tools, and thorough disposal of FOD, should be able to stay in post. A raft of senior sackings would perhaps go a long way to sorting the problem.
Not at all clear that the world of surgery has this issue locked down. Wikipedia (I know, I know) reports that
According to the U.S. Department of Health and Human Services, [the rate of leaving FOD in patients] is anywhere between 1 in 100 to 1 in 5000.[1] However a study done in 2008 reported to the Annals of Surgery that mistakes in tool and sponge counts happened in 12.5% of surgeries.[8] Additionally, the Patient Safety Monitor Alert, announced in 2003 that 1,500 tools were stitched into patients each year.[9] Khaled Sakhel, part of the Department of Obstetrics and Gynecology at the Eastern Virginia Medical School, reported that it is expected to occur at least once “in every 1,000–1,500”[6] stomach surgeries.
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