I have long been interested in this topic. Here in the states, I know of a few firms that are trying to institute SMS’s into the medical field using proven aviation safety programs.
I have more than a passing interest in this subject. I recently entered a hospital after a fall off my bike for a hip replacement. I was put in a virtual coma for 12 days due to prescription drug interactions. I obtained my full medical record and was appalled at the lack of procedure, oversight, etc., that we have all become accustomed to in the aviation world.
Climb into the cockpit of (for example) a B-757 anywhere in the free world, and it will be operated in essentially the same manner.
At least in the U.S., enter a hospital, and you have entered the world of fiefdoms. Every one has different procedures, protocols, and quality of care.
Safety is cost effective in aviation....it would be in medicine also.