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Pilot behaviors in the face of adverse weather: A new look at an old problem.

INTRODUCTION: Weather-related general aviation accidents remain one of the most significant causes for concern in aviation safety. Previous studies have typically compared accident and non-accident cases. In contrast, the current study does not concentrate on occurrence outcome. Instead, the emphasis is on the different behaviors that pilots exhibit in the face of adverse weather and, by inference, on the decision-making processes that underlie those behaviors. METHODS: This study compares three weather-related behaviors that reflect different levels of risk: visual flight rules flight into instrument meteorological conditions ('VFR into IMC'); precautionary landing; and other significant weather avoidance actions. Occurrence data (n=491) were drawn from the Australian Transport Safety Bureau database of aviation occurrences, and included weather-related accidents, incidents, and 'normal operationsd.' RESULTS: There were few significant differences between the three weather-related behavior groups in terms of pilot demographics, aircraft characteristics, geographic or environmental factors, or absolute flight distances. The pattern of relative flight distances (a psychological construct) was markedly different for the three groups, with pilots in the weather avoidance group being distinguished by taking timely action. DISCUSSION: The relative distance results suggest that the mid-point of the flight can be a 'psychological turning point' for pilots, irrespective of the absolute flight distance involved. Hence, pilots' behavior was sometimes influenced by psychological factors not related to any particular operational aspect of the flight. The results of the weather avoidance group indicate that a safe pilot is a proactive pilot. Dealing with adverse weather is not a one-off decision but a continually evolving process. This aspect is discussed in terms of the concept of 'mindfulness'.

Accidents, Aviation↗

Retrospective and prospective validity of aircraft accident risk indicators.

Data from a national survey of pilots were used to examine the validity of measures for the prediction of aviation accidents that had occurred prior to the survey (retrospective analysis) and accidents that occurred after the survey (prospective analysis). Separate retrospective and prospective analyses were conducted, and 45 measures from the survey were found to be associated significantly with accident involvement in the retrospective analysis. However, only 13 of those 45 measures achieved significance in the prospective analysis. Most of the measures found to be significantly related to accident involvement concerned aviation exposure; the remaining measures related to pilots' perceived and actual level of caution. The study is unique in its use of a cohort design for the examination of aircraft accident risk prospectively, and the results suggest the need for caution in the interpretation of retrospective analyses in this research domain. Actual or potential applications of this research include the design of aviation safety programs and the design or interpretation of studies that address indicators of aircraft accident risk.

Accidents, Aviation↗

Aviators at risk.

Human error has been found to cause or contribute to most aviation accidents. Excess emotional stress may have an adverse effect on pilot performance and is known to increase the risk of an aircraft mishap. Family problems, social stressors, career instability, worry, aircraft accidents, and difficult flight schedules are a few of the many potential sources of emotional stress in aviation. Pilots who fail at stress coping may become depressed or even self-destructive. They may externalize their feelings, act out, or blame others for their misfortunes. The aviator at risk may demonstrate "warning signs" such as defensiveness, arrogance, hostility, financial irresponsibility, excesses in routine habits, fatigue, deteriorating pilot performance, or increased risk taking. The aeromedical practitioner's role is to educate aircrew members and help them understand stress and its effect on pilot performance. The time may come when an aviator is confronted by multiple stressors, and inadequate stress coping or failure on the part of the aviation community to recognize the "warning signs" may have disastrous results.

Accidents, Aviation↗

[Training with a simulator--experiences in space flight].

High technology and automation have not been able to significantly improve flight safety within the last two decades. The main cause of aviation accidents was and is human error. Therefore, the most powerful tools to reduce risks in aviation deal with the human operator on the flight deck. Pilot selection, training and teamwork are of the utmost importance. The simulator is a valuable training aid. Simulation provides realistic scenarios that can be used to train optimal pilot behavior in emergency situations. Many complex abnormal situations can be only managed in teamwork. That is the reason why training programmes for improved team behavior (crew resource management) are becoming more and more important.

Accidents, Aviation↗

Pilot-error accidents: male vs female.

In this study, general aviation accident records from the files of the National Transportation Safety Board (NTSB), have been analysed by gender to observe the number and rate of pilot-error related accidents from 1972 to 1981 inclusive. If both females and males have no difference in performance, then data would have indicated similarities of accident rates and types of injuries. Males had a higher rate of accidents than females, and a higher portion of the male accidents resulted in fatalities or serious injuries than for females. Type of certificate, age, total flight time, flight time in type of aircraft, phase of operation, category of flying, degree of injury, specific cause factors, cause factor miscellaneous acts/conditions were analysed, taking the total number of United States Active Civilian General Aviation Pilots into consideration. The data did indicate a difference in all variables.

Journal Article↗

Pilot error and its relationship with higher organizational levels: HFACS analysis of 523 accidents.

INTRODUCTION: Based on Reason's model of human error, the Human Factors Analysis and Classification System (HFACS) was developed as an analytical framework for the investigation of the role of human error in aviation accidents. However, there is little empirical work that formally describes numerically the relationship between the levels and components in the model (the organizational structures, psychological precursors of errors, and actual errors). METHOD: This research analyzed 523 accidents in the Republic of China (ROC) Air Force between 1978 and 2002 through the application of the HFACS framework. RESULTS: The results revealed several key relationships between errors at the operational level and organizational inadequacies at both the immediately adjacent level (preconditions for unsafe acts) and higher levels in the organization (unsafe supervision and organizational influences). CONCLUSIONS: This research lends support to Reason's model that suggests that active failures are promoted by latent conditions in the organization. Fallible decisions in upper command levels were found to directly affect supervisory practices, thereby creating preconditions for unsafe acts, and hence indirectly impaired performance of pilots, leading to accidents. The HFACS framework was proven to be a useful tool for guiding accident investigations and developing accident prevention strategies.

Accidents, Aviation↗

Dental identification problems in the Abu Dhabi air accident.

The forensic odontological examination of 112 victims in the 1983 air accident near Abu Dhabi is described with particular reference to the problems encountered in the age assessment of the 26 children, and serves to illustrate that dental identification in aviation accidents may be of only limited application in Asian victims. Following this accident, other means of identification had misguidedly been removed by the recovery teams. Of those identified, half were by dental means alone, but this amounted to only 6.24% of the total number of victims.

Accidents, Aviation↗

After the fire-ball.

A hypothetical aircraft accident scenario is described in which the pilot survives but some of the passengers are fatally injured. Information is provided on the acute situational anxiety that may occur in aircrew after any aviation accident, especially one in which lives are lost. A course of action is discussed which encourages early recognition and treatment of the potentially debilitating phenomenon termed "post-accident anxiety syndrome".

Accidents, Aviation↗

Role of metabolites in aviation forensic toxicology.

In aviation accident investigations, specimens from fatal aircraft victims are analyzed for drugs. The presence of drugs suggests possible associated medical conditions for which they might have been taken. As drugs are mostly present in therapeutic to subtherapeutic levels in aviation forensic toxicology cases, determination of parent drugs and their metabolites in multispecimens is of significance. Although chemically reactive metabolites are difficult to detect, physiologically active and inactive metabolites can be analyzed. Selective and sensitive techniques are available, but unavailability of metabolite reference standards, endogenous substance interference, and low tissue metabolite levels limit the analyses. However, the majority of primary metabolites can be effectively characterized/quantitated. Demonstrating the presence of drug (e.g., terfenadine, cocaine, THC) metabolites provides a compelling evidence for exposure to the parent drug and facilitates interpretation of results, particularly when the metabolites are active. Such analyses are not as helpful if the metabolites are also available as drugs (e.g., diazepam, temazepam, oxazepam).

Accidents, Aviation↗

Have "formal investigations" into fishing vessel losses ceased?

Systematic studies of 618 fishing vessel losses between January 1961 and December 1982 have shown a significantly increased incidence of total losses from 1972 onwards. Comparison of mean pre- and post-1972 rates indicated an increase of 120% from 2.54 to 5.58 losses per 1000 vessels at risk. Parallel examination of the mortality of fishermen from all occupational accidents showed no improvement. For deaths arising from vessel losses alone, the mean crude death rate, for the same periods, increased by 13%. Despite these findings, formal investigations (courts of inquiry) into fishing losses, ordered by the Department of Transport according to specified criteria, decreased in number from about 1975 onwards. The mean number fell by 61% from 3.1 (1961-71) to 1.2 a year (1972-82). Furthermore, the reduction in the rate of formal investigations into fishing vessel losses (-84%; p less than 0.0001) was greater than the corresponding reduction (-61%; p less than 0.001) in United Kingdom merchant vessel investigations and this difference was statistically significant (p less than 0.01). During 1972-82 there were 61 fewer fishing investigations than predicted from the rate at which these were ordered during 1961-71. The last took place in 1979. None of the 141 fishing vessel losses between January 1980 and December 1982 proceeded to formal investigation. The possibility that the criteria for ordering formal investigations have not been fulfilled by the circumstances of fishing vessel losses from 1975 onwards is assessed as one explanation for this paradoxical finding of an inverse relation between losses and investigations. The accident investigation and public reporting procedures for aviation accidents should be adobted for marine accidents in general and fishing vessel losses in particular.

Accidents, Occupational↗

Avianca flight No. 052 accident: a plastic surgical perspective.

The crash of Avianca Airlines flight no. 052 en route to JFK Airport on January 25, 1990, in Cove Neck, New York, resulted in the death of 72 passengers. Eighty-nine victims were admitted to 13 regional hospitals. Despite difficult access to the wooded crash site, early warning and prompt response by 37 volunteer fire and rescue units resulted in organized EMS triage and rapid hospital transport. This report reviews the specific injuries incurred, highlights the team management approach to a major aviation accident in a suburban area, and studies the likelihood of accidents of this magnitude. Thirty-eight patients triaged to two level I trauma centers, North Shore University Hospital-Cornell University Medical Center and Nassau County Medical Center, form the basis of this report. Seventeen patients were male; 21 were female. The average patient age was 33 years. Eight patients were children. The average length of stay was 30.9 days (range 2 to greater than 90 days). Twenty-six patients (including nonsurvivors) (68 percent) sustained significant multiple orthopedic injuries. The majority of fractures were open grade II to III tibia-fibula fractures. Bilaterality was commonly seen. Soft-tissue coverage of open long bone fractures was required in 10 patients (11 extremities) and included 3 microvascular muscle transfers, 7 muscle transposition flaps, and 3 skin grafts. Seven patients required open reduction and fixation of complex facial fractures (two of Le Fort II to III type, four of complex naso-orbital-ethmoid type). Plastic surgical repair of complex lacerations was common. Peripheral nerve exploration was required in three patients.(ABSTRACT TRUNCATED AT 250 WORDS)

Accidents, Aviation↗

Fatal light aircraft accidents in Papua New Guinea.

The number of light aircraft (less than 5,700) in the developing world is small compared to those in the West, and little information on aviation accidents is readily available from developing countries. Papua New Guinea, enjoys a priviledged position, since aviation was introduced early and much of the country was opened through flying. During the period of Australian trusteeship until independence in 1975, the Australian Department of Transport applied its own rigorous standards to aviation in Papua New Guinea, a policy continued by the present Civil Aviation Agency. As a result of tight supervisory controls, accurate statistics on accidents are available, from which comparisons with other countries can be made. A study has been made of fatal light aircraft accidents in Papua New Guinea. Some of the Medical problems involved in accident prevention in a developing country are discussed.

Accidents, Aviation↗

Aviation model cognitive risk factors applied to medical malpractice cases.

OBJECTIVE: Aviation accidents have been reduced substantially by training pilots to avoid high-risk behaviors caused by cognitive errors. To determine whether similar cognitive cause factors or errors are involved in medical malpractice cases, and to evaluate the reliability of identifying such factors, physicians reviewed state and federal malpractice cases in a legal database. METHOD: Reviewing physicians evaluated 30 cases meeting inclusion criteria from state and federal malpractice cases for the year 2004 in the 8th US Circuit Court of Appeals region, using criteria for cognitive factors derived from aviation. The cases were categorized into three classes based on the degree of agreement between the reviewers. The results as to prevalence of the factors and reliability of identifying the factors were then analyzed statistically. RESULTS: Fifty-nine percent of the cases met criteria for strong and good correlation with the factors. Cognitive factors involving IMSAFE (illness, medications, stress, alcohol, physiogical (f), and emotional) and medical team management/leadership can be reliably identified. Other factors, such as hazardous attitudes and loss of situational awareness, were identified with minimal reliability. CONCLUSION: The aeronautical cognitive causative approach can be translated into a medical approach to reliably identify cognitive causes of errors in a significant proportion of medical malpractice cases from a legal database.

Accidents, Aviation↗

Aircraft fires, smoke toxicity, and survival.

In-flight fires in modern aircraft are rare, but post-crash fires do occur. Cabin occupants frequently survive initial forces of such crashes but are incapacitated from smoke inhalation. According to an international study, there were 95 fire-related civil passenger aircraft accidents worldwide over a 26-yr period, claiming approximately 2400 lives. Between 1985 and 1991, about 16% (32 accidents) of all U.S. transport aircraft accidents involved fire and 22% (140 fatalities) of the deaths in these accidents resulted from fire/smoke toxicity. Our laboratory analyses of postmortem blood samples (1967-93) indicate that 360 individuals in 134 fatal fire-related civil aircraft (air carrier and general aviation) accidents had carboxyhemoglobin saturation levels (> or = 20%), with or without blood cyanide, high enough to impair performance. Combustion toxicology is now moving from a descriptive to a mechanistic phase. Methods for gas analyses have been developed and combustion/animal-exposure assemblies have been constructed. Material/fire-retardant toxicity and interactions between smoke gases are being studied. Relationships between gas exposure concentrations, blood levels, and incapacitation onset are being established in animal models. Continuing basic research in smoke toxicity will be necessary to understand its complexities, and thus enhance aviation safety and fire survival chances.

Accidents, Aviation↗