In this episode, Dr. David Nelson explores the evolution of patient safety, drawing on powerful lessons from aviation disasters that reshaped how high-risk industries approach error and accountability. Events like the Tenerife Airport Disaster and the United Airlines Flight 173 crash revealed how communication breakdowns, hierarchical barriers, and cognitive fixation—not lack of expertise—can lead to catastrophic outcomes.

The discussion connects these failures to the development of Crew Resource Management and the broader high-reliability movement, highlighting how those same principles now inform patient safety efforts in healthcare. Dr. Nelson outlines practical strategies for building a culture of safety, including improving team communication, encouraging speaking up across hierarchies, and designing systems that anticipate human limitations. The episode reinforces a central theme: achieving safer outcomes requires not just skilled clinicians, but resilient systems and a shared commitment to reliability.