Why hospitals should fly the ultimate flight plan to patient safety and quality care paperback jan 15 2008 by john j nance author 46 out of 5 stars 113 ratings. Why hospitals should fly the ultimate flight plan to patient safety and quality care an internationally recognized medical patient safety and aviation safety expert john nance has been a leader in applying aviation safety concepts such as crew resource management in health care settings for numerous years in this book he describes the new . I enjoyed the book why hospitals should fly very much but i questioned the time outthat is mentioned on page 103 mr nance implies this should be done when the patient is asleep at the cleveland clinic the patient is involved in the time out as it happened to me and other people i have discussed this with the circulating nurse anesthesiologist and the surgeon gather around the patient . Why hospitals should fly the ultimate flight plan to patient safety and quality care this book is a tour de force and no one but john nance could have written it he alone masters in one mind the fields of aviation health care safety medical malpractice law organizational sociology media communication and as if that were not enough . This book describes six guidelines for hospital safety improvement and provides a fictionalized account of one hospital integrating these principles as a prototype for an idealized safety culture why hospitals should fly the ultimate flight plan to patient safety and quality care psnet skip to main content