TY  - Type of reference 
TI  - Error, cognitive bias, tunnel effect and chirurgical teamwork: aeronautics lessons for peri-operative care safety 
AU  - Patrick Houvet 
AB  - This article aims to articulate the epidemiology of EIAS / EIGS and systemic failure models (Reason, Vincent) to guide prevention, recovery, and organizational learning in healthcare, with a particular focus on perioperative care. It outlines the error→incident→accident trajectory driven by cognitive limits, fatigue, stress, and communication failures. Cognitive biases and attentional tunneling are addressed through debiasing tactics. CRM/TEM frames team performance via briefings, adaptive leadership, closed-loop communication, and sterile-cockpit discipline. Checklists (WHO, SURPASS) and structured handovers (I-PASS/SBAR) deliver documented reductions in mortality and complications. The 2024 London Protocol refreshes RCA/ALARM and embeds a just-culture, learning-oriented REX. A Safety-II/HRO stance builds “safe-to-fail” organizations, sensitive to operations and deferent to expertise. Digital enablers (CPOE/CDS, BCMA, emergency manuals, OR Black Box, early-warning/AI) strengthen detection, traceability, and learning. 
DO  - 10.21494/ISTE.OP.2025.1354 
JF  - Cognitive Engineering 
KW  - AAR, Adverse events, After-action review, cognitive biases, CRM, human factor, I-PASS/SBAR, safety, safety-II/HRO, serious adverse events, surgery, TEM, tunneling effect, WHO/SURPASS checklists, biais cognitif, check-lists OMS/SURPASS, chirurgie, CRM, EIAS, EIGS, facteur humain, I-PASS/SBAR, Retour d’expérience, REX, Safety-II/HRO, Sécurité, TEM, tunnel attentionnel,  
L1  - https://www.openscience.fr/IMG/pdf/iste_ingecog25v8n1_3.pdf 
LA  - en 
PB  - ISTE OpenScience 
DA  - 2025/10/8 
SN  - 2517-6978 
TT  - Erreur, biais cognitifs, effet tunnel et travail d’équipe en chirurgie : leçons de l’aéronautique pour la sécurité des soins peri-opératoires 
UR  - https://www.openscience.fr/Error-cognitive-bias-tunnel-effect-and-chirurgical-teamwork-aeronautics-lessons 
IS  - Issue 1 
VL  - 8 
ER  -