Lessons learnt from the aviation industry could be applied to health care, improving standards and limiting the number of life-threatening mistakes by hospitals, a Dubai conference has heard.
Managing fatigue among staff, the use of data science and winning public trust were issues discussed during a talk on the opening day of the Dubai Health Forum, being held at Dubai World Trade Centre until Thursday.
Emirates was certified with a four-star airline safety rating during the pandemic by industry analysts, Skytrax, and was one of the first to offer free hygiene packs to passengers.
Adel Al Redha, chief operating officer of Emirates, said common themes of safety, expensive machinery and direct public contact meant the industries shared similar objectives in reducing costly mistakes in the air, and on hospital wards.
“Over the past two years, we have learned a lot, and we can share lessons over a longer period across to the health sector,” Mr Al Redha said.
With aircraft manufacturers, we are considering how we can operate our aircraft with a single pilot and reduce the number of people in the cockpit
Adel Al Redha,
Emirates Airline
“Everything in our business must work like clockwork. If a mistake happens, we complete a detailed investigation, not necessarily to analyse individuals, but to ensure the same mistakes do not happen again.
“These kind of checks and practices have enabled aviation to be one of the safest forms of travel.
“If you walk into a hospital or an aircraft and you see a damaged seat or piece of equipment, it makes you wonder what else is damaged beyond what you cannot see.”
Aviation safety has dramatically improved since the late 1950s, largely owing to the forensic nature of crash investigations and access to black-box data that provides a detailed account of an aircraft’s final movements.
Since 1959, when about 40 fatal air crashes for every one million departures in the US were recorded, there has been a decrease to around 0.1 incidents per million.
That drop-off in fatal crashes comes despite a huge increase in the amount of air traffic around the world.
Regular checks for mental stability, fatigue and drug and alcohol use among pilots and crew also helped to improve aviation safety.
Similar checks could be applied to healthcare settings to ensure clinicians are capable of performing their duties, Mr Al Redha said.
“How we ensure our resources and crew are maintained to their maximum performance and intelligence is crucial — as is how we assist them psychologically so they are fit for what they are doing.
“If something is bothering our staff in the morning, we must make sure they are able to come in the next day to do their jobs.
“We need to make crew feel rested enough to have the energy and alertness required.
“That includes when they are flying, and also when resting in other countries in different time zones.
“They cannot always sleep when they want to, but we can help them with a scientific approach to make it easier for them so they can do their jobs in a better way.”
Self-reporting improves airline safety
In the US, a strong safety record has been forged thanks to voluntary reporting of potential hazards by pilots, controllers and mechanics during maintenance.
Analysing and responding to data has meant a decade without a single fatal air accident in the country.
Meanwhile, hospital errors across America are estimated to cause about 250,000 unnecessary patient deaths annually, with around one in 20 UK hospital deaths resulting from serious mistakes.
Self-reporting of near misses or potential problems in health care, as done in aviation, could help reduce hospital errors, while technology is likely to reduce the number of pilots required in the cockpit, without compromising safety, Mr Al Redha said.
“When a mistake happens, we encourage our staff to look for any abnormal practices and speak up,” he said.
“Many companies have pulled back from investment during the pandemic but aviation has continued, to maintain that level of safety.
“Advanced technology has played a major role, and now we are moving to a different level.
“With aircraft manufacturers, we are considering how we can operate our aircraft with a single pilot and reduce the number of people in the cockpit.
"A decade ago this would not have been possible, but now with the level of technology, we are able to introduce alternate means to give a better service without compromising safety.”
Sheikh Mohammed bin Rashid visits Dubai Health Forum:
Veil (Object Lessons)
Rafia Zakaria
Bloomsbury Academic
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Ten tax points to be aware of in 2026
1. Domestic VAT refund amendments: request your refund within five years
If a business does not apply for the refund on time, they lose their credit.
2. E-invoicing in the UAE
Businesses should continue preparing for the implementation of e-invoicing in the UAE, with 2026 a preparation and transition period ahead of phased mandatory adoption.
3. More tax audits
Tax authorities are increasingly using data already available across multiple filings to identify audit risks.
4. More beneficial VAT and excise tax penalty regime
Tax disputes are expected to become more frequent and more structured, with clearer administrative objection and appeal processes. The UAE has adopted a new penalty regime for VAT and excise disputes, which now mirrors the penalty regime for corporate tax.
5. Greater emphasis on statutory audit
There is a greater need for the accuracy of financial statements. The International Financial Reporting Standards standards need to be strictly adhered to and, as a result, the quality of the audits will need to increase.
6. Further transfer pricing enforcement
Transfer pricing enforcement, which refers to the practice of establishing prices for internal transactions between related entities, is expected to broaden in scope. The UAE will shortly open the possibility to negotiate advance pricing agreements, or essentially rulings for transfer pricing purposes.
7. Limited time periods for audits
Recent amendments also introduce a default five-year limitation period for tax audits and assessments, subject to specific statutory exceptions. While the standard audit and assessment period is five years, this may be extended to up to 15 years in cases involving fraud or tax evasion.
8. Pillar 2 implementation
Many multinational groups will begin to feel the practical effect of the Domestic Minimum Top-Up Tax (DMTT), the UAE's implementation of the OECD’s global minimum tax under Pillar 2. While the rules apply for financial years starting on or after January 1, 2025, it is 2026 that marks the transition to an operational phase.
9. Reduced compliance obligations for imported goods and services
Businesses that apply the reverse-charge mechanism for VAT purposes in the UAE may benefit from reduced compliance obligations.
10. Substance and CbC reporting focus
Tax authorities are expected to continue strengthening the enforcement of economic substance and Country-by-Country (CbC) reporting frameworks. In the UAE, these regimes are increasingly being used as risk-assessment tools, providing tax authorities with a comprehensive view of multinational groups’ global footprints and enabling them to assess whether profits are aligned with real economic activity.
Contributed by Thomas Vanhee and Hend Rashwan, Aurifer
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Schedule:
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28 Sep-2 Oct, 1st Test, Abu Dhabi
6-10 Oct, 2nd Test (day-night), Dubai
13 Oct, 1st ODI, Dubai
16 Oct, 2nd ODI, Abu Dhabi
18 Oct, 3rd ODI, Abu Dhabi
20 Oct, 4th ODI, Sharjah
23 Oct, 5th ODI, Sharjah
26 Oct, 1st T20I, Abu Dhabi
27 Oct, 2nd T20I, Abu Dhabi
29 Oct, 3rd T20I, Lahore
