To facilitate this open sharing, the relationship of authority and obedience must be analyzed. Healthcare professionals study improvements in the aviation industry and attempt to develop similar improvement strategies for healthcare systems. One of these obstacles is the absolute authority of health care teams and doctors. The physician's authority makes it difficult for staff to question decisions or performance if problems arise regarding patient care. Humans make mistakes and the culture of healthcare needs to change to allow team members to respectfully question authority and bring important information to light without risking loss of job or reputation (Silbaugh & Skiles,