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Showing results for tags 'Human factors'.
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Content Article
Why investigate? Part 12: Ethics in research
Lara Carballo posted an article in Why investigate? Blog series
Ethics in medical science have been borne out of practices that occurred during the second world war, with the Nuremberg code being set up to prevent unethical experimentation on humans from being carried out. This was further supported by the Declaration of Helsinki that strengthened the protection of participants within medical research by setting out the stipulations that informed consent should be obtained before research. It ensured that data should be kept confidential so that medical research that ultimately requires input from human participants would be able to be carried out with minimal risk to the individual. Lara Carballo continues the 'Why investigate' blog series with a cautionary tale of why within Human Factors it is necessary to ensure that ethics are in place before embarking on research. -
EventuntilProfessor Pascale Carayon, the author of the Systems Engineering Initiative for Patient Safety (SEIPS), will talk about the development, history and use of SEIPS in healthcare. SEIPS is one of the most widely recognised and used human factors and ergonomics (HFE) approaches within the field of patient safety. The model is widely used to understand how complex socio-technical systems such as healthcare work. SEIPS places the patient at the centre of the system. It enables the description of the parts of the system (people, environments, tools, tasks, processes and outcomes), and how these interact to create safety, efficiency and effectiveness. SEIPS can also be used by practitioners to identify the deficiencies in a healthcare system which impact the ability to deliver high quality and safe care. SEIPS can also be used to contribute to the design of systems and processes. This event will focus on the practical application of SEIPS within healthcare and speakers include: Prof. Pascale Carayon - The SEIPS journey - developing, expanding and deepening the model Chris Hicks and Andrew Petrosoniak - St Michaels Hospitals Toronto - How simulation can break the shackles of bad design Gill Smith - Kaizen Kata - The effectiveness of SEIPS during Covid19 in ICU Jonathan Back - HSIB's Safety Incident Research database Prof. Tom Reader - University of Nottingham Prof. Richard Holden - Indiana University School of Public Health Register
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EventLeadership in the NHS is the responsibility of all staff. Understanding human factors will allow healthcare to enhance performance, culture and organisation. It can be used to assess why things go wrong and how to implement change to prevent it from happening again or mitigate the risks. This virtual masterclass, facilitated by Mr Perbinder Grewal, General Vascular Surgeon, will guide you in how to use Human Factors in your workplace. Programme and registration hub members receive a 20% discount. Please email info@pslhub.org for discount code
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Content ArticleIn this short film, Susanna Stanford and Sarah Seddon share a positive message about managing adverse events in healthcare. Drawing together the patient and clinician perspectives, they discuss how clinicians and other healthcare professionals can prepare for the inevitability of things going wrong, and how both patients and clinicians need the same things in the aftermath of adverse events.
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- Human factors
- Safety behaviour
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Content ArticleIn this short film, Susanna Stanford and Sarah Seddon share a positive message about managing adverse events in healthcare. Drawing together the patient and clinician perspectives, they discuss how clinicians and other healthcare professionals can prepare for the inevitability of things going wrong, and how both patients and clinicians need the same things in the aftermath of adverse events.
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- Human factors
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EventWe live in a world marked by massive global changes, moving us rapidly into rather unprecedented and unknown directions. It has never been so vital for us to understand the interactions among humans and other system elements. This necessitates the creation and adoption of theories, principles, data, and methods of design, as well as new capabilities, technologies, skills, procedures, policies, strategies to find new ways of engaging with a rapidly changing world and optimise wellbeing and performance. Find out more at the Human Factors & Ergonomics Society of Australia (HFESA) virtual conference. Register
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Content ArticleThe aim of this study from Mahadevan et al. was to understand human factors (HF) contributing to disturbances during invasive cardiac procedures, including frequency and nature of distractions, and assessment of operator workload. They observed 194 cardiac procedures in three adult cardiac catheterisation laboratories over 6 weeks. The study found that fewer than half of all procedures were completed without interruption/distraction. The majority were unnecessary and without relation to the case or list. The authors propose the introduction of a ‘sterile cockpit’ environment within catheter laboratories, as adapted from aviation and used in surgical operating theatres, to minimise non-emergent interruptions and disturbances, to improve operator conditions and overall patient safety.
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- Medicine - Cardiology
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Content ArticleWhen a patient can’t breathe by themselves, healthcare staff may decide to intubate them to make it easier to get air into and out of the lungs. A tube goes down the throat and into the windpipe, and a machine called a ventilator pumps in air with extra oxygen. It can be life-saving, but life-threatening complications can also occur during a significant number of these procedures. Sam Goodhand is a registrar in the Sussex region, specialising in anaesthetics and intensive care medicine. In this interview for Patient Safety Learning he tells us how and why he developed an accessible checklist for staff involved in intubation processes.
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Content ArticleThis issue of Hindsight concerns ‘the new reality’ that we are facing. It includes a wide variety of articles from frontline staff and specialists in safety, human factors, psychology, aeromedical, and human and organisational performance in aviation. There are also insights from healthcare, shipping, rail, community development and psychotherapy.
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- Human factors
- Fatigue / exhaustion
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Content ArticleThis article, published in Simulation and Gaming proposes a strategy for ensuing simulation training following the implementation of a thorough Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS®) training initiative. The strategies include observing Teams in the workplace to facilitate the construction of organisation-wide, follow-on simulation training.
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- Safety culture
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Content ArticleEngaging with company executives over how their decisions affect employees’ performance further down the line could help improve safety at sea. An 18-month study found investigations of maritime accidents tend to “blame the ship”, often resulting in the punishment of seafarers. Authors Barry Kirwan, Ben Wood and Beatrice Bettignies-Thiebaux of Eurocontrol, argue that this approach hampers learning and more attention needs to be paid to contributory factors from higher up the chain. They say that a deeper understanding of organisational influences and how company culture contributes to accidents will help promote safety across the business and better address problems. They have developed a ‘Reverse Swiss Cheese Maritime Model’ which moves from organisation through design and fleet support to vessel operations. To facilitate this, they believe there needs to be greater engagement between analysts and the industry’s decision makers and are hoping to trial their approach with several organisations over the next year. Barry, who presented the findings at our recent conference, said: “We need to look not only at how ‘work is done’ but how ‘business is done’.”
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- Human factors
- Organisational learning
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Content ArticleThis list, produced by the Health and Safety Executive, bullet points the job, person and organisation factors that influence human performance.
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- Human factors
- Staff factors
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Content Article
SEIPS 101 and seven simple SEIPS tools (26 May 2021)
Patient-Safety-Learning posted an article in Techniques
This article describes SEIPS ((Systems Engineering Initiative for Patient Safety) 101 and seven simple SEIPS tools. The authors discuss how it is intended to make the SEIPS model more useful, particularly for practitioners and those who have not used it before.- Posted
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Event
A practical guide to human factors in healthcare
Sam posted an event in Community Calendar
Aimed at Clinicians and Managers, this national virtual conference will provide a practical guide to human factors in healthcare, and how a human factors approach can improve patient care, quality, process and safety. This conference will enable you to: Network with colleagues who are working to embed a human factors approach. Learn from outstanding practice in using human factors and ergonomics to improve patient safety and quality. Reflect on national developments and learning. Understand the tools and methodology. Develop your skills in training and educating frontline staff in human factors. Reflect on how an understanding of human factors can change both culture and practice. Understand how you can improve patient safety incident by using a human factors approach. Learn from case studies demonstrating the practical application of human factors to improve patient care. Self assess and reflect on your own practice. Gain CPD accreditation points contributing to professional development and revalidation evidence. Patient Safety Learning, Chief Exec, Helen Hughes will be giving a presentation on using a human factors approach to improve patient safety. For further information and to book your place visit https://www.healthcareconferencesuk.co.uk/virtual-online-courses/human-factors-in-healthcare or email kerry@hc-uk.org.uk hub members receive a 20% discount. Please email info@pslhub.org for discount code Follow the conversation on Twitter #HumanFactors -
Content ArticleIn February 2021, the list of never events was updated to exclude wrong tooth extraction, as the systemic barriers to prevent these incidents were not considered ‘strong enough.’ In this article, published in the British Journal of Oral and Maxillofacial Surgery, authors discuss the matter, and provide some recommendations to minimise the risk of wrong tooth extraction.
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Content Article
Improving diagnosis in health care (2015)
Patient-Safety-Learning posted an article in Diagnosis
This report from The National Academies of Sciences, Engineering and Medicine highlights three key themes around the issue of diagnostic error: The importance of diagnostic error in patient safety and the need to give the subject more research attention The central role that patients play in helping to avoid diagnostic error. The idea that diagnosis is a collaborative effort involving intra- and interprofessional teamwork. It also looks at several specific issues that must be addressed to reduce diagnostic errors.- Posted
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- Diagnosis
- Diagnostic error
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Content ArticleThis article describes the application of colour coding for cognitive aids to facilitate the management of an unanticipated difficult airway and its further local implementation in the form of a colour-coded difficult airway trolley. The authors conclude that the use of colour coding as a cognitive aid can enhance the management of an unanticipated difficult airway and make it simpler to obtain help from other operating room personnel who are not regularly involved in airway management. However, they note that frequent training and simulation with the material and equipment in the difficult airway trolley remains crucial.
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- Medicine - Respiratory
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Content ArticleIn this video, Tim McDonald, Chief Patient Safety and Risk Officer at RLDatix, Paul Bowie, Programme Director (Safety & Improvement) at NHS Education for Scotland, and Helen Hughes, Chief Executive of Patient Safety Learning, talk about the relationship between human factors, high reliability in healthcare and patient safety.
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- Human factors
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Content ArticleEvery day we use tools and resources to manage our lives, both personally and professionally. As a healthcare professional, you are committed to providing safe quality healthcare to all individuals. The checklists in this book are designed to help you succeed in that effort. You may be a first-time reader who has not had the opportunity to put these tools to the test, or you could be a returning reader interested in what new checklists you can use. In either instance, if you’re reading this book, then you are searching for tools to help your healthcare organisation navigate the increasing complexities of providing quality health care and maintaining the physical environment where healthcare is delivered.
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- Human factors
- Checklists
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Content ArticleMedicine has traditionally been one of the most cognitively demanding occupations. This paper from Bob Baron, President and Chief Consultant of The Aviation Consulting Group, discusses the limitations of human performance in the hospital environment. Human factors models are presented and used as an anchor for a randomly selected case study involving a potentially lethal medication error. The case study’s root cause analysis showed five distinct factors that were causal to the error. The human factors models, in conjunction with an overview of basic human cognition, provide the reader with the tools to understand all five findings of the case study. This paper will provide a foundation for improving medical safety by creating an awareness of the factors that influence errors in medical procedures.
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- Human factors
- Root cause anaylsis
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EventuntilThe purpose of this online event is to demonstrate how human factors as a discipline can help address Equality, Diversity and Inclusion (EDI) issues. This webinar will explore the different situations that give rise to EDI issues, including the impact of equipment positioning on wheelchair users, the impact of open plan offices on neurodiverse people, and the impact of user interface language and terminology on people with communication difficulties. It will discuss the implications of these EDI issues, including the impact on the people directly experiencing them, as well as the wider impact on society. It will uncover how human factors can make a difference in addressing these issues, including adopting a systems approach, using a participatory design process and applying specific human factors methods to enhance EDI delivery. Register
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Content ArticleResilient Healthcare is an emerging theoretical field that has developed with influence from engineering, safety science, psychology, ergonomics, human factors, and aeronautics. Resilient Healthcare research has centred on understanding and improving the quality and safety of healthcare delivery. Theory is increasingly well-developed, but so far has only been applied in limited ways with select settings and activities. In order to improve the quality and safety of healthcare, it is essential to first understand the sources of complexity in clinical work. This ethnographic study from Sanford et al. of five hospital teams in a large, teaching hospital in central London aims to contribute to this growing evidence base by presenting data on specific challenges faced by healthcare workers and the adaptations they use to overcome them in everyday clinical work. This paper will present a new framework for recognising misalignments between demand and capacity and corresponding mechanisms for adaptation, which can be used to understand work-as-done in complex settings and to manage risk.
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- Quality improvement
- Resilience
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Content ArticleIn this article, published in Human Factors and Ergonomics in Manufacturing & Service Industries, the authors present a model for integrating Human Factors/Ergonomics (HFE) into healthcare systems to make them more robust and resilient. They believe that to increase the impact of HFE during and after the Covid-19 pandemic this integration should be carried out simultaneously at all levels (micro, meso, and macro) of the healthcare system. This new model recognises the interrelationship between HFE and other system characteristics such as capacity, coverage, robustness, integrity, and resilience.