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Showing results for tags 'Human factors'.
Found 552 results
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Content ArticleHealth Education England (HEE) has published the first NHS-wide Patient Safety Syllabus which applies to all NHS employees and will result in all NHS employees receiving enhanced patient safety training. Written by the Academy of Medical Royal Colleges and commissioned by HEE the new National Patient Safety Syllabus outlines a new approach to patient safety emphasising a proactive approach to identifying risks to safe care while also including systems thinking and human factors. Level one and two learning materials will be available on the E Learning for Health platform for staff to access and complete from August and September 2021.
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Content Article
Why investigate? Part 11: We have a situation
Graham Edgar posted an article in Why investigate? Blog series
In the latest blog in the 'Why investigate' blog series, Professor Graham Edgar discusses situational awareness. -
Content ArticleThe Safety Engineering Initiative for Patient Safety (SEIPS) is arguably the best known and most published systems-based Human Factors framework in healthcare worldwide. Developed by Professor Pascale Carayon and colleagues in the University of Wisconsin, the SEIPS framework is partly based on Donabedian’s well-known Structure-Process-Outcome model of healthcare quality. SEIPS is strongly grounded in a Human Factors based systems approach.
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Content ArticleAs a team, this worksheet can be used as a prompt to highlight the various system-wide factors that contribute to the issue at hand (e.g. implementing a new way of working; managing change or learning from a safety incident); seek to understand how these factors relate and interact to produce outcomes (desirable or undesirable).
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Content ArticleVarious research articles have reported that the science of Human Factors is of vital importance in improving human-machine systems. However, what is lacking is a fundamental historical outline of why Human Factors is important. This article from deWinter and Hancock provides such a foundation, using arguments ranging from pre-history to post-COVID.
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EventuntilA triennial event featuring over 200 sessions all available on demand plus 800 papers on over 30 themes from healthcare ergonomics, organisational design and management to biomechanics and human modelling and simulation. The Executive Panel will address the Congress theme "HF/E in a Connected World" which raises urgent scientific and professional challenges concerning human interaction with technology in the era of automated and ubiquitous cyber-physical technologies. Register
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Event
Human factors in your work and your team
Patient Safety Learning posted an event in Community Calendar
This virtual masterclass, facilitated by Mr Perbinder Grewal, will guide you in how to use Human Factors in your workplace. All medical and non-medical staff should attend. Leadership 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. Perbinder Grewal is a Consultant Surgeon. He is a human factors and patient safety trainer. He leads on medical education both locally and nationally. He is a Member of the Faculty of Surgical Trainers at the Royal College of Surgeons of Edinburgh. He has a passion for training and medical education. He is a Module Tutor for the ChM in Vascular Surgery for the University of Edinburgh and Tutor for the ChM in General Surgery for the past 5 years. He has Postgraduate Certificates in Leadership and Coaching. Further information and to book your place or email kerry@hc-uk.org.uk hub members receive a 20% discount. Email info@pslhub.org -
EventThis virtual masterclass, facilitated by Mr Perbinder Grewal, will focus on Patient Safety and how to setup a proactive safety culture. It will look at what patient safety is and how we can set up and improve the safety culture. It will look at Human Factors and how we can mitigate some of the common errors. Can we have a system with zero patient safety incidents or errors? For more information and to book or email kerry@hc-uk.org.uk hub members receive a 20% discount. Email info@pslhub.org
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EventAimed 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. Register
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Content ArticleAs part of the Clinical Human Factors Group (CHFG)'s core mission to promote human factors science in education and training, CHFG have produced a series of E-learning modules for healthcare. These modules seek to encourage the positive actions that create patient safety that are relevant to all staff working in healthcare. We use a human factors and ergonomics perspective to show how human performance and safety are affected by the way we behave, communicate and interact at work. The learning is based around a true story re-created in a new film to show the complexity of how a patient safety incident develops in an everyday scenario. The actors illustrate the subtle behaviours, that we all do some of the time, that give rise to well-documented safety issues, as well as the safety-creating behaviours we want to encourage. The modules reflect items on the NHS England’s Patient Safety Syllabus.
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Content Article
"Am I safe?" Presented by Lee Fleisher (31 March 2021)
Patient Safety Learning posted an article in Good practice
“We have to create the culture of learning; the culture of having a safe space, the culture of wanting to do better and learning those conditions in which we do do better” This powerful talk looks directly at how a clear approach to patient safety really can improve the standard of care where you work. What is the culture of quality and safety that you’re trying to embed, can you actually do better? Learn why it’s important to focus on psychological safety; “if people start being scared, everyone gets scared then it expands”. Learn how an evidence based approach can allow us to tackle these issues rather than shy away from them; “what factors are maintaining safety? How do we get to good outcomes? What are the things working well? How do we understand human variation?”. Presented by Lee Fleisher, Emeritus Professor of Anesthesiology and Critical Care, University of Pennsylvania. -
Content ArticleMany adverse events arise from human factors, such as inefficient teamwork and communication failures, and the incidence of adverse events is greatest in the surgical area. Previous research has shown the effect of team training on patient safety culture and on different areas of teamwork. Limited research has investigated teamwork in surgical wards. The aim of this study, published in BMC Health Services Research, was to evaluate the professional and organizational outcomes of a team training intervention among healthcare professionals in a surgical ward after 6 and 12 months.
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Content ArticleThis guidance aims to support the safe roll-out of COVID-19 vaccination programmes. Vaccination programmes include a number of work systems, such as manufacturing, filling and packaging for distribution, testing and approval, cold chain delivery, booking systems for vaccination appointments, local administration of the vaccine, and patient follow-up. The challenges and requirements for operating such complex programmes at speed may vary both within a country as well as between countries, but the guidelines offer 10 principles to support systems thinking for vaccination programmes that apply across settings. These human factors and ergonomic principles relate to the identification and description of work systems (Identify), the improvement of work systems and processes (Improve), and the continuous learning from experience to achieve sustainable change (Adapt).
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Content ArticleVisual representation from Steven Shorrock on a quick way to evaluate where you can improve the flows of reporting within your organisation. The red highlights stronger influences.
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Content Article
Absence of user-centric design: a threat to patient safety
Aditi Desai posted an article in Design for safety
Aditi Desai is a Consultant Obstetrician and Gynaecologist and has worked as a doctor in maternity and women's healthcare for the last 25 years. Having recently read the blog ‘Dangerous exclusions: The risk to patient safety of sex and gender bias‘, Aditi highlights how many aspects presented in the blog resonate with staff working in healthcare and other industries. -
Content ArticleThis study in the International Journal for Quality in Health Care aimed to develop and test a handover performance tool (HPT) able to help clinicians to systematically assess the quality and safety of shift handovers. The study was conducted in the paediatrics, obstetrics and gynaecology wards of a UK district hospital. 30 human factor experts participated in the development phase and 62 doctors from various disciplines were asked to validate the tool. The authors found that, according to the HPT, communication determined the majority of handover quality, with teamwork and situation awareness also important factors in the overall quality rating. They found that the HPT demonstrated good validity and reliability and can be easily used by raters with different backgrounds and in several clinical settings.
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Content ArticleContinuing Professor Martin Langham's 'Why investigate' blog series, colleague Bobbie Enright turns to the topic of fatigue, looking at the causes and preventions, how it can impact on our work and how we can manage it.
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Content ArticleFrequent external interruptions and lack of collaboration among team members are known to be common barriers in end-of-shift handoffs between physicians in the emergency department. In spite of being the primary location for this crucial and cognitively demanding task, workstations are not designed to limit barriers and support handoffs. The purpose of this study from Joshi et al. was to examine handoff characteristics, actual and perceived interruptions, and perceived collaboration among emergency physicians performing end-of-shift handoffs in physician workstations with varying levels of enclosures—(a) open-plan workstation, (b) enclosed workstation, and (c) semi-open workstation. The study showed positive outcomes experienced by physician working in the enclosed workstation as compared to the open and semi-open workstations.
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Content Article
In this interview for Patient Safety Learning, Josie Gilday, qualified nurse and Global Medical Advisor for Save the Children, tells us more about working in the humanitarian and developmental field, and why she feels so passionately about patient safety. -
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Patient Safety Learning posted a gallery image in Medication
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Content ArticleHave you ever come across a ‘problematic solution’ that was implemented in your workplace, and wondered, “How did this come to be?” Wherever you sit in an organisation, the chances are that you have. Many problematic solutions emerge from a top-down process that Steven Shorrock in this blog will call work-as-imagined solutioneering. In this post, he outlines a typical process of 10 steps by which problematic solutions come into being. Some of the steps may be skipped, but with the same outcome: a problematic solution. At the end of the post, you will find 10 ‘solutions’ from healthcare, provided by healthcare practitioners.
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Content ArticleThroughout Jens Rasmussen’s career there has been a continued emphasis on the development of methods, techniques and tools for accident analysis and investigation. In this paper, Waterson et al. focus on the evolution and development of one specific example, namely Accimaps and their use for accident analysis.
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Content ArticleThe Medicines and Healthcare products Regulatory Agency (MHRA) has published guidance on the importance of applying human factors to medical devices, so they are designed and optimised to minimise patient and user safety risks.
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Content ArticleHuman Factors and ergonomics (HFE) expertise continues to have difficulty integrating its experts into healthcare. This persistent disconnect is compounded by unique aspects of healthcare as an institution, industry and work system. Clinically embedded HFE practitioners, a new HFE sub-specialty, are a conduit for addressing substantive mismatches between the two domains. Greater HFE penetration will require a fundamental change in stance for both domains, however, the burden will lie with HFE to be the more adaptive of the two. Learning more about the in situ work of this sub-specialty will provide insights for more nuanced approaches to bridging domain specific mismatches and obstacles.
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Content Article
Human factors for emergency response and critical care
Patient Safety Learning posted an article in Techniques
In this blog post, Liv System’s Nigel Scard talks with Courtney Grant, a Senior Human Factors engineer with Transport for London (TfL). Nigel and Courtney worked together for a number of years at TfL on a number of station and line upgrade projects. A few years ago, Courtney applied his Human Factors and research skills with great tenacity, to a serious healthcare related incident which impacted him personally. This resulted in an important, lifesaving change to ambulance service procedures. In this interview, Courtney describes this in detail and also describes his recent work in supporting the Chartered Institute of Ergonomics and Human Factors (CIEHF) in supporting the response to the COVID-19 pandemic.
