30/11/16 AHSN BP Ward · 2020-05-20 · 30/11/16 AHSN BP Ward ASPIH 2014 Hinde, T. et al., 2016. A...
Transcript of 30/11/16 AHSN BP Ward · 2020-05-20 · 30/11/16 AHSN BP Ward ASPIH 2014 Hinde, T. et al., 2016. A...
30/11/16 AHSN BP Ward
30/11/16 AHSN BP Ward
C Ward
30/11/16 AHSN BP Ward
Fact #1: Human factors is about designing systems that are resilient to unanticipated events.
Fiction: Human factors is about eliminating error.
Fact #2 Human Factors is about designing the system to better aid the people who exist in it
Fiction: Human factors is about modifying behaviour to prevent problems in the work system
30/11/16 AHSN BP Ward
30/11/16 AHSN BP Ward
30/11/16 AHSN BP Ward
30/11/16 AHSN BP Ward
• Have a clear, shared goal
• Take active roles
• Understand roles of self & others
• Cross monitor
• Back-up and fill in for each other
• Communicate so all team has necessary info
• Anticipate
• Evaluate Team Performance for improvementSalas et al., 1992
30/11/16 AHSN BP Ward
ASPIH oral presentation Nov 2014
Your manuscript entitled "Serious Games: A novel approach to safety training?" has been successfully submitted online and is presently being given full consideration for publication in BMJ Simulation & Technology Enhanced Learning.
BMJ simulation open access 2016
(Field V, Cor Kalkman, P Kato, T Gale, C Ward)
30/11/16 AHSN BP Ward
ASPIH 2014
Hinde, T. et al., 2016. A study to assess the influence of inter-professional point of care simulation training on safety culture in the operating theatre environment of a university teaching hospital. Journal of Inter-professional Care, 30(2), pp.251–253.
30/11/16 AHSN BP Ward
5
5.5
6
6.5
7
7.5
0 20 40 60 80 100
Ov
era
ll N
OT
EC
HS
sco
re
Observation number
Before
After
Overall score:
Multiple linear regression R2 = .206 (p < .001)
Before/after coefficient = .255 (p =.003)
Observation number coefficient = -.007 (p < .001)
30/11/16 AHSN BP Ward
Abstract and poster :C Ward, J Foster, P Jones, J Edworthy
International Symposium on Human Factors and Ergonomics in Health Care: San Diego 2015
Preparing for submission to “quality and safety in healthcare” BMJ publication
30/11/16 AHSN BP Ward
Mike Forster, Speciality Doctor Emergency Medicine, Simulation Fellow
Catherine Ward Consultant Anaesthetist
30/11/16 AHSN BP Ward
Escalating the deteriorating patient
£46,000 funded for two fellows part time
30/11/16 AHSN BP Ward
Health Education England funded
Point of Care simulations ran weekly on MAU and SAU
12 Scenarios from SUIs and Datix
Teaching on human factors
Identification of latent threats and ergonomic constraints
Monthly audit of detection and escalation of MEWS like scores
30/11/16 AHSN BP Ward
Number of staff trained
Number of sessions delivered
Detection and escalation of triggers
30/11/16 AHSN BP Ward
Trained 70% of total staff on unit
Improvement of triggers from 23% to 88%
Overwhelming positive feedback
95% recommended to colleague
Thematic analysis and hazard analysis
Feedback to ward managers
30/11/16 AHSN BP Ward
0%
20%
40%
60%
80%
100%
120%
Feb May Dec Jan feb march APRIL
Escalation of triggers
Yellow
Amber
30/11/16 AHSN BP Ward
30/11/16 AHSN BP Ward
30/11/16 AHSN BP Ward
Do you want to advance your knowledge, understanding and skills in patient safety? This part-time two year postgraduate diploma programme will enable you to apply innovative educational methods and processes to improve patient outcomes. On successful completion of this award you may choose to progress onto a third year of study towards a masters degree. Be primed with the skills and knowledge of simulation-based learning methods to confidently lead improvements in the quality of patient safety.
https://www.plymouth.ac.uk/courses/postgraduate/msc-simulation-and-patient-safety