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

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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.

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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)

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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

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Mike Forster, Speciality Doctor Emergency Medicine, Simulation Fellow

Catherine Ward Consultant Anaesthetist

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Escalating the deteriorating patient

£46,000 funded for two fellows part time

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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

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Number of staff trained

Number of sessions delivered

Detection and escalation of triggers

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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

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0%

20%

40%

60%

80%

100%

120%

Feb May Dec Jan feb march APRIL

Escalation of triggers

Yellow

Amber

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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