Patient safety and human factors: Conference presentations
Patient Safety and Human Factors Conference - stimulating improvements in safety through a focus on nursing education and simulation training
This RCN conference was held on 23rd November 2012 in London.
There is a growing movement in modern health care to ensure that human factors are embedded within practice, policy, education, research and development and this conference provided participants with information about the ways in which innovators are using human factors to continuously improve the safety and quality of patient care at the frontline. The aim was help delegates develop a better understanding of human factors - its concepts, tools, technologies and techniques and how these are key to the improvement and maintenance of safe care.
The presentations from the conference that are available to download are in PDF format - see how to access PDF files.
Welcome (PDF 320KB) - Sir Stephen Moss
Sir Stephen's opening remarks align the interest in human factors to the learning afforded by the reviews of the quality of care at Mid Staffordshire NHS Foundation Trust.
Compassion, caring and commitment, challenges and creativity: using safety science in support of nursing delivery (PDF 1.85KB) - Professor Jane Reid
Compassion, caring, competence and commitment are required to ensure safe and effective experiences for patients: nurses must meet the challenges head on and be creative in how they tackle them, to ensure the patient remains at the heart of all that we do.
How human factors protect healthcare staff and patients (PDF 2.23MB) - Professor Peter Buckle
This talk shows how a different approach to the design and management of health care systems can make for safer and more efficient systems. The talk will use current examples of health care problems that are being researched using an ergonomics/human factors approach. The problems looked at will include labelling in medicine, the insertion and placing of nasogastric feeding tubes and errors in care homes.
Identifying the deteriorating patient - the role of human factors (PDF 3.76KB) - Sue Chapman
Recognising and responding effectively to clinical deterioration is a priority across the NHS and health care worldwide. To date, work has focused on two major areas: effective clinical monitoring using Early Warning Scores/Track and Trigger Tools and prompt and appropriate response to deterioration through Emergency/Rapid Response teams. Despite considerable investment in both time and money, these interventions have not always delivered the anticipated benefits.
Inter-professional simulation training aimed at improving care and dignity of elderly patients (PDF 1.29MB) - Dr Peter Jaye
This presentation describes the ethos and practice of interdisciplinary simulation training at Guys and St Thomas' NHS Foundation Trust.
Simulated Process Mapping: a novel use of innovation and simulation to change clinical and non-clinical pathways (PDF 965KB) - Darren Woodall
Changing instilled processes within health care environments is challenging. The complexity of multiple health care disciplines creates a vast array of professional practices which share the same purpose but alignment is sometimes lost. The emphasis is generally in the improvement of a pathway rather than re-designing it completely. The creation of the Simulated Process Mapping gives an opportunity for all involved within the pathway, including patients, to create and directly influence the redesign process using new ideas which were generated during an innovation workshop.
Patient safety and quality improvement using process mapping and PDSA applied to practice. Collaborative work between the HEI and practitioner stakeholders (PDF 174KB) - Alison Ewing
This presentation describes a collaborative project between Northampton NHS Foundation Trust and the University of Northampton.
Implementing human factors knowledge into practice to improve individual and team performance (PDF 960KB) - Sue Mellor
This session will explore some of the characteristics of an effective team, how individual team members may perceive things differently, how they can improve their communication skills and tips for improving their team working.
Making sense of patient safety: online continuing professional development from the RCN (PDF 663KB) - Ross Scrivener and Rosie Brown
A human factors approach to patient safety offers a means of preventing avoidable errors and mitigating adverse effects associated with healthcare. However there is little in the way of human factors training in health care compared with other safety critical industries. This presentation explains how human factors informed the development of the online CPD resource from the Royal College of Nursing.