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Making Tomorrow’s Doctors Safer P atient Safety – the human factor

Making Tomorrow’s Doctors Safer P atient Safety – the human factor. Martin Bromiley. Accidents were an unfortunate but accepted risk or complication of flying. . We know we’re not perfect. But among the flying community it’s generally believed that ALL accidents are preventable.

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Making Tomorrow’s Doctors Safer P atient Safety – the human factor

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  1. Making Tomorrow’s Doctors SaferPatient Safety – the human factor Martin Bromiley

  2. Accidents were an unfortunate but accepted risk or complication of flying.

  3. We know we’re not perfect...

  4. But among the flying community it’s generally believed that ALL accidents are preventable

  5. But among the flying community it’s generally believed that ALL accidents are preventable ....but why do we believe that?

  6. Investigation (technical & non-technical/HF)

  7. Investigation (technical & non-technical/HF) Safety and human factors embedded from the very first flight

  8. Investigation (technical & non-technical/HF) Safety and human factors embedded from the very first flight Continued process of knowledge, examination and assessment of technical and non-technical skills (Pilots, Cabin Crew, Engineers, Air Traffic Controllers.....)

  9. Investigation (technical & non-technical/HF) Safety and human factors embedded from the very first flight Continued process of knowledge, examination and assessment of technical and non-technical skills Reinforcement of the skills to balance safety and productivity

  10. But it’s much more than just what the frontline are taught and what they do.....

  11. It’s also about....... • Leadership and personal example • Rules that don’t encourage rule breaking • Equipment reliability and design/ergonomics • The whole team understanding of safety and human factors, relevant to their field

  12. If we understand Human Factors…. We can develop techniques to optimise human and system performance using: Physical design of structures, tools, buildings etc System design of process and protocol Cognitive strategies for how we behave In other words, making it easy to do the right thing all the time, with reliability of outcome

  13. So to understand the human in the system, future doctors need to understand…. ...fundamentally, that error is normal! How design and environmental factors influence performance How systems encourage or discourage doing the right thing The impact of our behaviour on others and vice versa – and how we really behave! Cognitive strategies for behaviour and thinking Past investigations and the cost of being unsafe The safety v productivity dilemma

  14. Some of the CHFG “Team”over the last 4 years…. Prof Jim Reason – Univ of Manchester Dr Jane Carthey – HF Specialist The late Prof Helen Muir – Cranfield Prof Rhona Flin – Aberdeen University Tony Giddings - Former member of the Council of the Royal College of Surgeons Eng Jane Reid – President, International Federation of Perioperative Nurses Chris Sadler – Consultant Anesthetist & Director of Barts and The London Medical Simulation Centre Clare Bowen Matthew Sargeant – Hywel Dda Health Board, Consultant Psychiatrist Cate Quinn – Care Quality Commission Prof Charles Vincent – Imperial The late Dr Karen Woo - BUPA Nikki Maran – Scottish Clinical Simulation Centre Peter McCulloch – QRSTU Oxford Linda Watterson – Royal College of Nursing Allan Goldman – Consultant Intensivist Mark Emerton – Orthopedic Surgeon Stephen Ramsden – Chief Executive L&D NHS Trust Dr Melinda Lyons & Bev Norris – HF Specialists representing the NPSA Hugh Rogers & Nikki Davey – representing the NHS Institute Simona Arena – Health Foundation Prof Nick Barber – Prof of the Practice of Pharmacy, Univ of London Emma Stanton – BAMMbino Sir Ian Kennedy – Chair of HCC

  15. Consultant Anaesthetist Consultant Anaesthetist ENT Surgeon Senior ODP ODP Recovery Nurse Recovery Nurse

  16. Thank you……want to learn more about HF in healthcare? • Charles Vincent & CPSSQ at Imperial are hosting the second “CHFG Open Seminar” on 19 April 2011. Spaces are free but limited, see www.chfg.org

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