Human Factors Exchange

Dr Chetna Modi

Head of Research

Outline

• National Drivers

• Human Factors Exchange

• Our Current Workstreams

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National Drivers

• Francis Report

• Berwick Review - A promise to learn – a commitment to act: improving the safety of patients in England

• NQB Concordat

• HEE Improving Patient safety through Education and Training Commission

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Why Human Factors – Just a Fad?

“The principles and practices of Human Factors focus on optimising human

performance through better understanding the behaviour of individuals,

their interactions with each other and with their environment. By

acknowledging human limitations, Human Factors offers ways to minimise

and mitigate human frailties, so reducing medical error and its

consequences. The system-wide adoption of these concepts offers a

unique opportunity to support cultural change and empower the NHS to put

patient safety and clinical excellence at its heart.”

NQB Concordat

https://www.england.nhs.uk/wp-content/uploads/2013/11/nqb-hum-fact-concord.pdf

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Human Factors in Healthcare

• Just another routine operation- Martin Bromley founder of the CHFG

• https://www.youtube.com/watch?v=VndU2zap_Rg

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A resource rich environment…

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Where we started • Accelerated Learning Event In

partnership with the

qualityimprovement clinic

(July 2014)

• Star Ideas

• 3 main questions

• Is there something we can do

together in the East Midlands

to support safer patient care

through Human Factors?

• How would it work?

• How would people need to

behave to make it successful

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Steering Group Partners

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NHS

• HEE and HEEM

• University Hospitals

Leicester

• Nottingham

University Hospitals

• Northampton

General

Other

• Patient Safety

Collaborative

• Health and Safety

Laboratories

• Lay member-

Independent

scrutiny and patient

perspective

• Learners

• CIEHF

• CHFG

The Universities of

• Loughborough

• Leicester

• Nottingham

Still expanding

Human Factors Exchange

Aims

• Developing a Human Factors Career pathway for the

NHS

• Increasing HF Capability and Awareness in the NHS

• Creating a sustainable pool of expertise in

implementing HF based solutions to Patient Safety

(PS) issues

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Proposed HFE Education

and Training Pathway

Masters and PhD

qualifications for HF

would be aligned to

the already

established Clinical

Academic Careers

pathway (HEE-NIHR)

HEE-EM have funded 11

places for a PGCert in HF for

NHS staff, They have to

undertake a HF project

within their NHS organisation

as part of the programme

The Roadshows• Organised and arranged with the help of the LWABs

• Aims of the roadshows:

– Create awareness about Human Factors

– Alert and recruit participants to the funded PGCert

opportunity with organisational support

– Begin build a “critical mass” of HF understanding in

the NHS

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Postgraduate Certificate (PGCert)

• Working with Universities and Academics in the East

Midlands

• Working with HF Exchange to national drivers and HEE

mandate

• Aims of the PGCert:

– Expand on the roadshows and develop knowledge of

HFE

– Create HF learners in the NHS to pass on learning

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11 PG Cert Students in total

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Human Factors Projects

SpreadEvaluate Implement

Co design

solution

with HF

expertise

and NHS

Match

issue with

HF

expertise

Call to NHS

to identify

critical

patient

safety

issues

Creating Bespoke Education Solutions

to HF Problems-In collaboration with

the East Mids PSC1. Improving Handovers in the Community: A human factors approach-

Nottinghamshire Healthcare NHS Foundation Trust and Loughborough

University

2. TRUTHFUL: Transforming Root Cause analysis Using The lens of

Human Factors to better Understand and Underpin Lessons for

Learning- University Hospitals Leicester and University of Leicester

3. Improving Recognition and Management of Acute Type 2 Respiratory

Failure –Royal Derby Hospital and HU-Tech

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Creating Bespoke Education

Solutions to HF Problems

4. Implementing a Human Factors approach for Planned and Unplanned

Extubation in the Critically ill Adult Patient-Nottingham University

Hospital and University of Nottingham (Trent Simulation Centre)

5. Improving Safety by Electronically Acknowledging Results -Royal

Derby Hospital & HU-Tech

6. Mobilising Human Factors Knowledge to Maximise Safety Huddle

Impact: Protecting Patients & Optimising Organisations-University

Hospitals Leicester and University of Leicester

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Conclusion

• Human Factors Exchange Established

• Roadshows Delivered

• PGCert Students Recruited

• 6 Bespoke Human Factors Projects Delivered in Collaboration with East

Midlands Patient Safety Collaborative (PSC)

• Appointment of Safety Fellow – Led by East Midlands PSC

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