Prof Peter Davey slides Dec 2013 - CMDN Blogs

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“Human Factors for a Safer Scotland”

National Conference

19 th March 2014

Beardmore Conference Centre Clydebank

Following on from the successful Human Factors workshops held 13-15

November 2013 a national conference is being planned.

There are a variety of HFs initiatives being developed and implemented in

Scotland. The conference will be an opportunity for you to share your work and experience as a presentation or poster.

Please help to make the day a success and share HFs knowledge and resources for the benefit of patients throughout our systems.

To help us plan the day, could you let us know if you would like to present either a talk or poster on 19 March with a short resume of your area of interest by January 10th 2014 to: philip.cachia@nes.scot.nhs.uk

Scottish

Improvement

Science

Collaborating Centre

University of Dundee/NHS

Tayside

University of West of

Scotland/NHS Lanarkshire

Consortium

MATERNAL

AND CHILD

OLDER

PEOPLE

FUTURE

TOPICS

SISSC approach

SAFETY AND

RELIABILITY

CARE AND

COMPASSION

REDUCING

IMPACT OF

INEQUALITIES

IMPROVING

HEALTH

AND WELL-

BEING

Human Factors Science:

Keeping Patients Safe

College of Medicine, Dentistry and Nursing

Interprofessional Learning

Learning objectives

Understand why all healthcare professionals need to apply human factors science

Identify the key clinical human factors skills

Develop an understanding of how you can improve them

College of Medicine, Dentistry and Nursing Interprofessional Learning

Clinical Human Factors

Enhancing clinical performance through an understanding of the effects of teamwork, tasks, equipment, workspace, culture, organisation on human behaviour and abilities, and application of that knowledge in clinical settings.

Clinical Human Factors Group ( http://www.chfg.org/ )

College of Medicine, Dentistry and Nursing Interprofessional Learning

Human Factors Approach

College of Medicine, Dentistry and Nursing Interprofessional Learning

Swiss Cheese Model

College of Medicine, Dentistry and Nursing Interprofessional Learning

Swiss Cheese Model

Close the holes or add a layer

Training in

Clinical

Human

Factors

Skills

College of Medicine, Dentistry and Nursing Interprofessional Learning

Key Steps in Decision Making

(DODAR)

Step

D - Diagnosis

O -Options

Explanation

What is the problem?

What are the options?

D - Decision What are we going to do?

A

– Assign tasks

Who does what?

R - Review What happened/ what are we doing about it?

College of Medicine, Dentistry and Nursing Interprofessional Learning

Skills for Health Report 2009

Junior doctors in the NHS: Preparing Medical Students for

Employment and Post-graduate Training

The main areas which cause difficulties are:

• Lack of confidence and competence in clinical-decision making and prescribing in practical situations.

• Lack of understanding of the NHS and how it works.

• Standards of professionalism which are below those generally expected of NHS employees.

Skills for Health Report 2009

Junior doctors in the NHS: Preparing Medical Students for

Employment and Post-graduate Training

• Nearly all respondents talked about junior doctors not having had enough experience in clinical situations and so not having the confidence and competence needed to make decisions about the clinical management of patients.

Discussion Sessions

1 Interprofessional learning

2 HF Concordat/ NES

3 Skills for Health gap analysis

4 HF teaching in TB2

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