Human Error Learning in Paediatrics
(HELP) Course
Hull Institute of Learning & Simulation, Hull Royal Infirmary, HU3 2JZ
“We cannot change the human condition, but we can change the
conditions under which humans work”
30th March 2015
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Introduction:
Human factors is becoming increasingly recognised as integral to the majority of healthcare
errors. Yet it is an area in which healthcare professionals have limited training. Hull Institute
of Learning and Simulation in collaboration with Yorkshire and the Humber School of
Paediatrics have created an opportunity for paediatric healthcare professionals to participate
in an inter-professional learning environment, to develop an understanding of the role of
human factors in clinical error and strategies to mitigate clinical risk. Integrated simulation
provides an opportunity to practice human factors principles and learn from one another.
Objectives:
•
To explore healthcare error & the role of human factors
•
To promote inter-professional learning
•
To appreciate factors affecting individual performance
•
To consider effective communication tools and the role of authority gradients
•
To explore effective team and team leader attributes
•
To develop understanding of risk management & the root cause analysis process
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Programme:
Time
0830-0900
0900-1015
1015-1105
1105-1120
1120-1210
1210-1300
1300-1340
1340-1400
1400-1500
1500-1515
1515-1630
1630-1650
Session
Registration
Pre-Course Questionnaires
Welcome & Introductions
Role of Error and Human Factors in Healthcare
Situational Awareness & Performance Management
Coffee
Communication & Authority Gradients
Teamwork & Leadership
Lunch
Introduction to Simulation & Tour
Simulated Scenario
(Volunteers Required!!)
Coffee
Critical Incident & RCA
Feedback & Summary
Post-Course Questionnaires
Please be aware that this timetable may be subject to change.
Please aim to arrive before 08:45 am to facilitate and prompt
start and to allow time for completion of pre-course
paperwork. The course runs on a tight schedule around
faculty and equipment availability.
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Course Faculty:
Dr James Blythe
Paediatric Clinical Education and Leadership
Fellow HEYH
Dr Chantelle Mann
Paediatric Clinical Education and Leadership
Fellow HEYH
Dr Fharhad Motaleb
Paediatric Clinical Education and Leadership
Fellow HEYH
Dr Christopher Vas
Paediatric Clinical Education and Leadership
Fellow HEYH
Matthew Smith
Clinical Nurse Educator
Hull Royal Infirmary
Julie Mould
Clinical Nurse Educator
Hull Royal Infirmary
Helen Tointon
Clinical Nurse Educator
Hull Royal Infirmary
Dr Hannah Shore
Consultant Neonatologist
Leeds Teaching Hospitals NHS Trust
Not all faculty members will be available for the whole day. Observers may also be present on
this course.
Parking & Travelling to Hull:
Please give yourself enough time for the journey. We know some of you are travelling long
distances but so are the faculty so please be punctual to get the best out of the day. Parking is
available in visitor spaces and will cost around £5 for the day. Please see map for directions.
Useful resources:
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
Human factors: The Clinical Human Factors Group: www.chfg.org

National Quality Board Concordat 2013

DOH Human Factors Reference Group Interim Report 2012

Joint Statement of Professional Values 2012 – GMC & NMC
A brief introduction to simulators:
Paediatric HAL, 5 year old
Airway
 Can be orally and nasally intubated
 An ET tube or LMA can be inserted
 Sensors can detect depth of intubation
 You can hear a variety of upper airway sounds
Breathing
 Manikin has different breathing patterns and lung sounds
 It can accommodate assisted ventilation, including BVM and
mechanical support
 Efficacy of ventilation breaths can be measured and logged
 Manikin will develop gastric distension with excessive BVM ventilation
Circulation and colour change
 Bilateral carotid, brachial and radial pulses can be palpated and respond to circulatory changes
 Multiple heart sounds, rates and murmurs can be auscultated
 Efficacy of chest compressions can be measured and logged
 Colour and vital signs respond to hypoxic events and interventions
Paediatric HAL, 1 year old
Airway
 Can be orally and nasally intubated
 An ET tube or LMA can be inserted
 Sensors can detect depth of intubation
 You can hear a variety of upper airway sounds
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Breathing
 Manikin has different breathing patterns and lung sounds
 It can accommodate assisted ventilation, including BVM and mechanical support
 Efficacy of ventilation breaths can be measured and logged
 Manikin will develop gastric distension with excessive BVM ventilation
Circulation and colour change
 Bilateral carotid, brachial and radial pulses can be palpated and respond to circulatory changes
 Multiple heart sounds, rates and murmurs can be auscultated
 Efficacy of chest compressions can be measured and logged
 Colour and vital signs respond to hypoxic events and interventions
Paediatric HAL, Baby & Premi HAL
Airway
 Can be orally and nasally intubated
 You can hear a variety of upper airway sounds
Breathing
 Manikin has different breathing patterns and lung sounds
 It can accommodate assisted ventilation, including BVM and mechanical support
 Efficacy of ventilation breaths can be measured and logged
Circulation and colour change
 Brachial and femoral pulses can be palpated and
respond to circulatory changes
 Multiple heart sounds, rates and murmurs can be
auscultated
 Efficacy of chest compressions can be measured and
logged
 Colour and vital signs respond to hypoxic events and
interventions
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