SCReaM is the Royal Surrey NHS Foundation Trust’s (RSFT’s) Human Factors and Team Resource Management Programme. We have been running since 2014 with the aim of raising the awareness, understanding, and application of Human Factors across the Trust in order to improve staff, and consequently patient, safety and wellbeing. The programme achieves this via rolling Human Factors (HF) and Team Resource Management (TRM) training courses, Quality Improvement (QI) projects, and applying Human Factors engineering principles to trust-wide improvement programmes.
Our training programme uses accredited CRM facilitators from high risk and performance industries, a chartered ergonomist, and healthcare workers with a background in HF. The training is split across 2 days of core training followed by further refresher courses every year to keep up-to-date. The courses focus on gaining an understanding and applying HF in daily life, alongside the development of TRM skills. These include stress management, communication, threat and error management, decision-making, situational awareness, leadership, teamwork. We also cover organisational safety, models of safety and look at why we perform as we do.
Whether you are new to human factors or have experience in this area, this facilitative rolling training will help healthcare workers understand that, as humans, we all make mistakes. We will promote and maintain insight, tools and techniques to help capture these in ourselves, our teams and the environment in which we work. We encourage participants to anticipate and react to the longstanding but increasingly acknowledged epidemic of medical error by improving their performance, maintaining their own well-being and keeping patients safe.
In order to support the training and encourage them to put into practice their learning, participants are encouraged to produce a ‘pledge’ at the end of the course. This is to use one simple technique or tool they have learnt during the day and make a SMALL change in order to improve their individual practice or department. Participants will be fully supported and mentored throughout.
Originally launched within operating theatres, we have since provided tailored training to other areas including Maternity, the Emergency Department, Oncology, Cardiology, Radiopharmacy, and Aseptics.