Nikki Davey, Clinical Human Factors Group Trustee, talking from a position of Quality Improvement about how Human Factors and Ergonomics and Quality Improvement practitioners can contribute to patient safety.
Patient safety is a serious global public health concern. There is a 1 in a million chance of a person being harmed while travelling by plane. In comparison, there is a 1 in 300 chance of a patient being harmed during health care. Industries with a perceived higher risk such as the aviation and nuclear industries have a much better safety record than health care.
Hypoxic Ischaemic Encephalopathy (HIE) occurs when the foetal brain does not receive enough oxygen. This can lead to severe impairment or death of the baby and is of course devastating for both families and staff.
This thought paper explores how healthcare systems can develop a system-wide approach to investigating and learning from the most serious patient safety issues, and examines the organisational infrastructure that is needed to support this.
England’s 15 Patient Safety Collaboratives play an essential role in identifying and spreading safer care initiatives from within the NHS and industry, ensuring these are shared and implemented throughout the system.
Circle of Care is a model for Compassionate Human Factors in Healthcare, created by the Simulation and Interactive Learning Centre (SaIL) at Guy’s and St Thomas’ NHS Foundation Trust (GSTT) in collaboration with Clod Ensemble’s Performing Medicine programme. It helps us think about, practise and demonstrate the high quality compassionate care to which we all aspire to.
The pursuit of safety is not for the timid. This Health Foundation report eloquently surveys the landscape of obstacles. But there are at least two inescapable facts that make improving safety especially difficult and frustrating.