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What measures demonstrate improved patient safety?

What measures demonstrate improved patient safety?

by admin | Jul 16, 2019 | All Resources, CHFG Video, Human Factors Perspectives Video Series, Tools & Methods

Nikki Davey, Clinical Human Factors Group Trustee, talks about how we might measure if a Human Factors intervention has been implemented on an operational basis. Further reading SBAR assessment...
Should we be using measurements to standardise good practice?

Should we be using measurements to standardise good practice?

by admin | Jul 16, 2019 | All Resources, CHFG Video, Culture, Human Factors Perspectives Video Series, Tools & Methods

Nikki Davey, Clinical Human Factors Group Trustee, illustrates how the challenges of making changes to improve patient safety are different across different Trusts, for example, using ‘my name is’ movement – the cultural challenges can be...
Contributory factors in surgical incidents as delineated by a confidential reporting system

Contributory factors in surgical incidents as delineated by a confidential reporting system

by admin | Mar 30, 2018 | Secondary Care, Tools & Methods

  Confidential reporting systems play a key role in capturing information about adverse surgical events. However, the value of these systems is limited if the reports that are generated are not subjected to systematic analysis. The aim of this study, by the Royal...
Systems thinking – a new direction in healthcare incident investigation

Systems thinking – a new direction in healthcare incident investigation

by admin | Oct 4, 2017 | Primary & Social Care, Secondary Care, Tools & Methods

The Health Foundation’s Evidence into Practice Programme sponsored the production of a 3 minute animation led by Thomas Jun and Patrick Waterson at Human Factors and Complex Systems Research Group, Loughborough University. This highly engaging and insightful animation...
TED Time Escalation Decision Learning package

TED Time Escalation Decision Learning package

by admin | Jul 6, 2017 | Improvement, Secondary Care, Tools & Methods

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. Whilst there have been a number of similar cases at...
Works system design for patient safety: The SEIPS Model

Works system design for patient safety: The SEIPS Model

by admin | Jun 20, 2017 | Human Factors & Ergonomics, Primary & Social Care, Secondary Care, Tools & Methods

Most errors and inefficiencies in patient care arise not from the solitary actions of individuals but from conflicting, incomplete, or sub-optimal systems of which they are a part and with which they interact. To improve the design of these systems, the US Institute...
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