Making tomorrow s doctors safer p atient safety the human factor
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Making Tomorrow’s Doctors Safer P atient Safety – the human factor. Martin Bromiley. Accidents were an unfortunate but accepted risk or complication of flying. . We know we’re not perfect. But among the flying community it’s generally believed that ALL accidents are preventable.

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Making tomorrow s doctors safer p atient safety the human factor l.jpg

Making Tomorrow’s Doctors SaferPatient Safety – the human factor

Martin Bromiley



We know we re not perfect l.jpg
We know we’re not perfect... complication of flying.



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But among the flying community it’s generally believed that ALL accidents are preventable

....but why do we believe that?


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Investigation (technical & non-technical/HF) that ALL accidents are preventable


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Investigation (technical & non-technical/HF) that ALL accidents are preventable

Safety and human factors embedded from the very first flight


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Investigation (technical & non-technical/HF) that ALL accidents are preventable

Safety and human factors embedded from the very first flight

Continued process of knowledge, examination and assessment of technical and non-technical skills (Pilots, Cabin Crew, Engineers, Air Traffic Controllers.....)


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Investigation (technical & non-technical/HF) that ALL accidents are preventable

Safety and human factors embedded from the very first flight

Continued process of knowledge, examination and assessment of technical and non-technical skills

Reinforcement of the skills to balance safety and productivity



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It’s also about....... and what they do.....

  • Leadership and personal example

  • Rules that don’t encourage rule breaking

  • Equipment reliability and design/ergonomics

  • The whole team understanding of safety and human factors, relevant to their field


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If we understand Human Factors…. and what they do.....

We can develop techniques to optimise human and system performance using:

Physical design of structures, tools, buildings etc

System design of process and protocol

Cognitive strategies for how we behave

In other words, making it easy to do the right thing all the time, with reliability of outcome


So to understand the human in the system future doctors need to understand l.jpg
So to understand the human in the system, future doctors need to understand….

...fundamentally, that error is normal!

How design and environmental factors influence performance

How systems encourage or discourage doing the right thing

The impact of our behaviour on others and vice versa – and how we really behave!

Cognitive strategies for behaviour and thinking

Past investigations and the cost of being unsafe

The safety v productivity dilemma


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Some of the CHFG “Team”over the last need to understand….4 years….

Prof Jim Reason – Univ of Manchester

Dr Jane Carthey – HF Specialist

The late Prof Helen Muir – Cranfield

Prof Rhona Flin – Aberdeen University

Tony Giddings - Former member of the Council of the Royal College of Surgeons Eng

Jane Reid – President, International Federation of Perioperative Nurses

Chris Sadler – Consultant Anesthetist & Director of Barts and The London Medical Simulation Centre

Clare Bowen

Matthew Sargeant – Hywel Dda Health Board, Consultant Psychiatrist

Cate Quinn – Care Quality Commission

Prof Charles Vincent – Imperial

The late Dr Karen Woo - BUPA

Nikki Maran – Scottish Clinical Simulation Centre

Peter McCulloch – QRSTU Oxford

Linda Watterson – Royal College of Nursing

Allan Goldman – Consultant Intensivist

Mark Emerton – Orthopedic Surgeon

Stephen Ramsden – Chief Executive L&D NHS Trust

Dr Melinda Lyons & Bev Norris – HF Specialists representing the NPSA

Hugh Rogers & Nikki Davey – representing the NHS Institute

Simona Arena – Health Foundation

Prof Nick Barber – Prof of the Practice of Pharmacy, Univ of London

Emma Stanton – BAMMbino

Sir Ian Kennedy – Chair of HCC


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Consultant Anaesthetist need to understand….

Consultant Anaesthetist

ENT Surgeon

Senior ODP

ODP

Recovery Nurse

Recovery Nurse


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Thank you need to understand….……want to learn more about HF in healthcare?

  • Charles Vincent & CPSSQ at Imperial are hosting the second “CHFG Open Seminar” on 19 April 2011. Spaces are free but limited, see www.chfg.org


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