Human factors in a maternity service making it happen
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Human Factors In a maternity service Making it happen. Dr. Harriet Nicholls Consultant Anaesthetist Luton and Dunstable Hospital NHS Foundation Trust. How we’ve done it What we’ve gained. Process Raising awareness Training Introducing and spreading behaviours Developing behaviours

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Human Factors In a maternity service Making it happen

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Human factors in a maternity service making it happen

Human Factors In a maternity serviceMaking it happen

Dr. Harriet Nicholls

Consultant Anaesthetist

Luton and Dunstable Hospital

NHS Foundation Trust


How we ve done it what we ve gained

How we’ve done it What we’ve gained

  • Process

    • Raising awareness

    • Training

    • Introducing and spreading behaviours

    • Developing behaviours

    • Communications

  • Achievements


Process raising awareness

Process – Raising awareness

  • Senior management

  • Heads of department

  • Risk management

  • Staff groups

  • Walking down the corridor


Process training

Process – Training

  • Critical mass introduced to the concepts

  • Monthly team training days

  • Multi-disciplinary group on LIPS course


Process introducing behaviours

Process – Introducing behaviours

  • One behaviour, one area

  • One individual, one day

  • Multi-disciplinary champions

  • Monthly meetings

  • Sharing good practice

  • Learning from one another

  • Asking of each other


Spread of behaviours

Spread of Behaviours


Developing behaviours

Developing Behaviours

  • Realising potential

  • Novice to expert

  • Requires practice

  • Coaching

  • Reflection


Developing behaviours briefing

Developing BehavioursBriefing


Developing behaviours debriefing

Developing BehavioursDebriefing


Process communications

Process – Communications


Evaluation

Evaluation

  • Clinical Outcomes

  • Cultural Survey

  • Anecdotal


What have we gained

What have we gained?

  • Day starts when it’s supposed to start

  • We all know the game plan

  • Handover time cut by 20 minutes, Ward 32

  • ODPs want to come and work in maternity

  • Communication has improved across and within disciplines

  • It feels safer in theatre


Success factors

Success Factors

  • Support at all levels

  • Built in-house capability

  • An appreciation that we are the culture…


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