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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

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
developing behaviours
Developing Behaviours
  • Realising potential
  • Novice to expert
  • Requires practice
  • Coaching
  • Reflection
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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