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Human Factors Science in the Undergraduate Medicine Curriculum at Dundee. Dr Evridiki ( Evie ) Fioratou Lecturer Medical School Lead for Behavioural & Social Science. Human Factors Workshop , 2G12 Dalhousie, 18.12.2013. Outline. Teaching Agenda Progress Challenges Strategic Vision.
Dr Evridiki (Evie) Fioratou
Medical School Lead for Behavioural & Social Science
Human Factors Workshop, 2G12 Dalhousie, 18.12.2013
9 Apply psychological principles, method & knowledge to medical practice
12 Apply scientific method & approaches to medical research
(b) Formulate simple relevant research question in … psychosocial science … and design appropriate studies or experiments to address the questions
21 Reflect, learn & teach others
(c) Continually & systematically reflect on practice …
(e) Recognise own personal & professional limits …
22 Learn & work effectively within a multi-professional team
(b) Understand the contribution that effective interdisciplinary teamworking makes to the delivery of safe & high-quality care
(d) Demonstrate ability to build team capacity & positive working relationships & undertake various team roles …
23 Protect patients & improve care
An interactive and continuously evolving process
Teaching Delivery Methods
Dul et al. (2012; Ergonomics)
[Clinical human factors skills & IPL]
Integration of systems thinking and clinical human factors skills
Application of systems thinking and clinical human factors skills
Ergonomics (or human factors) is the scientific discipline concerned with the understanding of the interactions among humans and other elements of a system, and the profession that applies theoretical principles, data and methods to design in order to optimize human well being and overall system performance.
~ International Ergonomics Association ~
“… the theoretical and fundamental understanding of human behaviour and performance in purposeful interacting socio-technical systems, and the application of that understanding to design of interactions in the context of real settings”
~ Wilson (2000) ~
Wilson JR. Fundamentals of ergonomics in theory and practice. Applied Ergonomics 2000; 31: 557–67.
Carayon P, Hundt AS, Karsh BT, Gurses AP, Alvarado CJ, Smith M, et al. Work system design for patient safety: The SEIPS model. Quality & Safety in Health Care 2006; 15: i50–i58
Recognise that interactions are central to the care you provide within a particular complex sociotechnical system
How do you apply SEIPS Systems Thinking in practice?
Coping with fatigue
The Solution to the Cheap Necklace Problem(Silveira, 1971; Fioratou& Cowley, 2009)
Fioratou, E., & Cowley, S. J. (2009). Insightful thinking: cognitive dynamics and material artifacts. Pragmatics & Cognition, 17, 549-72
Problem solving behaviour emerged from the interaction of your team members, your task, your tools, your environment & our organisation
How can we improve the interaction of our system elements to solve the CNP?
Working in groups of no more than 3 people, discuss the following for this case:
In the CNP
In the Bromiley case
Expertise is necessary but not sufficient for successful case management
Persevering with intubation leads to fixation and ultimately to patient death
Failure to escape fixation by capitalising on cues in the environment
Human Factors integration throughout the spiral curriculum
Co-ordination with clinical colleagues but also acceptance of individual differences & contextual issues
Cultural change via leadership
To enhance the synergy between Research and Teaching and ensure sustainability
~ collaborations with the School of Nursing, Institute of Medical Science & Technology;
~ annual student journal publication/website/youtube (Horizon-type) production of HF research and experiences;
~ annual conference/awards/prizes for HF projects;
~ postgraduate supervision;
~ income generation (e.g., NES, HEA, CSO)