Tuesday 25th April, Session 2
Save Our Surgeons: An Ergonomics Evaluation of Laparoscopic Hysterectomy
Sue Hignett, Loughborough University
This paper presents an investigation of ergonomic issues and coping strategies during gynaecological laparoscopic surgery. Data were collected with questionnaires, postural analysis and interviews. The results suggest that work-related musculoskeletal disorders were present in almost 90% of survey respondents. The workplace factors included equipment dimensions, preference of port positioning and patient size with limited adjustability for all surgeons to perform comfortably and effectively. These findings have implications for service provision (availability of surgeons) and patient safety (human interface design.
Factors Contributing to Task Success: Safety II in the Context of Community-Based Patient Discharge
Eva-Maria Burford, Loughborough University
This explorative study investigated Safety-I and Safety-II elements with experienced staff involved in the community-component of the patient discharge process through the use of focus groups. The elements explored included aspects of a good discharge, potential errors, influencing factors, weak signals, learning opportunities, and work elements that assisted in achieving a successful task outcome. This research may be of interest not only to researchers in the safety field but also practitioners involved in the discharge process.
Can We Learn about Human and Organisation Factors from Past Transfusion Errors?
Alison Watt, Loughborough University
Errors in blood transfusion can cause death or serious harm and must be reported in the UK for ongoing learning opportunities. Very little human factors (HF) research has been applied to these errors so far, but could we learn about human and organisation factors from analysis of previously reported transfusion errors? If so, which is the best HF-related incident analysis method to use to review past errors in order to save future lives?
Medication Management in Community Care: Using Hierarchical Task Analysis to describe complex systems
Sue Hignett, Loughborough University
This paper presents an investigation into medication management at a UK Community Healthcare Trust. Data were collected at two community in-patient facilities to review practice at the two sites against the Standard Operating Procedures for (1) Medicines Management and (2) Controlled Drugs Management for four key tasks: ordering, transportation, receipt and storage of medicines. The variances in practice were discussed with senior management with the recommendation to simplify the system with a single SOP and provision of in-house pharmacy services at both sites.
Factors Influencing the Development of Effective Error Management Competencies in Undergraduate UK Pharmacy Students
Helen Vosper, Loughborough University
Improving patient safety is an aim of healthcare organisations and pharmacists (as ‘experts in medicines’) are seen as having an increasing role in this. The development of patient safety competencies begins with undergraduate pharmacy education, but little is known about patient safety teaching and even less about teaching HFE to support a systems approach to safety. This pilot study revealed a number of barriers to patient safety teaching, including behavioural characteristics which may inhibit the development of error management strategies.
WORKSHOP: How can understanding human factors contribute to creating an integrated system for medicines in the UK
Brian Edwards, CIEHF Pharmaceutical Ergonomics & Human Factors Special Interest Group
Since the inception of the Pharmaceutical Ergonomics and Human Factors Special Interest Group (SIG), a series of sub-groups have been set up with membership from different parts of the system looking at various aspects of improving human performance. The four active groups concern: (1) modelling the system for medicines in the UK, (2) introducing human factors into existing training courses for drug safety, clinical research and pharmacists, (3) evaluating how best to perform human factors studies with medicines, and (4) how to apply technology in the system. Being an interdisciplinary activity, such a SIG will appeal to those who would like to apply their talents to an important public health activity. This will introduce new ideas for research themes and collaboration and maybe even opportunities for employment as a ‘pharmaceutical system scientist’. The purpose of this workshop will be to introduce practitioners to the complexities of developing and delivering pharmaceutical drugs safely to patients through an exploration of four challenges faced by the industry.
Wednesday 26th April, Session 2
Novice and Experts Strategies for Understanding Complex Big Data
Genovefa Kefalidou, Human Factors Research Group, University of Nottingham
Sensemaking complex data is fundamental as critical decisions may be dependent on its interpretation. Our study results suggest individuals (with varying expertise) engage into different strategies when sensemaking complex medical data. Non-medical experts appear to switch between sequential and scanning strategies. Medical experts seem to choose a more ‘narrowed-down’ approach. The need for collaboration in sensemaking complex data emerged strongly in both groups. Findings suggest new decision-making tools for sensemaking complex big data should incorporate collaborative self-adaptive elements.
WORKSHOP: Development of an Educational Framework for Human Factors in Healthcare
Dave Murray, James Cook University Hospital
Within healthcare, there is still confusion as to exactly what HFE consists of. For many, it is only synonymous with non-technical skills and crew resource management, and people are unaware of other domains such as human interaction with the working environment, equipment and technology, and processes. This leaves a “training gap” that is not appreciated by either learner nor educational provider. We have been developing a human factors educational framework that maps to International Ergonomics Association competencies,and also links in with the General Medical Council Generic Professional Capabilities, and the HEE Commission on Education and Training for Patient Safety. The framework describes learning outcomes, with examples of expected behaviours, at four different levels from awareness to expertise. This workshop will seek feedback and input from delegates within and outside of healthcare such that the framework is better able to shape delivery of HFE education within healthcare. Input from those working across different HFE disciplines is required to ensure that the framework appropriately reflects the wider agenda on professional standards and CPD within Human Factors and Ergonomics.
Human Factors Integration (HFI) in UK Healthcare: a route map for 1 year, 5 years, 10 years and 20 years
Sue Hignett, Loughborough University
This paper reflects on Human Factors Integration (HFI) to consider how Human Factors/Ergonomics has influenced Defence activities, and could influence safety and performance in Healthcare activities. A workshop with 16 Chartered Institute of Ergonomics & Human Factors members was held in July 2016 to discuss and propose a Route Map for HFI in the UK National Health Service. The results set out achievable targets for 1, 5, 10 and 20 years culminating in mandatory HFI to achieve a resilient system for safety culture and work load.