Do you need to be an NHS Consultant to be respected, like the respected NHS Consultant Andrew Wakefield and all of the respected NHS Consultant co-authors of his MMR paper? As far as the public is concerned a doctor is a doctor, and the damage is the same.
Posts by Steve Tipper
It seems rather simplistic to suggest that the solution is just more beds or just less attendances. More beds won’t achieve much if they are immediately filled with people who can’t be discharged because the care they need in the community isn’t there or who will rebound straight back into ED.
Endorsed by the Chartered Institute of Ergonomics and Human Factors, this upcoming title offers a practical introduction, helping you navigate your way around Human Factors and Ergonomics approaches within the healthcare setting. 📖
Sign up for publication alerts and find out more: bit.ly/HFandErgon
It's Neurodiversity Celebration Week, raising awareness of cognitive differences like ADHD, autism and dyslexia. See www.neurodiversityweek.com Good human factors design values neurodiverse strengths like problem solving and creativity. It increases inclusivity by reducing barriers to everyday life.
Investigators are human too: outcome bias and perceptions of individual culpability in patient safety incident investigations
qualitysafety.bmj.com/content/earl...
The Reason model of accidents, sometimes also known as the Swiss cheese model.
Professor James Reason passed away a few days ago. The Reason model - often known as the Swiss cheese model - of accidents revolutionised aviation safety and risk management practices, as it did for many other fields. Vale.
#HIWM12DaysOfChristmas Day 7!
Fran Ives shares her personal highlight of responding to calls from our stakeholders to implement POCUS using a human factors approach.
Read more on pages 16-17 of our 2023/24 Impact Report: www.healthinnovationwestmidlands.org/wp-content/u...
youtu.be/vzgIG2gYIf8
More sophisticated methods can give you a better understanding of the system but can be really hard to explain (e.g. Functional Resonance Analysis Method) and present the organisation with far more problems than solutions - this can make them a unpopular with people who want to hear things are fixed
RCA is attractive because it will always give you a nice simple answer. The answer will be incomplete at best and entirely wrong at worst, but it will be relatively straightforward to understand and generally conform to the preconceptions of the people that have to sign off the report.
The problem is that the skills you need for investigating complex systems aren’t something you can pick up in a few days. Doing it well is a profession in itself - it takes a lot of training and experience to even know what the best tools are for a given situation, let alone use them well.
It can be effective when looking at simple systems and processes - my widget machine is making square widgets instead of round ones. Once you get into complicated systems it‘a going to start showing its limitations. In a complex system like healthcare it’s just the wrong tool for the job.
Human error is a starting point for exploring an event, not a final cause.
www.nzherald.co.nz/nz/hmnzs-man...
🗨️Information needs to be accessible in order for patients to understand it and make informed decisions🗨️
Accessibility: how do we make sure our information meets #patientsafety standards? A blog shared on the hub earlier this year www.pslhub.org/learn/patien...
The latest #1202 Human Factors Podcast is now live - talking about #Ergonomics in the #Space domain in #Wales with Rosie Cane
www.1202podcast.com/rosie-cane/#...
Absolutely this 👇.
One of the best explanations about this describes how 'nice culture' can be as harmful as 'nasty culture'- and much harder to call out because it casts the dissenting person as 'not nice'. But 'nice culture' stifles cognitive diversity.
www.kingsfund.org.uk/insight-and-...
Hi, Chartered HF Specialist here. Used to work in Patient Safety at a Trust, now in a national role.
🗨️As anyone with a degree of public sector experience knows, demonstrating you are doing something well is very different to actually doing something well🗨️
Tom Bell: My oodles of unwanted experience as a Patient Safety Partner www.pslhub.org/learn/patien... #patientsafety