Patient Safety Improvement Lead
Nottingham University Hospitals NHS TrustEngland - East Midlands
I am the Patient Safety Improvement Lead at NUH and a Medic by background. I am peculiar in that I have deviated from the normal medical pathway into organisational safety and improvement. I lead on multiple improvement projects (failure to rescue, medicines, second victim, radiology etc.) and investigate Serious Incidents.
I lecture at the University of Nottingham (Assistant Professor) in Patient Safety and am a module lead on the local MSc in Quality and Patient Safety Improvement. http://www.nottingham.ac.uk/healthsciences/postgraduate/quality-and-patient-safety-improvement.aspx
I also have an MSc in Ergonomics/ Human Factors in Healthcare. My big passion is Human Factors analysis methods and techniques. I am experienced with the use of the Human Factors Analysis and Classification System and AcciMaps.
Q Exchange ideas
To develop an effective and accessible “Peer Support” network for staff (local and potentially regional) after patient safety incidents and other traumatic events; with measurable impact.
Human Factors Analysis and Classification System
The Human Factors Analysis and Classification System (Shappell and Wiegmann, 2000) is a taxonomical framework that helps incident investigators identify both active and latent factors that contribute to the occurrence of untoward events. It aims to provide a robust, comprehensive and consistent approach to incident analysis, so that organisations can truly learn to improve. Originally developed in the field of aviation, the HFACS framework presented has been modified (including validation and reliability assessment) for use in acute-hospital Trusts in the UK by the author in collaboration with Dr Suzanne Shale. The presentation will look to share the framework, how to use it, and how recommendations for improvement can be extracted.