What is the challenge your project is going to address and how does it connect to your chosen theme?
Aim: to address the challenge of engaging all staff in Human Factor training through the deployment by mobile phone of a Human Factors Gamification App. Gamification will add new dimension to human factor learning, using of incentives and rewards, which may increase motivation and drive pursuit of training goals. 80% of serious adverse incidents in HSC can be linked to miscommunication when service users are ‘handed-over’ (Ref: IHI). Human Factor game will deploy interactive methods to upskill users in these skills. Evidence suggests that negative team behaviours have a significant impact on the quality and safety of healthcare. The Royal College of Surgeons 2017 survey found these behaviours accounted for 71% of medical errors and 67% of adverse incidents. Our NHSCT survey found 31% of staff had experienced BUHD and 40% had witnessed it. The Human Factor game will also allow staff to identify the signs and symptoms of fatigue and stress, with strategies to manage same.
What does your project aim to achieve?
A baseline survey of Human Factor skills will be undertaken and repeated post implementation. Measures include: (i) Decrease of BUHD behaviours in the surgical team (ii) Decrease number of adverse incidents/near misses related to human factors (iii) More supportive working environment in surgery (iv) Improved patient experience (v) engagement with the solution. Co-design with Trust staff will be used. By the nature of the project (focus on learning for HSC staff) there is unlikely to be significant service user engagement in design. An agile development approach will be adopted and Gamification for Human Factor ‘champions’ deployed to support engagement from others.
We want to understand our target user’s primary sources of motivation, and develop the most appropriate reward system and Gamification Strategy. The implemented solution will be developed with modularity as a focus (surgery and anaesthetics initially), but could be scaled up and used in other areas – in NI and beyond.
How will the project be delivered?
The project is a joint venture between the NHSCT and the School of Computing at Ulster University. The core project team are:
Gill Smith, Innovation and Quality Improvement Lead, NHSCT – certified human factors trainer
Dr Jonny Holland, Clinical Lead for IQI, NHSCT -user
Eunice Minford, Consultant Surgeon, NHSCT -user
Representative from Informatics, NHSCT (IT tech skills)
Maeve Murray, Nursing Practice Educator, NHSCT, AHP rep, NHSCT – user
Jonathan Synnott, Lecturer in Data Analytics, School of Computing, Ulster University – computing skills
Andrew Ennis, Research Fellow, NI Connected Health Innovation Centre (CHIC), Ulster University – gamification skills
UU Student assigned to the project- computing skills
The skills above have been selected to mitigate potential risks i.e. technical skills, gamification skills, human factors expertise, user experience and a blend of professions.
Q Members will be part of our agile test group – many have expressed an interest in participation.
What and how is your project going to share learning throughout?
This project will test the appetite for this form of learning with HSC staff and their level of engagement with same – this learning will be shared across the HSCQI network and the Q Network. The metrics identified will provide valuable information on impact of human factor skills development on safety and quality, as well as the efficiency associated with this form of learning. NI has an organised HSCQI infrastructure and a website, which will provide a vehicle to share learning. The IQI Lead for the Trust is a member of the NI Simulation and Human Factors Network (actively involved in supporting junior staff development of human factor skills), and will be able to share learning from the project with the NISHFN, and the Association for Simulated Practice in Healthcare, who whom the NISHFN have strong links. The lead is also a member of the IHI Health Improvement Alliance for Europe – with whom learning will also be shared.
How you can contribute
- We propose using members of the Q Community as an extended user test group. The Human Factor game App could be easily distributed via a Google Play test group, and interested members could provide feedback / see updates as they come through. We feel this will greatly enhance the product development, and fits well with our suggested agile approach to development. Since we launched the idea we have had overwhelming support from Q Community members across the UK who have offered input and expertise to our test group, and we would intend taking up these offers of input should our bid be successful.
|10 Nov 2019||Project initiation and detailed plan development|
|2 Dec 2019||Develop and launch communications strategy|
|5 Jan 2020||Commence stakeholder consultations on design and storyboard|
|16 Feb 2020||Sign off Gamification Strategy|
|2 Mar 2020||Commence prototype development and agile testing|
|10 May 2020||Test public release build and launch|
27 May 2020
The Gamification project commenced in September and we have experienced some delays as a result of COVID-19, but we have still be able to make good progress. The approach adopted is based on QI methodology and an Agile product development technology. This combination has been successful if driving forward quick progress and iterative design and testing following initial specification. We have also developed a formal agreement with our partnering organization (the University of Ulster) – this helps to establish clear roles and ownership for the Intellectual Property and product. We hope to test the App with a group of testers by late Summer.