A Safety Evaluation of the Impact of Maternity-Orientated Human Factors Training on Safety Culture in a Tertiary Maternity Unit

Ansari, Sophia P; Rayfield, Malissa E; Wallis, Victoria A; Jardine, Jennifer; Morris, Edward; Prosser-Snelling, Edward

doi:10.1097/pts.0000000000000609

Cited by 15 publications

(15 citation statements)

References 11 publications

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“…After careful determination of the significant impact of the nurses' professional core competencies and KPIs on patient safety outcomes, such a relationship discusses the qualified consequence of having professional nurses who uphold safety on nursing practice, leadership and management and research for the patients' outcomes critical to safety concerns. This is of particular similarity with the findings of Ansari et al (2019) implicating awareness, communication, decision-making, conflict resolution, teamwork and leadership with significant improvement of safety culture. At a particular note, nurses must always assess and achieve a safe working environment for patients to prevent errors related to medication and blood transfusion, falls, pressure sores and nosocomial infections (Arnetz et al, 2019;Ricklin et al, 2019;Shang et al, 2019).…”

Section: Discussionsupporting

confidence: 77%

“…Furthermore, Sholl et al, (2019) claimed that staff nurses' lack of competence and professionalism creates a great impact on the patients' safety in terms of physical, emotional and psychological aspects. Openness in communication is statistically significant with an enhancement of safety culture and that the patients must demonstrate active engagement in this process (Ansari et al, 2019;Chegini et al, 2019;Lee and Quinn, 2019). Communication in clinical settings is so vital that it must be practiced in all areas of care plans including medication management, such as medical reconciliation even in complex areas (Manias et al, 2019;Martyn et al, 2019;Stark et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

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Philippine professional core competencies’ impact on nurses’ key performance indicators (KPIs) for patient safety outcomes

al.¹

2020

Int. j. adv. appl. sci.

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Patient safety becomes topmost priority-almost always comparable to the quality of healthcare in the facade of disturbing rates of hospital imprecisions and resultant deaths. Expansive clinical experience, exposure to evidencebased practices and active research engagement can potentially address these problematic consequences. This descriptive-correlational study identified the 304 registered nurses' professional core competencies from selected government and non-government hospitals in the Philippines and determined their impact on KPIs for patient safety outcomes. Most of the nurses' professional core competencies displayed very high grade (x=3.52, SD±0.090) specifically on safe nursing practice (x=3.88, SD±0.087, very high) followed by leadership and management (x=3.68, SD±0.086, very high) and research (x=3.01, SD±0.097, high). KPIs showed an overall mean score of 3.17 (SD±0.418, high) and among the five (5) indicators, blood management (x=3.45, SD±0.0611, very high) and medication safety (x=3.55, SD±0.493, very high) obtained the highest scores. Finally, a significant relationship exists between the nurses' professional core competencies and KPIs for patient safety outcomes and further disclosed a highly positive correlation (r-0.950, p=0.000) that undoubtedly determined the impact of professional core competencies on KPIs. Ultimately, the results concluded the vital importance of safe nursing practice, research, leadership, and management, as professional core competencies in ensuring patient safety in hospitals.

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Section: Discussionsupporting

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Philippine professional core competencies’ impact on nurses’ key performance indicators (KPIs) for patient safety outcomes

al.¹

2020

Int. j. adv. appl. sci.

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“…HF content was taught and/or evaluated by trainers with variable expertise, including HF-trained clinical faculty members or CRM experts ( Table 1 ). Of note, eight training offers involved an instructor’s course with a ‘train-the-trainer’ approach 28 , 30–36 . The number of learners and trainers varied widely across the studies.…”

Section: Resultsmentioning

confidence: 99%

“…Six interventions were created in collaboration with a commercial company 22 , 23 , 30 , 32 , 37–39 , while others were pursued by research groups and experts in HF, CRM, psychology, or other disciplines ( Table 1 ). Interactive or non-didactic techniques were applied to teach HF in all 27 interventions, alongside didactic tools such as lectures, presentations, and reading material ( Fig.…”

Section: Resultsmentioning

confidence: 99%

Exploring human factors in the operating room: scoping review of training offerings for healthcare professionals

Lee

Finstad

Tipney³

et al. 2022

BJS Open

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Background Human factors (HF) integration can improve patient safety in the operating room (OR), but the depth of current knowledge remains unknown. This study aimed to explore the content of HF training for the operative environment. Methods We searched six bibliographic databases for studies describing HF interventions for the OR. Skills taught were classified using the Chartered Institute of Ergonomics and Human Factors (CIEHF) framework, consisting of 67 knowledge areas belonging to five categories: psychology; people and systems; methods and tools; anatomy and physiology; and work environment. Results Of 1851 results, 28 studies were included, representing 27 unique interventions. HF training was mostly delivered to interdisciplinary groups (n = 19; 70 per cent) of surgeons (n = 16; 59 per cent), nurses (n = 15; 56 per cent), and postgraduate surgical trainees (n = 11; 41 per cent). Interactive methods (multimedia, simulation) were used for teaching in all studies. Of the CIEHF knowledge areas, all 27 interventions taught ‘behaviours and attitudes’ (psychology) and ‘team work’ (people and systems). Other skills included ‘communication’ (n = 25; 93 per cent), ‘situation awareness’ (n = 23; 85 per cent), and ‘leadership’ (n = 20; 74 per cent). Anatomy and physiology were taught by one intervention, while none taught knowledge areas under work environment. Conclusion Expanding HF education requires a broader inclusion of the entirety of sociotechnical factors such as contributions of the work environment, technology, and broader organizational culture on OR safety to a wider range of stakeholders.

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“…Patient numbers are growing; complexity of patients is increasing; and we know that adverse events due to poor communication are common 1. Human factors training is now mandatory in most training programmes,2–9 and communication is being recognised as a key factor in this. It is therefore vital that, as clinicians, we optimise our communications to allow us to keep up with busier schedules and detailed decision making.…”

Section: Introductionmentioning

confidence: 99%

Improving communication lines: quality improvement project moving a department away from outdated paging

Jones

Shah

Robati

et al. 2019

leader

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IntroductionPaging systems in Hospitals have been established for some time, but they are now outdated and unreliable. This opinion is shared by the UK government, which has given the NHS until 2021 to become free of these technologies. Given this new mandate, we wanted to implement a change in the way other Healthcare Professionals can contact Orthopaedic Senior House Officer Doctors (SHOs), at Darent Valley Hospital, a District General Hospital in Kent, England.MethodsUsing the Plan, Do, Study, Act (PDSA) cycle model for quality improvement projects, the authors demonstrate two successful cycles improving the way in which HCPs can establish communication with Orthopaedic Junior Doctors. PDSA cycle 1 introduced a ward doctor to be stationed on the orthopaedic wards and to carry a mobile phone. The mobile phone worked well, but there were limitations to having to stay on the wards. PDSA cycle 2 introduced mobile phones for all Orthopaedic Doctor Teams. Impact of changes made was measured using staff questionnaires distributed to a range of Healthcare Professionals.ResultsAfter PDSA Cycle 1, 100% of the 36 asked agreed that having a ward doctor had saved time in their day. 72% said they page an Orthopaedic Doctor zero to two times with no reply, compared with 9% before the change was implemented. After PDSA cycle 2, 100% of the 31 asked agreed that using mobile phones was an effective way of communicating with the Orthopaedic Doctors, and 90% said that, on average, they would spend less than 2 min trying to contact an Orthopaedic Doctor, compared with 33% after PDSA cycle 1 intervention.ConclusionThis cycle has clearly improved communication in our orthopaedic department. If used in the right way, mobile phone technology can surely improve our clinical environments.

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A Safety Evaluation of the Impact of Maternity-Orientated Human Factors Training on Safety Culture in a Tertiary Maternity Unit

Abstract: Supplemental digital content is available in the text.

Cited by 15 publications

References 11 publications

Philippine professional core competencies’ impact on nurses’ key performance indicators (KPIs) for patient safety outcomes

Philippine professional core competencies’ impact on nurses’ key performance indicators (KPIs) for patient safety outcomes

Exploring human factors in the operating room: scoping review of training offerings for healthcare professionals

Improving communication lines: quality improvement project moving a department away from outdated paging

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