In the first of our Webinar Series, we briefly introduce and outline the goals of our Health Foundation Q Exchange Project. As a first step, we also introduce the basic principles and approaches that underpin Human Factors science, and explore the...

Bowtie Analysis is used in many industries to understand how major risks are controlled. Using examples from recent work in NHS Scotland, and introducing new guidance available from NHS Education for Scotland, the webinar will focus on the basic...

This session will outline the development of the concept of Just Culture across safety critical industries. We shall consider how existing approaches to Just Culture work in healthcare as well as explore how QI and Safety II may help advance the...

Psychological safety refers to a culture where staff feel able and willing to offer suggestions and take sensible risks without provoking retaliation. The impact of psychological safety upon team effectiveness has been well researched and...

The rhetoric of ‘learning lessons’ is frequently heard in healthcare and considerable time and effort is devoted to this activity. Yet, we equally hear of our failure to learn from incidents and when things go wrong it is rarely for the first...

The importance of applying systems thinking to healthcare incident investigation has been recognised for more than 20 years but its application is still very limited. Thomas Jun has produced a 3 min award-winning animation Systems Thinking—a new...

In comparison with other high-risk industries, there is a severe lack of ‘suitably-qualified and experienced people’ (SQEPs) providing Human Factors advice to health and social care organisations. In this webinar, we will explore how organisations...

To improve task performance we need to establish best practices review vulnerabilities and make improvements. This webinar will draw out Safety-II themes from a well established and practical approach for the proactive management of Human Factors...

Care systems have an emerging opportunity to embrace human-centred design and create inclusive and collaborative approaches to help to improve people’s lives. This session will introduce you to: - The power and significance of design in all human...

The Human Factors Analysis and Classification System (HFACS) was developed as a framework to explore contributors to ‘human error’ in the US Air Force. It has since been adapted to various industries, including healthcare. This session will...

Even when we know WHAT will make a difference to care, changing the way we work sustaining change is challenging. Scientifically informed change methods can help us understand HOW to make change and HOW human factors science maximises our...

Resilient Health Care, or Safety II is a new development in human factors that stresses the importance of flexible adaptation in providing high quality care. The CARe Quality Improvement (QI) handbook was developed to provide practical guidance...

The Chartered Institute of Ergonomics and Human Factors (CIEHF) has developed guidance on ‘Achieving sustainable change: capturing learning from COVID-19’ to help organisations learn from the positive changes made as we continue to adapt to the...

How was Human Factors knowledge and professional expertise been used during the COVID-19 pandemic? Prof. Hignett will describe HF activities in the first wave, including ventilator design support and improving the usability of guidance/procedures...

So far in this webinar series, we have been considering how systems thinking can ‘scaffold’ our approach to improvement. Scaffolding allows us to decide our strategy, but to understand the system interactions, we need specific tools to unpick...

The Functional Resonance Analysis Method is promoted as a way to understand and model ‘work-as-done’ in complex systems; however, it can be time consuming and difficult to understand. We will present examples of projects that used the FRAM and ask...

Using a human-centred design approach when creating work procedures ensures that the needs, wants, preferences, capabilities and limitations of the people using the documents are the primary focus throughout every stage of their development,...

Investigation Science: The competencies and capabilities of the professional healthcare safety investigator

Situational (or situation) awareness is a term that is used frequently when talking about safety. Like crew management, it is language that has been adopted by healthcare from aviation—in fact, it is part of crew resource management. Interestingly...

In these webinars, we have been discussing theories and principles about human work and how we can understand it in ways that are useful for improvement. We have introduced a number of tools, some of them highly usable by relative novices, other...

In this webinar I will aim to review some of the ways in which we have attempted within human factors and safety science to provide an account of why accidents happen and how to prevent them. The webinar will examine work in the form of methods...

The Chartered Institute of Ergonomics and Human Factors (CIEHF) recently published a White Paper on ‘Learning from Adverse Events’ (available as a free download from https://www.ergonomics.org.uk/) Based on nine principles, the paper presents the...

What do you need to know to be safe at work? We all have different roles in healthcare to provide clinical care and treatment; support services, maintenance, purchasing, communication and IT support. Some of us are employed to provide specific...

To improve care system performance and staff well-being, there needs to be a focus on the cultural context of work. In this webinar we will describe the inter-linked concepts of Safety Culture and Safety Climate with a view to: Promoting the...

The NHS standards for patient safety investigation recognise a need to better train and professionalise incident investigation in the NHS. Simulation is commonly utilised to improve the technical and non-technical skills of clinical staff in the...