NES Research & Innovation

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The NES Human Factors Team worked in partnership with colleagues from around the globe in the following areas to support health and care staff respond safely and effectively to the ongoing demands of the COVID-19 pandemic.

MRI Safety
Barbara Nugent quote with image of MRI - Countless MRI projectile incidents will continue to occur across the globe. Each of them could be prevented..

In a joint collaboration with the NHS Education for Scotland, Health Education England and UK MRI professional organisations, the first online MRI safety module, ‘Managing Patients Undergoing Anaesthesia in the MRI Unit’, has been developed. This resource is aimed at MRI staff working with anaesthetic teams and the unconscious patient. This resource is suitable for a range of personnel, including radiographers, radiologists, physicists, clinical scientists, trainees and other associated relevant staff.

MRI Safety Module

The module offers fundamental MRI safety knowledge and helps to develop professional expertise in MRI safety hazards and risk management. It also specifies MRI safety guidelines and legislation. Staff undertaking the module can record it in their CPD portfolios for professional accreditation and regulatory (HCPC) CPD purposes. It directly addresses the MHRA recommendation that an MR unit should maintain a list of all MR Authorised personnel together with full details of their training and certification. Link to module: 

Scoping Review of Human Factors & Ergonomics Issues, Interventions & Resources in Primary Healthcare

To read or download the Executive Briefing and Final Report commissioned by Clinical Human Factors Group, please select the links below.

image of report
image of report
Oxygen Safety at Patient Bedside and on Hospital Wards
Oxygen safety at patient bedside info download

by Chartered Institute of Ergonomics and Human Factors

Vaccinating a Nation: Ten Human Factors and Ergonomics Principles
Vaccinating a nation cover

by Chartered Institute of Ergonomics and Human Factors

Key Publications

Slater D, Hollnagel E, MacKinnon R, Sujan M, Carson-Stevens A, Ross A, Bowie P. 
A systems analysis of the COVID-19 pandemic response in the United Kingdom: Part 1 - The overall context. 
Saf Sci. 2022 Feb;146:105525.

Yardley S, Williams H, Bowie P, Edwards A, Noble S, Donaldson L, Carson-Stevens A. 
Which human factors design issues are influencing system performance in out-of-hours community palliative care? Integration of realist approaches with an established systems analysis framework to develop mid-range programme theory. 
BMJ Open. 2022 Jan 3;12(1):e048045.

McLeod R, Russell W, Stewart M, Prentice M, and Bowie P. 
Preliminary case report study of training and support needed to conduct bowtie analysis in healthcare. 
BMJ Open Qual. 2021 Jun;10(2):e001240.

Catchpole K, Bowie P, Fouquet S, Rivera J, Hignett S. 
Frontiers in human factors: embedding specialists in multi-disciplinary efforts to improve healthcare. Int J Qual Health Care. 2021 Jan 12;33 (Supplement_1):13-18.

Bowie P, Baylis D, Price J, Bradshaw P, McNab D, Ker J, Carson-Stevens A, Ross A.
Is the 'never event' concept a useful safety management strategy in complex primary healthcare systems? 
Int J Qual Health Care. 2021 Jan 12;33 (Supplement_1):25-30. 

Toccafondi G, Di Marzo F, Sartelli M, Sujan M, Smyth M, Bowie P, Cardi M, Cardi M. Will the COVID-19 pandemic transform infection prevention and control in surgery? Seeking leverage points for organizational learning. Int J Qual Health Care. 2021 Jan 12;33(Supplement_1):51-55. doi: 10.1093/intqhc/mzaa137

Hignett S, Edmonds J, Herlihey T, Pickup L, Bye R, Crumpton E, Sujan M, Ives F, Jenkins DP, Newbery M, Embrey D, Bowie P, Ramsden C, Rashid N, Williamson A, Bougeard AM, MacNaughton P. Human factors/ergonomics to support the design and testing of rapidly manufactured ventilators in the UK during the COVID-19 pandemic. 
Int J Qual Health Care. 2021 Jan 12;33 (Supplement_1):4-10. 

Sujan M, Pickup L, Bowie P, Hignett S, Ives F, Vosper H, Rashid N. 
The contribution of human factors and ergonomics to the design and delivery of safe future healthcare. Future Healthc J. 2021 Nov;8(3):e574-e579.

Jean-Pascal Fournier, Jean-Baptiste Amélineau, Sandrine Hild, Jérôme Nguyen-Soenen, Anaïs Daviot, Benoit Simonneau, Paul Bowie, Liam Donaldson & Andrew CarsonStevens.  
Patient-safety incidents during COVID-19 health crisis in France: An exploratory sequential multi-method study in primary care.
European Journal of General Practice, 2021; 27:1, 142-151


Jordache R, Doherty C, Kenny C, Bowie P. Preliminary Adaptation, Development, and Testing of a Team Sports Model to Improve Briefing and Debriefing in Neonatal Resuscitation. 
Pediatr Qual Saf. 2020 Jan 27;5(1):e228

Bowie P, de Wet C, Crickett T, et al
User redesign, testing and evaluation of the Monitoring Risk and Improving System Safety (MoRISS) checklist for the general practice work environment
BMJ Open Quality 2020;9:e000977.

Hignett S and Bowie P.  Why is the NHS still harming patients? Taking a Professional Approach to Patient Safety for COVID-19 and beyond 
Science in Parliament | Vol 76 No 3 | Autumn 2020


Foster TL, Bowie P. Professional values and behaviours of younger and older general practitioners in Scotland: a cross- sectional survey. BMJ Leader doi:10.1136/ leader-2019-000138