Putting the science into practice: Developing and refining a healthcare-oriented HFE framework using workplace-based simulation exercises.
Dr. Nick Woodier, Trent Simulation and Clinical Skills Centre
Dr. Alexandra Lang, The University of Nottingham
Dr. Laura Pickup, The University of Nottingham
Prof. Bryn Baxendale, Trent Simulation and Clinical Skills Centre
Simulation-based learning in healthcare is educationally effective, can help improve patient outcomes and reduce mortality. However, the term ‘simulation’ embraces a wide spectrum of techniques and this needs to be considered when designing and evaluating specific interventions.
In healthcare, simulation has historically been used as an educational tool to enhance development of proficiency in different clinical and technical skills. More recently there has been interest in the use of advanced ‘immersive’ simulation to focus on individuals’ non-technical skills and team-based crisis management behaviours. The growing political, public, and professional interest in quality, safety, productivity and efficiency in healthcare systems has now highlighted the importance of better understanding and qualifying the potential benefits of simulation in the wider system.
One approach of considerable interest is the use of simulation-based exercises within the actual workplace setting directly involving multiprofessional staff members (‘in-situ simulation’). This provides immediate face validity for staff to practice individual and team skills and behaviours in the clinical setting. It also provides a valuable and unique opportunity to assess critical aspects of system efficacy. This can be applied to evaluate specific aspects of patient or staff safety and well-being, or other facets of care quality including efficiency and productivity. Outcomes from such exercises can usefully highlight potential gaps or other system deficiencies that might weaken reliability and resilience at a local level. Equally, changes in policy, new technologies, and changes to practices can be tested in realistic contexts prior to wider implementation.
This field of activity provides an important and appropriate example of where healthcare clinicians and managers with an interest in Human Factors and Ergonomics (HFE) need to be encouraged to invite input from and work collaboratively with qualified HFE practitioners with the overall goal of improving patient care and optimising use of the resources available to achieve this goal. This links to the national agenda considering how best to integrate HFE into healthcare systems and practice .
This interdisciplinary workshop will consider how to articulate the science of HFE in a healthcare context and enhance its application with the aim of improving the quality of patient care and staff well-being.
What is the purpose of your workshop?
• To discuss and critique existing structured HFE methodologies in the context of UK healthcare systems
• To identify opportunities for systems testing in healthcare by use of workplace-based simulation exercises and discuss their potential value
• To develop or refine an existing healthcare oriented HFE diagnostic framework by group consensus that can subsequently be validated in practice by interested participants
Who is your intended audience?
This workshop will appeal to:
• HFE practitioners and students with an interest in the application of HFE to healthcare
• Healthcare professionals who want to learn more about applying HFE principles
• Healthcare educators with an interest in multimodal learning approaches including simulation
It is appropriate for qualified and non-qualified staff who either work in healthcare or want to learn more about this particular area of HFE.
What key skills, tools or knowledge do you want your participants to take away?
Participants will learn about:
• In-situ simulation in healthcare (its theory, application and impact)
• The work of an experienced simulation centre in designing and evaluating the use of advanced simulation programmes in healthcare
• A variety of different HFE models used to analyse healthcare systems and practice
Participants will gain:
• Experience in application of chosen HFE models for analysis of in-situ simulation-based scenarios
• Appreciation of the use of these models and their potential to improve the quality of patient care
• An opportunity to engage in the development of a novel HFE diagnostic framework suited to healthcare
• An opportunity to engage in collaborative work post conference regarding the evaluation and further refinement of the healthcare HFE diagnostic framework
What activities will you use to engage your participants and help them learn?
This workshop will involve active engagement of participants through:
• Facilitated critique of several HFE diagnostic models
• Application of these models to video-presented simulation scenarios followed by forum-based discussion
• Development of a healthcare HFE diagnostic framework based on group consensus
• Group discussion regarding post conference evaluation and validation of the healthcare HFE framework