Human Factors

This section focuses on patient safety improvement work and includes projects around human factors and simulation.

Resources

  • Normothermia on admission for infants born at less than 32 weeks gestation as measured by the National Neonatal Audit Programme (NNAP) had remained static at around the national NNAP average for 2014-16 (results 57%, 62% & 59% respectively). Therefore, we initiated a quality improvement...

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  • Children attending the paediatrics assessment unit (PAU) for less than 4 hours were not receiving a copy of their discharge summary (DS) before going home. This was not in line with the organisational target for this group of patients, which aimed to provide a DS for more than 95% of them within...

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  • Our overall HbA1c was above the national average and therefore an outlier in the NPDA 15/16.  A third (58) of our 167 CYPD used continuous subcutaneous insulin infusion (CSII) as their treatment option.  Despite using CSII technology, we identified that these patients had a mean HbA1c (63mmol/...

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  • Handwritten notes are kept in a locked trolley in a secure room to preserve confidentiality. With multiple teams, it was unusual to find notes in the correct slot of the trolley. Numerous inefficiencies occurred through time spent looking, an inability to record notes contemporaneously and the...

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  • Respiratory Futures is a place for people in the respiratory sector come together: to find answers and share ideas; to network with other professionals or engage with new institutions; and to celebrate successes or discuss key issues. We host debates on some of the most pressing contemporary...

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