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Prikvačeni tweet
"He loathed complacency & arrogance & highlighted that disciplined flying presented the greatest challenge & the most satisfaction" - O Zupp
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Tomorrow night, Tuesday 4 February 8pm. Free and open to anyone. What followed non-technical skills? I’ll be presenting evidenced based behaviours & techniques used in aviation that help maintain & improve safety.
@ClinicalHF@RCSEdhttps://twitter.com/rcsed/status/1224362248996556800 …
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It scares the hell out of me. But Elaine’s last moments were unconscious witness that without a supportive environment where challenge is valued, attempts to speak up will fail. Medical training & culture must encourage listening to those around you as part of safety resiliencehttps://twitter.com/ShaunLintern/status/1220402091618983936 …
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This is excellent news - a continued focus on patient safetyhttps://twitter.com/Jeremy_Hunt/status/1222602712010973184 …
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Tom & Sarah have shown such courage, humility & calmness.
@DerekRichford has been remarkable. I’m glad@hsib_org were able to provide insight to the family. Sadly I wonder if the issues identified are wider than just maternity.https://twitter.com/ShaunLintern/status/1220676747965976576 …Hvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi -
In other news, this is human factors at its best - designed to make it easy to do the right things.https://twitter.com/HumanFact0rz/status/1220738080988106755 …
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Specific individual behaviours enhance safety. Other behaviours reduce safety. There’s a good evidence base in other industries. In healthcare how do we encourage & train behaviours? In healthcare disaster after disaster this seems a common issue. It’s not just one hospital.
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It’s amazing more harm doesn’t occur in healthcare. It’s the humans, despite their old fashioned training, error enhancing multiple confusing systems and challenging experiences that often create safety from chaos. 6/6
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Even in the best system, skilled humans are the final line of defence. Good non-technical skills are critical, such as opening questioning, listening, creating an open culture amongst a team; all of which helps colleagues to catch errors in difficult moments 5/6
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...humans are more prone to errors when cognitively overloaded (time pressure, task difficulty, multiple demands). Most safety critical industries have options to reduce workload briefly, healthcare rarely does. Good systems are a better long term solution alongside training 4/6
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Ideally you develop systems that make it easy to get it right and hard to get it wrong as other safety critical industries have. Sadly healthcare hasn’t yet and “hopes” that clinicians can sort it out in the meantime but....3/6
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We all make mistakes. You use human factors science to create systems/processes/methods that reduce the probability or severity of error. This includes methods of working/behaving. It also includes multiple systems that catch the errors before they cause harm 2/6
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It’s a fair question
@PaulaMc007 , it gets to the heart of the problem we have now and partly the solution. Healthcare has developed assuming well trained people (ie people with knowledge) don’t make mistakes. Therefore you don’t need “safety” because it “just happens” 1/6https://twitter.com/PaulaMc007/status/1219942543326007297 …Prikaži ovu nitHvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi -
The awful cost of unsafe systems. Important issues raised, but when Elaine died all I wanted was for it not to happen to others. We must apply the science of safety, human factors & develop a safe, just & learning culture to move forward. https://www.bbc.co.uk/news/health-51180944 …
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Thank you, but it’s really the healthcare community who’ve been prepared to listen and change practice who’ve done this.... sustainability of any change comes when the people who do the work say “this is the right way for us to be”.https://twitter.com/Fionafionakel/status/1217583982549839872 …
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Watching this video brought tears to my eyes. Hearing healthcare staff talk about human factors in such a practical, perceptive way - 15 years of hard work has been worth it. Of course more to do, safety is never “done”, and a massive culture to changehttps://twitter.com/emhoogenboom/status/1217424116736823296 …
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We’ve found our work and videos used internationally in the nuclear industry, firefighting teams, Police forces, legal firms, Bomb Disposal units, aircraft engineering, cabin crew training, Naval Commander training, plus a few others. Glad to have made a difference
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Delighted to be of use,
@ClinicalHF have plenty of resources and links on our website - all offered for free in our drive to promote human factors to healthcare. Although I’m amazed at all the other industries that also benefit from our work 1/2https://twitter.com/emhoogenboom/status/1216710234443599872 …Prikaži ovu nitHvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi -
Martin Bromiley proslijedio/la je TweetHvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi
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Well done to all the folk who put this together - helping deliver safer care!https://twitter.com/AirwayMxAcademy/status/1216668210780614656 …
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Martin Bromiley proslijedio/la je Tweet
I know you’re all busy with
#NHS work or friends & family festivities, but those who’ve responded to the clear & helpful summary from@ShaunLintern might like to look at the source https://improvement.nhs.uk/resources/patient-safety-strategy/ … - striking to me how much twitter responses echo what was captured there. https://twitter.com/ShaunLintern/status/1209890279270076422 …pic.twitter.com/LK2lEXvO8S
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