Martin Bromiley

@MartinBromiley

Founder, Clinical Human Factors Group. Bereaved but remarried. Promoting human factors to professionals to create safer healthcare. Views personal and my own.

Vrijeme pridruživanja: siječanj 2012.

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  1. Prikvačeni tweet
    11. lip 2016.

    "He loathed complacency & arrogance & highlighted that disciplined flying presented the greatest challenge & the most satisfaction" - O Zupp

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  2. 3. velj

    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.

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  3. 31. sij

    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 resilience

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  4. 30. sij

    This is excellent news - a continued focus on patient safety

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  5. 26. sij

    Tom & Sarah have shown such courage, humility & calmness. has been remarkable. I’m glad were able to provide insight to the family. Sadly I wonder if the issues identified are wider than just maternity.

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  6. 24. sij

    In other news, this is human factors at its best - designed to make it easy to do the right things.

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  7. 24. sij

    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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  8. 22. sij

    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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  9. 22. sij

    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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  10. 22. sij

    ...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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  11. 22. sij

    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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  12. 22. sij

    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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  13. 22. sij

    It’s a fair question , 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” 1/6

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  14. 21. sij

    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. ⁦

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  15. 17. sij

    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”.

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  16. 17. sij

    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 change

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  17. 13. sij

    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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  18. 13. sij

    Delighted to be of use, 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 1/2

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  19. proslijedio/la je Tweet
    13. sij
    Odgovor korisnicima i sljedećem broju korisnika:
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  20. 13. sij

    Well done to all the folk who put this together - helping deliver safer care!

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  21. proslijedio/la je Tweet
    26. pro 2019.

    I know you’re all busy with work or friends & family festivities, but those who’ve responded to the clear & helpful summary from might like to look at the source - striking to me how much twitter responses echo what was captured there.

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