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Wendy Halliburton

Ergonomics and Human Factors

Fig.4 Team working and collaboration

Although they were asked to complete the analysis individually, a number of them joined together in small groups. They identified that this was beneficial to generating ideas and determining a consensus. All participants felt they could become skilled using the tools with additional training. Many of them planned to use the tools for their next investigation (future application).

Fig.5 General comments about the tools

The participants had little knowledge of human factors, systems thinking or the tools prior to the training, and yet with minimal training, they were able to apply the tools, identify contributory factors and consider areas for change. Whilst the tools may not have been applied consistently, they gained the most benefit, not from constructing an AcciMap, but from the discussions that were generated by undertaking the process together.

Fig.6 RAPP tool to assess hazards of moving healthcare records

Undertaken as part of the module on Human Function, I evaluated the 'work' being done by the coders who transported notes across the hospital site to an outside building to code each episode of care before returning the notes to the medical records department situated in the basement of the main hospital building. Since this project, the coding team have been relocated next to the Medical Records department.

Fig.7 Images of contrasting signage and fixtures for patients with sensory impairment

Undertaken as part of the module on Disability, Ageing and inclusive design. The project looked at accessibility issues for patients in the physical environment of the hospital through PLACE assessments and compliance with the Accessible Information Standards. Since completing the work the Trust has begun work with a colour-coded wayfinding system; introduced QR codes to link to audio leaflets, and embraced technology to deliver 'virtual' appointments to reduce the need for patients to attend in person.

Fig.8 Presenting at the 'Mind the Gap' event in Durham in November 2019

Since beginning my degree I have taken over leading the North East and North Cumbria Human Factors and Ergonomics Community of Practice (@hfecop) which together with support from the Academic Health Science Network for the North East and North Cumbria (AHSN NENC) and funding from Q, delivered a one-day conference on Human Factors in November 2019 including expert keynote speakers from across the country.

Wendy Halliburton

As a Patient Safety Specialist in healthcare, I have embraced human factors and systems thinking into my everyday work, in particular promoting a systems approach to incident investigation and identification of areas for change.

Major project

Systemic Accident Analysis Methods for Healthcare: utility, usability and future application