Pilot training and surgical education: flying towards a brighter future

AimHuman factors, surgery and aviation are intimately tied together by the common threads of error, risk and interpersonal relationships. A plethora of research abounds in all disciplines individually. The lessons learnt in one domain however are not unique and can be shared between all to promote best practice, further research and a greater understanding at a fundamental level.MethodsA structured, thematic, literature review was performed. PubMed, EMBASE and Ovid MEDLINE databases were interrogated directly. The Health Foundation, National Health Service and Department of Health online databases were used through querying intrinsic search functions.ResultsWith expanding use of technologies such as checklists, there is a gap left to better address and understand the nuances and roles of stress, communication and emotion on both learning and clinical practice. These can be prominent in the high-pressure environments shared between aviation and surgery.ConclusionsThe authors explore lessons learnt from aviation, the human factors applicable to both and how they can be extrapolated to improve patient safety outcomes and promote the use of the ‘Software, Hardware, Environment, Liveware’ tool to aid practice.

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Management of the deteriorating adult patient: does simulation-based education improve patient safety?

British Journal of Hospital Medicine ◽

10.12968/hmed.2021.0293 ◽

2021 ◽

pp. 1-8

Author(s):

Jacqueline Bennion ◽

Stephanie K Mansell

Keyword(s):

Human Factors ◽

Adult Patient ◽

Patient Outcomes ◽

Improve Patient Safety ◽

Low Grade ◽

Contributing Factors ◽

Educational Method ◽

Simulation Based ◽

The Impact

Failure to recognise the deteriorating patient can cause severe harm and is related to preventable death. Human factors are often identified as contributing factors. Simulation-based education is used to develop clinicians' human factors skills. This article discusses the evidence concerning the efficacy of simulation-based education for improving the recognition and management of the acutely deteriorating adult patient, and the limitations of simulation-based education. Findings demonstrated simulation-based education was the most effective educational method identified for training staff in recognising unwell patients. The evidence demonstrating the impact of simulation-based education on patient outcomes was equivocal. The quality of the evidence was low grade regarding the efficacy of simulation-based education on human factors. Further research is required to confirm the efficacy of simulation-based education for human factors and patient outcomes.

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EAOM 2021 Crispian Scully Lecture: Applying human factors to improve patient safety and performance

Journal of Oral Pathology and Medicine ◽

10.1111/jop.13254 ◽

2021 ◽

Author(s):

Peter A Brennan ◽

Steve Jarvis ◽

Rachel S Oeppen

Keyword(s):

Patient Safety ◽

Human Factors ◽

Improve Patient Safety ◽

And Performance ◽

Improve Patient

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Developing an evaluation framework for clinical redesign programs: lessons learnt

Journal of Health Organization and Management ◽

10.1108/jhom-07-2015-0109 ◽

2016 ◽

Vol 30 (6) ◽

pp. 950-970 ◽

Cited By ~ 2

Author(s):

Premaratne Samaranayake ◽

Ann Dadich ◽

Anneke Fitzgerald ◽

Kathryn Zeitz

Keyword(s):

Balanced Scorecard ◽

Mixed Methods Research ◽

Best Practice ◽

Process Management ◽

Well Being ◽

Evaluation Framework ◽

Primary Data ◽

Patient Journey ◽

Content Type ◽

Lessons Learnt

Purpose The purpose of this paper is to present lessons learnt through the development of an evaluation framework for a clinical redesign programme – the aim of which was to improve the patient journey through improved discharge practices within an Australian public hospital. Design/methodology/approach The development of the evaluation framework involved three stages – namely, the analysis of secondary data relating to the discharge planning pathway; the analysis of primary data including field-notes and interview transcripts on hospital processes; and the triangulation of these data sets to devise the framework. The evaluation framework ensured that resource use, process management, patient satisfaction, and staff well-being and productivity were each connected with measures, targets, and the aim of clinical redesign programme. Findings The application of business process management and a balanced scorecard enabled a different way of framing the evaluation, ensuring measurable outcomes were connected to inputs and outputs. Lessons learnt include: first, the importance of mixed-methods research to devise the framework and evaluate the redesigned processes; second, the need for appropriate tools and resources to adequately capture change across the different domains of the redesign programme; and third, the value of developing and applying an evaluative framework progressively. Research limitations/implications The evaluation framework is limited by its retrospective application to a clinical process redesign programme. Originality/value This research supports benchmarking with national and international practices in relation to best practice healthcare redesign processes. Additionally, it provides a theoretical contribution on evaluating health services improvement and redesign initiatives.

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Robotic Surgery and the Operating Room Team

Proceedings of the Human Factors and Ergonomics Society Annual Meeting ◽

10.1177/154193120504901115 ◽

2005 ◽

Vol 49 (11) ◽

pp. 1070-1073 ◽

Cited By ~ 10

Author(s):

Fuji Lai ◽

Eileen Entin

Keyword(s):

Patient Safety ◽

Robotic Surgery ◽

Human Factors ◽

Operating Room ◽

New Technologies ◽

Improve Patient Safety ◽

Robotic Systems ◽

Team Members ◽

Operating Room Team ◽

Full Benefit

Robotic surgery has the potential to revolutionize the field of surgery and improve patient safety. However, despite the advantages robotic surgery can offer, there are multiple human factors-related issues that may prevent these systems from realizing their full benefit. This study identified some of the salient human factors issues and considerations that need to be addressed for integration of new technologies such as robotic systems into the Operating Room of the future. We conducted in-depth interviews with operating team members and other stakeholders who have experience with robotic surgery to identify workflow, teamwork, training, and other clinical acceptance issues. Addressing these and other human factors issues will help the integration of surgical robotic systems into use for the ultimate goal of improving patient safety and healthcare quality.

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Overcoming Barriers to the Community Acceptance of Wind Energy: Lessons Learnt from a Comparative Analysis of Best Practice Cases across Europe

Sustainability ◽

10.3390/su12093562 ◽

2020 ◽

Vol 12 (9) ◽

pp. 3562 ◽

Cited By ~ 1

Author(s):

Pouyan Maleki-Dizaji ◽

Nicoletta del Bufalo ◽

Maria-Rosaria Di Nucci ◽

Michael Krug

Keyword(s):

Wind Energy ◽

Best Practice ◽

Success Factors ◽

Local Community ◽

Policy Makers ◽

Key Success Factors ◽

Community Acceptance ◽

Lessons Learnt ◽

Individual Assessment ◽

Wind Energy Development

Empirical evidence has shown that local community opposition is one of the key obstacles for new wind energy development. Consequently, the community acceptance of renewables, such as wind energy, has become a crux for Europe in both achieving and going beyond its renewable energy targets. Significant academic literature has already been devoted to conceptualising the community acceptance of wind energy. This article builds on the existing research by showcasing how regions and municipalities across Europe have successfully and effectively been able to overcome barriers to community acceptance. In doing so, 10 best practice case studies across six European countries have been carefully identified and investigated. The results of individual assessment of these different cases, each of which employ different types of measures/approaches, are comparatively analysed in order to identify the key success factors (drivers) for achieving community acceptance of wind energy in Europe. The identification of the success factors serves to start paving the way for the transfer of these measures/approaches to other municipalities and regions across Europe, particularly those who may encounter similar barriers of community acceptance of wind energy. Thus, our findings deliver to policy makers and developers a number of lessons learnt on how to organise future actions by proposing ways their activities can enhance community acceptance.

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