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0045 Human Error Learning In Paediatrics (help): Development Of A Paediatric Inter-professional Human Factors Course
  1. Tracey Stephenson,
  2. Davinder Singh,
  3. Makani Purva,
  4. Sanjay Gupta
  1. Hull and East Yorkshire NHS Trust, Hull, UK


Background 10% of patients admitted to hospitals experience adverse incidents, half of which are preventable.1 Human error plays a significant role with communication failure the leading cause.2 Key healthcare stakeholders are committed to improving patient safety through integration of human factors principles and practices into core education and training curricula for healthcare professionals.3 Such training aims to optimise human performance and limit human error.

Formal clinical human factors’ training is yet to be established within Paediatrics in Yorkshire. Recognising this, we have developed a one-day inter-professional course to raise awareness of human factors in medical error, provide potential strategies to minimise clinical risk and promote inter-professional learning.

Methods Our pilot course for a maximum of 16 delegates will run at the Hull Institute of Learning and Simulation (HILS) facilitated by an experienced faculty trained in human factors. Varied teaching modalities will be employed including small group tasks, real critical incident re-enactment and multi-disciplinary simulated scenarios utilising simulated ward and theatre environments and high fidelity manikins. The course is designed to introduce the role and diversity of human factors in healthcare. Sessions will focus on effective communication, teamwork and leadership, stress, fatigue, distractions, situational awareness, authority gradients and risk management.

Course evaluation will be achieved qualitatively using Likert scales and quantitatively using a knowledge-based assessment. Both will be employed using a pre and post-intervention design.

Results Data will be analysed to identify the difference between pre and post course candidate confidence and knowledge. We will be looking for statistical significance using Chi squared test.

Potential impact Human factors’ training has shown success in other high-risk industries. This course should promote Paediatric healthcare professionals to recognise and mitigate clinical risk thereby improving patient safety. The long-term aim is to deliver human factors training to all Paediatric staff.


  1. Vincent C, Neale G, Woloshynowych M. Adverse events in British hospitals: preliminary retrospective record review. BMJ 2001;322:517–9

  2. Leonard M, Graham S, Bonacum D. The human factor: the critical importance of effective teamwork and communication in providing safe care. Qual Saf Health Care 2004;13:i85–i90

  3. National Quality Board. Human Factors in Healthcare: A Concordat from the National Quality Board. Available at Accessed March 3rd, 2014

  • Category: Course or curriculum evaluation/innovation/integration

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