Several discussions today reminded me of this, from the much missed Richard Cook. Simply written, yet hides so much razor sharp perception and thought. It's a good reminder, that I should return to more. Read it, even if you have already.
how.complexsystems.fail

Worth a read:
'Relying heavily on algorithmic tools risks impeding the development of higher-order thinking. Most experienced nurses prioritize their higher-order thinking in decision-making but believe early warning tools can impede higher-order thinking'
onlinelibrary.wiley.com/doi/pdf/10.111…

New paper applying SEIPS 101 to Sterile Processing, revealing complex interdependencies between delivery, use and reprocessing, of instruments. Tells us a lot about how we can improve the cleaning, assembly and sterilization of surgical instrument trays.
doi.org/10.1016/j.aper…

Admonishing #anesthesia professionals to pay closer attention just doesn’t work

Vigilance in Anesthesia Practice: What's New in 2024?
tinyurl.com/4ytxejzw

Had a lot of fun working on this with Della Lin @lxfa10 & Ken Catchpole for the ASA Monitor
ASA® APSF

Great discussion and insights especially as we discuss the two different funding/delivery models and its impact on Human Factors Issues in Healthcare

CIEHF Wes Streeting MP Eluned Morgan CHFG

Bank Holiday Special - How do the Human Factors #Healthcare challenges differ across “The Pond” - Barry Kirby talks with Ken Catchpole about #Transatlantic influences.

#HF #HumanFactors

youtu.be/10I4Dvqducc?si…

What does the evidence tell us about the role of human factors and ergonomics, and why haven’t the approaches been more widely adopted?
Watch the discussion with Ken Catchpole Susanna Stanford 💙 George Mensah, MD human in the loop: ths.im/3Q2h1cW

Dr. Ken Catchpole is a human factors engineer giving the opening talk of #CCAS24 on the topic of how high functioning teams don't happen by chance. #PedsAnes24

THE VERY BEST OF ERGONOMICS RESEARCH

Did you know there's a wealth of peer-reviewed research available to you as a member of the CIEHF? The journal Applied Ergonomics has been in existence for 55 years and publishes more than 200 papers per year.

Did anyone guess that the 4th guest is the brilliant Laura pickup?! 🥳

Listen to her journey from healthcare to rail and back to healthcare again.

Health Innovation West Midlands #humanfactors #ergonomics #allsystemsergo

open.spotify.com/episode/2JBkjy…

Many problematic 'solutions' emerge from a top-down process that Steven Shorrock calls work-as-imagined solutioneering

A must read for healthcare leaders.

Unintended consequences, solutions waiting for a problem, compromises...

Some thoughts in a 🧵

humanisticsystems.com/2018/06/03/wor…

Julia and Gabe doing amazing presentations at #hfeshc in room turnover and transplant coordination. Look out for both of them in the future.

Really important and insightful work: “Our results suggest that performing independent double checks on high-risk medications administered in a pediatric ICU setting afforded no impact on reported medication events compared with single checking.”

Welcome to #HFESHCS 2024! We are so excited for this unique opportunity to learn, connect, and contribute to the advancement of healthcare through the application of #humanfactors and #ergonomics . Share with us on social and enjoy the week! bit.ly/43lKfst

Mark Toshner Accountant now in NHS management thinks doctors need less training

Been doctoring myself for 36yrs
I see no sign of it getting easier
I see no sign of patients getting less complex
I see no sign of expectations falling
Indeed all the evidence points in the other direction…

A very interesting dialogue on the 4 sciences with nicola davey

Fail Safe, Learn Fast

#qualityimprovement #QI

youtube.com/watch?v=KoymEr…

So AORN was a great experience. Had a good audience despite being the last slot. Got to talk about why “error” is not useful and how to think about systems instead. And of course loved letting my mouth directly connect to my thinking brain, as I only seem to do on stage.

At AORN with a bewildering range of tools and technologies for surgical positioning, intervention, safety, instrument management and cleaning.