Delivering NIPE screening: the application of human factor and quality improvement tools
The project analyses the delivery of the newborn and infant physical examination (NIPE). It aims to identify weaknesses in service delivery contributing to the human factor incidents and increased demands on the junior doctor, and to redesign the system to reduce risk, improve efficiency and reinforce resilience.
Samyar Siadati
Paediatric Specialty Trainee Doctor
Neonatal Unit, Watford General Hospital, West Hertfordshire Teaching Hospitals
NHS Trust
Claudia Chetcuti Ganado
Neonatal Consultant
Neonatal Unit, Luton and Dunstable Hospital, Bedfordshire Hospitals NHS Foundation Trust
claudia.chetcutiganado@ldh.nhs.uk
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Keywords
newborn and infant physical examination; quality improvement; human factors; patient safety; errors
Key points
- Human factor and quality improvement methodologies can be combined to provide meaningful recommendations for improvement in system design.
- This article describes how mismatch between policy and daily process operation can lead to human factor errors resulting from increased demand on healthcare staff.
Also published in Infant:
VOLUME 16/ISSUE 4, JULY 2020
Many transfers of care occur on a neonatal unit with the potential for conflict of opinion, which could create a challenging working environment and impact on patient safety. Using the TeamSTEPPS programme, we set out to explore the prevailing consultant culture and its impact on team members with the objective of creating a no-blame culture and promoting a supportive environment. Through the TeamSTEPPS programme and various other interventions we have achieved a strong sense of teamwork and a setting of supportive behaviour.
