Infant Journal
for neonatal and paediatric healthcare professionals

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

Siadati S., Chetcuti Ganado C Delivering NIPE screening: the application of human factor and quality improvement tools. Infant 2023;19(5):169-73.

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Keywords
newborn and infant physical examination; quality improvement; human factors; patient safety; errors
Key points
  1. Human factor and quality improvement methodologies can be combined to provide meaningful recommendations for improvement in system design.
  2. This article describes how mismatch between policy and daily process operation can lead to human factor errors resulting from increased demand on healthcare staff.

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VOLUME 16/ISSUE 4, JULY 2020
Development of better teamwork on a NICU using the TeamSTEPPS concept
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.

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