IN-DEPTH: SAFER SURGERY
THE BARIN THEATRES
Our hospitals are some of the safest in the country. But in the spirit of continuous improvement, the helping our teams transform (HOTT) programme aims to further improve safety in theatres by changing behaviours. Find out how the programme is helping to create the right culture from the ground up.
H 4 /Trust
OTT has evolved from the safer surgery programme and its focus on the World Health Organisation (WHO) surgical safety checklist. This simple tool brings
together all members of the surgical team to confirm that critical safety measures are performed before, during and after an operation.
However, there was still a struggle, even 10 years after the WHO checklist
was introduced, to ensure it was used effectively and constructively. After research revealed ‘checklist fatigue’ among staff, it was clear change was needed.
HOTT improvement lead and clinical specialist occupational therapist Fazeela Chharawala explains that the programme is built on how our teams work together. “The way we interact and build as a team is so important in helping to prevent errors,” Fazeela says. “Everyone needs to
‘Dirty dozen’ human factors
The following are the 12 most common factors which result in errors across a range of safety-critical industries, including healthcare.
1. Lack of communication 2. Distraction
3. Lack of resources 4. Stress
5. Complacency 6. Lack of teamwork 7. Pressure
8. Lack of awareness 9. Lack of knowledge 10. Fatigue
11. Lack of assertiveness 12. Norms – the way things have always been done
have the confidence to speak up when something’s not quite right or if they’re experiencing any negative behaviour. All of this can impact individual and team performance and potentially result in poor patient outcomes.”
HOTT leads Mr Shehan Hettiaratchy, Dr Sadie Syed and Fazeela Chharawala
A THREE-PART PROGRAMME Launched in theatres in March 2019, HOTT covers how our teams can work together more effectively using a blended learning approach, with three distinct streams: simulation, human factors and in-theatre team coaching.
| Page 2
| Page 3
| Page 4
| Page 5
| Page 6
| Page 7
| Page 8
| Page 9
| Page 10
| Page 11
| Page 12
| Page 13
| Page 14
| Page 15
| Page 16
| Page 17
| Page 18
| Page 19
| Page 20