Human Factors and Patient Safety in Radiology Study Day

Category: Training - Other

Date: September 25th 2018 9:30am until 4:30pm

Location: Lecture Theatre, RILD Building, Royal Devon and Exeter Hospital, Barrack Road, Exeter EX2 5DW

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Human Factors and Patient Safety in Radiology Study Day

0930-1630, Tuesday 25th Sept 2018

RILD Building, Royal Devon and Exeter Hospital, Barrack Road, Exeter EX2 5DW



The lecture theatre is in the Peninsula medical school building on the map, now rebuilt and called the 'RILD' but on the same site.


To help you improve radiology services by adopting a human factors approach and increasing patient safety.


Dr Paul McCoubrie, Consultant Radiologist, Bristol and Human Factors Advisor, RCR

Dr Philip Coates, Consultant Radiologist, Plymouth and Peninsula Trauma Network Lead

5 CPD points will be awarded.


Any questions, no matter how piffling, contact

                        Title                                                                                               Faculty





Introduction to Human Factors and Patient Safety



Session 1 - Exploring Real World Examples






Session 2 - Devising an action plan






Session 3 - HF in the workplace






Session 4 - HF in the workplace cont’d



Wrap up





Learning Objectives

Introduction to Human Factors and Patient Safety

Human factors is an alien concept to most medics. In the initial session, we explore the meaning of this concept and its 3 central tenets. We will look at how a Human Factors approach to radiology can improve patient care. Several topics will be introduced including systems-based thinking, just culture and a marginal gains approach

Session 1 & 2

In these sessions, we will look at real-life examples of how addressing human factors can have a massive their impact on patient care. We will look at examples within medicine and within radiology. We will then attempt to construct a number of possible projects, using a Human Factors approach, that delegates can undertake to improve patient care in their radiology department.

Sessions 3 & 4

Using material from the Terema Human Factors Course, we will concentrate on some aspects of team working and social interactions in the workplace.

  • Situational Awareness: A critical but sometimes elusive foundation for decision making in a broad range of situations. This can be broken down into perception of the elements in your environment, comprehension of the situation and projection of future status. Put more simply, what is going on around you and what may be about to happen. The objective of this topic is to gain an understanding of this concept and how frail our understanding of situations can be. Also that error is normal and that we make errors all the time.

  • Authority Gradient: This refers to the established or perceived decision making power hierarchy between individuals in teams or groups. The objective is to gain an understanding of how steep authority gradients jeopardise effective communication and make us less safe, but that in times of extremis it may be necessary to steepen a flat authority gradient.
  • Risk Management: This topic covers some aspects of clinical governance, including root cause analysis, threat and error management and risk analysis. The aim is to understand how we work in healthcare in an environment fraught with risk, and how we can take steps to reduce risk and to minimise the risk of error.
  • Overload: When the pressure to think and the pressure to act exceeds our capacity, we can become overloaded. When this happens we can become out of control and are no longer determining outcomes. The objective of this section is to understand the concept of overload, how to look out for signs of it in ourselves and others and how we can practically manage such situations.
  • Choosing Behaviour: This topic explains how we actually choose particular types of behaviour in the workplace situation, and how conflict can arise. Touching on the subject of transitional analysis, it explains how conflict situations can arise as people become entrenched in different ego states. The objective is to gain an understanding of how these situations arise and how moving to adult modes of behaviour can help to resolve workplace based conflicts.