“Through this course I have obtained a different view of errors in healthcare. I will be using this knowledge to develop a review tool for the regional PReCePT programme”
Virginia Chatzidaki is a paediatric registrar in Yorkshire and Humber Deanery, currently in a Clinical Leadership Fellow post at the Improvement Academy in Bradford.
Virginia is working on two national maternity and neonatal programs: Preventing Cerebral Palsy in Preterm Labour (PReCePT) and the Maternity and Neonatal Health Safety Collaborative (MatNeo). She is facilitating maternity and neonatal units in Yorkshire to meet their aims for the purpose of the MatNeo and to increase their Magnesium Sulphate uptake for fetal neuroprotection in eligible preterm deliveries (PReCePT).
Virginia attended the Silver Human Factors Training in January 2019. During the course, she learned how human interactions with the system produce positive or negative outcomes for the patients. Virginia obtained a different view of errors in healthcare and she found very useful the suggested mechanisms to review and prevent active failures associated with patient harm.
Virginia will be using the learning from the course in developing a review tool for those missed preterm deliveries where Magnesium Sulphate was not administered as part of the Yorkshire and Humber PReCePT program. This tool which incorporates the Yorkshire Contributory Factors Framework aims to facilitate the review and resolution of potential problems in the units including issues related to communication, leadership, team-working, decision making and task management. Subsequent planned interventions, which are tailored to each unit’s problems are expected to increase Magnesium Sulphate uptake to meet the national target of 85% compliance and contribute to the prevention of future cases of cerebral palsy.
Virginia attended the Improvement Academy Silver Human Factors training day, funded through the Yorkshire and Humber AHSN on 24th January 2019.