title: Implementing human factors in clinical practice.
abstract: OBJECTIVE
  To understand whether aviation-derived human factors training is acceptable and useful to healthcare professionals. To understand whether and how healthcare professionals have been able to implement human factors approaches to patient safety in their own area of clinical practice.
  
  
  METHODS
  Qualitative, longitudinal study using semi-structured interviews and focus groups, of a multiprofessional group of UK NHS staff (from the emergency department and operating theatres) who have received aviation-derived human factors training.
  
  
  RESULTS
  The human factors training was evaluated positively, and thought to be both acceptable and relevant to practice. However, the staff found it harder to implement what they had learned in their own clinical areas, and this was principally attributed to features of the informal organisational cultures.
  
  
  CONCLUSIONS
  In order to successfully apply human factors approaches in hospital, careful consideration needs to be given to the local context and informal culture of clinical practice.
authors.affiliation: Faculty of Medicine, School of Health Sciences, Queen's Medical Centre University of Nottingham, Nottingham, UK.
authors.forename: Stephen
authors.initials: S
authors.lastname: Timmons
authors.affiliation: Department of Anaesthetics, Nottingham University Hospitals NHS Trust, Nottingham, UK.
authors.forename: Bryn
authors.initials: B
authors.lastname: Baxendale
authors.affiliation: Trent Simulation & Clinical Skills Centre, Nottingham University Hospitals NHS Trust, Nottingham, UK.
authors.forename: Andrew
authors.initials: A
authors.lastname: Buttery
authors.affiliation: Trent Simulation & Clinical Skills Centre, Nottingham University Hospitals NHS Trust, Nottingham, UK.
authors.forename: Giulia
authors.initials: G
authors.lastname: Miles
authors.affiliation: Nottingham University Business School, University of Nottingham, Nottingham, UK.
authors.forename: Bridget
authors.initials: B
authors.lastname: Roe
authors.affiliation: CNCS group Leicester, Leicestershire & Rutland, UK.
authors.forename: Simon
authors.initials: S
authors.lastname: Browes
mesh_terms: D017144:Focus Groups; D006739:Hospital Administration; D006801:Humans; D007407:Interviews as Topic; D008137:Longitudinal Studies; D019300:Medical Errors / Q000517:prevention & control*; D008505:Medical Staff, Hospital; D009741:Nursing Staff, Hospital; D061214:Patient Safety; D015397:Program Evaluation; D036301:Qualitative Research; D012308:Risk Management; D006113:United Kingdom
keywords: Anaesthesia; Education, Teaching; Emergency Department