SafetyDog

Neuroscience Saturdays: Stress could be a threat to patient safety

In Human Factors, Neuroscience on August 23, 2014 at 3:43 pm

It is thought that the safest hospitals are the ones with the happiest employees. What is it that makes this so… Pride? engagement?
One thing that we know doesn’t facilitate safety is stress: stress can interfere with cognitive processing..
Watch this cool presentation from the authors of BRAIN RULES a great book if you have not read it

Infectious moments

In BEST.ARTICLE.EVER. on July 19, 2014 at 8:38 am

My favorite article about preventing patient harm through infection prevention. Filed under BEST> ARTICLE>EVER>

Infectious Risk Moments: A Novel, Human Factors–Informed Approach to Infection Prevention. Clark et all (2014)

http://www.jstor.org/discover/10.1086/677166?uid=3739696&uid=2&uid=4&uid=3739256&sid=21104507319963

We pilot tested a novel human factors–informed concept to identify
infectious risk moments (IRMs) that occur with high frequency
during routine intensive care. Following 30 observation-hours, 28
potential IRMs related to hand hygiene, gloves, and objects were
expert rated. A comprehensive IRM inventory may provide valuable
taxonomy for research, training, and intervention.
Infect Control Hosp Epidemiol 2014;35(8):000-000

Neuroscience Saturday: BJ Fogg and Starter Steps

In Behavior change, Patient Safety, Resiliency, Safety climate, usability, user experience on July 19, 2014 at 8:35 am

Anyone who knows me knows I love BJ Fogg’s behavior models. He is a design psychologist who runs a persuation lab out at Stanford. His latest behavior change model is based on his research about lasting change which basically falls down to: making things easy to do and changing the environment.
His latest little flip book sums up his findings to date.
Lots of lessons for us in healthcare and these are my take aways:
*we tend to love dramatic change initiatives: secret: they usually dont work
*Starter steps or baby steps arent glamorous and flashy but they work
*We clearly need to reward change and not the flashing marketing campaigns when it comes to safety (how many hours have you spent on catchy acronyms….did it make a difference??)
*BJ desribes certain things to look for that can warn you that you are designing for epiphany instead of change secret: hoping staff epiphanies will lead to behavior change doesnt usually work

If you care about patient safety AT ALL please read BJ’s latest little flipbook.. I have never read so much great info in one place

http://bjfogg.org/lastingchange/

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