Monthly Archives: January 2014

Reducing the risk and cost of serious case incidents: Managing Human Factors in Maternity Care

Reading Time: 3 Minutes

 

What’s the problem?

You know that all the processes and procedures you’ve worked hard to define and develop don’t deliver the healthcare service you commit to achieving don’t you?

It’s the people you expect to follow and adhere to them who do that.

The challenge is that despite all the processes, procedures and training you could possibly provide, people still cause serious incidents, make continual simple mistakes and breach fundamental policy on an all too frequent basis.

The ramifications are obvious and of course the implications for all involved are incredibly serious.

The problem is that the most common response is a process review and more training and evidently neither ever identify or really fix, the root cause.

 

What’s covered?

– Drugs Administration and Dosage – Planned course of action, emergency situations, risks & benefits of various drugs, guideline discrepancy, safe to administer, Doctor not immediately available scenarios.

– Escalation – medical reviews, pregnancy, emergency scenarios, MCA, MEOWS chart, labour ward scenarios.

– Leadership – role of the leader, emergency situations.

– Patient Dignity – Birth Plans, emergency situations.

– Professionalism – with patients and colleagues, tiredness, hunger, working relationships, attitude.

– Information Sharing – SBAR, Record Keeping, Responsibilities in various scenarios.

 

What are the benefits?

– Critical Skills gap analysis

– Targeted Training Interventions by Individual

– Improved confidence of Nursing Staff

– Mitigating high insurance costs in maternity

– Escalating issues when required

– Rapid diagnostic of areas of weakness, risk or concern

– Auditable data for improved governance and compliance

– Immediate efficiencies in training and development

– Informative and insightful dashboard and reports to aid planning, early warning and intervention.

– Increased patient satisfaction

 

How could you solve it?

– Identify and address the hidden gaps that present the greatest risk

– Manage, Monitor and Mitigate

In both clinical and non-clinical environments and over the course of 20 Years and countless thousands of assessments, Cognisco are able to evidence that on average up to 30% of any workforce, will unwittingly have a low enough level of understanding, to place the organisation (or their colleagues and patients) at significant risk.

Traditional assessment processes fail to uncover what an individual actually understands about how, when and why they should apply the knowledge (or training) they have been given in practical day to day terms. This means that even those who score highly on post-training assessments may well apply their recently acquired knowledge incorrectly when faced with a real life situation.

Cognisco shows organisations where there are hidden gaps in each individual’s understanding of any given subject or process that may cause them to work or act inappropriately or incorrectly.

Using Cognisco’s my*KNOW platform, Team leaders and Managers can track and monitor individual team member progress. The wider Organisation can more readily identify trends before they become problems and can more accurately plan and budget for further training and development, based now on empirical evidence of the precise need.

Each individual can keep a track of their own progress, can record and evidence their own skills and certificates, take online assessments and find and access any appropriate learning or development material they require.

Providing a clear and auditable trail of employee competence and accreditation at any point in time proves invaluable for both meeting regulatory compliance and in significantly reducing the cost and time involved in any incident related litigation.

 

What will we do?

Cognisco’s expert Occupational Psychologist consultants and our team will work with you to:

– Design a new style of assessment that will discover and expose the specific gaps in employee knowledge and understanding that are causing consistent errors.

– Review and assess existing and planned training interventions and learning materials to ensure they are aligned to address the specific needs and requirements of your staff and the objectives of the organisation.

– Provide your staff with my*KNOW to access and take small, regular and focussed assessments and direct them to the specific learning tools and information they need to plug any gaps.

– Provide your team leaders and managers my*KNOW’s intuitive dashboard reporting to enable then to identify and address development or coaching issues before they become a problem.

– Enable the wider organisation to structure, plan and budget training for the future and to manage, monitor and mitigate any potential risks with my*KNOW reports.

 

Where to start?

Post an initial exploratory discussion we find a pilot assessment is the fastest way to identify the primary issue areas and agree a plan for remedial action.

Download your PDF version here: Reducing the risk and cost of serious case incidents