HF2: Human Factors in Incident Investigations

Course Synopsis

This interactive workshop equips participants to foreground human factors in clinical incident investigations, enabling more impactful and sustainable system improvements. Through immersive interviews with interactive role players portraying first, second and third victims of real campus incidents, participants will practise applying human factors principles in complex scenarios. Designed for investigators and those accountable for post incident decisions, the programme integrates scientific rigour with a nuanced understanding of human behaviour and performance limitations. Participants will explore different types of human error, sharpen investigative judgement, and strengthen their ability to identify latent conditions, address root causes and implement system level interventions that improve safety for both patients and healthcare providers.

Course objectives

By the end of this course, participants will be able to:

• Apply human factors concepts on how to conduct system-based incident investigations that transcend beyond individual blame, incorporating models of human information processing and taxonomies of unsafe acts.
• Practice crucial skills such as conducting root cause analysis (RCA) interviews and speaking with staff in a fair, learning-focused way after adverse events, utilising human factors principles to enhance communication and understanding.
• Develop effective recommendations using a hierarchy of interventions model to create sustainable changes that address root causes, considering various types of errors including perceptual, decision and execution errors.

Eligibility

N/A

Our Trainers

Adj A/Prof Chen Yongsheng
Head of Orthopaedic / Senior Consultant,
Orthopaedic Trauma Surgeon
Ng Teng Fong General Hospital and NUH

Clin A/Prof Gerald Chua
Chief Quality Officer
Director/ Senior Consultant, 
Division of Respiratory Medicine, Department of Medicine, Intensive Care Medicine
Ng Teng Fong General Hospital

Photo Gallery

Photos from previous sessions