Learning from adverse events is a well-known approach to managing safety. Lessons learnt from aviation and other industries lead to the formation of the Healthcare Safety Investigation Branch in 2017. They’ve since published numerous investigations, across both National and maternity teams, that do not apportion blame or liability and are instead focused on the wider learning for the system. In this talk we will discuss the rationale and methods of carrying out these investigations, but also look wider as to how the discipline of Human Factors can be used more proactively in healthcare to help reduce adverse events by sharing learning from other industries in their approaches to this too.
Suzy Broadbent is a Fellow of the Chartered Institute of Ergonomics and Human Factors with twenty years experience working in Human Factors across defence, rail and healthcare domains. Suzy started her human factors career at CIRAS, the confidential reporting system for the railways, before a secondment to work on the London Underground modernisation programme. From there she moved to BAE Systems Air where she worked on fast jets such as Tornado, Eurofighter Typhoon, F35 and Tempest and became Engineering Manager of the Human Factors team and a Licensed Technologist in Human Performance Enhancement.
In 2021 Suzy moved into the Healthcare sector and is now a National Investigator with the Healthcare Safety Investigations Branch, who improve patient safety through effective and independent investigations that don’t apportion blame or liability.
Suzy is a keen communicator in the field of Human Factors, and has featured on numerous webinars, international panels and podcasts, alongside being interviewed for tv, press and engineering publications.