BackgroundDuring the covid pandemic, we were fortunate enough to be joined by airline pilots through Project Wingman. As we are aware that pilot training is often gold standard for human factors training, we utilised this rare opportunity and formulated a project working alongside them looking at the impact debriefs by pilots could have on simulation training, focusing on human factors. In simulation, we often focus on clinical learning, whereas research shows that the majority of near miss and never events, which should guide our learning, are caused by errors in human factors.ObjectivesOur objective is to research the impact simulation debriefs led by experts in human factors has on learning and understanding compared to debriefs led by clinicians with little or no human factors training. This is a rare opportunity to undertake a study working alongside pilots and we hope to use the results to facilitate ongoing human factors training for simulation facilitators.MethodsWe ran a series of Multi-disciplinary simulations throughout the paediatric department, using various settings to avoid bias. We introduced the simulation, including the role of the pilots, to ensure all participants were aware of learning outcomes and expectations. We ran the simulation, allowing all participants to work in their current role. Following this, there was a clinical debrief before the participants were split into two groups for human factors debriefs, One group led by pilots and one group by a clinician with little human factors training. We then asked both groups to fill in a questionnaire, focusing on their understanding of human factors and the impact they feel the simulation will have on their future training.ResultsOur project involved 6 simulations with 62 multidisciplinary participants. Our project showed that both groups had an increased understanding of the importance and impact of Human Factors. Both groups showed an increase in participants strongly agreeing that they have a good understanding of human factors, although a larger increase was seen amongst the pilot group - 48%. All participants rated feedback in Human Factors as ‘Good’ or ‘Very Good’. 97% of the pilot group felt debriefs by pilots had improved their knowledge and impacted their training. 1 participant felt that having debriefs by pilots had not impacted their learning greater than debriefs by clinicians, but he went on to state he had a poor understanding of human factors. 98% of participants who answered felt pilots debriefs had a greater impact in learning compared to previous clinician led debriefs. Free comments were positive, including ‘greater impact on patient safety’, ‘would encourage more sessions with pilots’ and ‘increased confidence and understanding’.ConclusionsIn conclusion, this project showed that having debriefs lead by human factor experts had a great impacter impact on understanding of human factors compared to standard clinician debrief. It also suggested that pilot debriefs has an impact on knowledge and patient safety. This data has been used to formulate a pilot lead human factors training course and will will contact participants in 6 months to see if this simulation impact future resuscitations.
Does having simulation debriefs run by human factor experts impact learners understanding