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Updated: Feb 15, 2026

A Method to Study Adaptation to Left-Right Reversed Audition
Published on: October 29, 2018
Implementing an integrated in-situ coaching, observational audit, and story-telling intervention to support safe
Jane Carthey1, Katie McCormack2, Julie Coombes3
1Human Factors and Patient Safety Consultant, University College London Hospitals, UK.
Abstract:
This article describes an intervention that combined in-situ coaching, observational audits and story-telling to educate theatre teams at University College London Hospitals about the Five steps to safer surgery (NPSA 2010). Our philosophy was to educate theatre teams about 'what goes right' (good catches, exemplary leadership etc) as well as 'what could be improved'. Results showed improvements on 'behavioural reliability' metrics, a 68% increase in near miss reporting and a reduction in surgical harm incidents.
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