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Published on: November 7, 2020
Teamworking in endoscopy: a human factors toolkit for the COVID-19 era
Srivathsan Ravindran1,2, Manmeet Matharoo3, Mark Coleman1,4
1Joint Advisory Group on Gastrointestinal Endoscopy, Royal College of Physicians, London, United Kingdom.
Background:
Endoscopy services have had to rapidly adapt their working practices in response to COVID-19. As recovery of endoscopy services proceeds, our workforce faces numerous challenges that can impair effective teamworking. We designed and developed a novel toolkit to support teamworking in endoscopy during the pandemic.
Methods:
A human factors model was developed to understand the impact of COVID-19 on endoscopy teams. From this, we identified a set of key teamworking goals, which informed the development of a toolkit to support several team processes. The toolkit was refined following expert input and refinement over a 6-week period.
Results:
The toolkit consists of four cognitive aids that can be used to support team huddles, briefings, and debriefs, alongside techniques to optimize endoscopic nontechnical skills across the patient-procedure pathway. We describe the processes that local endoscopy units can employ to implement this toolkit.
Conclusion:
A toolkit of cognitive aids, based on human factors principles, may be useful in supporting teams, helping them adapt to working safely in the era of COVID-19.
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