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Generational and occupational differences in human factors knowledge and awareness: a comparison study.

Jonathan Blair Thomas Herron1, C M Ferris2, A D Gilliam3

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Summary

Military doctors demonstrate greater awareness and training in human factors (HF) compared to NHS doctors. Further education on HF is crucial for all doctors to improve patient safety and reduce errors.

Keywords:
change managementeducation & training (see medical education & training)health & safetyqualitative research

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Area of Science:

  • Healthcare Safety
  • Human Factors Research
  • Medical Education

Background:

  • Human factors (HF) are increasingly recognized as a significant source of error in healthcare, driving litigation and impacting governance.
  • Awareness of HF is essential for both National Health Service (NHS) and military doctors to enhance patient safety and operational productivity.
  • Limited evidence exists on the current understanding of HF among these distinct medical professional groups.

Purpose of the Study:

  • To compare the knowledge and training of human factors (HF) between NHS and military doctors.
  • To identify potential future training needs related to HF in these medical communities.

Main Methods:

  • A web-based survey with 10 items was distributed to doctors across the NHS and three UK military groups, including the Defence Deanery.
  • The survey assessed prior HF training, current HF knowledge, and perceived future training requirements.

Main Results:

  • Military doctors, particularly those above foundation trainee level, reported higher familiarity with HF and more extensive training.
  • A significant proportion of senior NHS doctors (nearly 60%) had not received any HF training, impacting their appreciation of its value.
  • Foundation trainees in both sectors, and military foundation trainees specifically, showed greater engagement with HF training and identified a need for further education compared to senior doctors.

Conclusions:

  • Military doctors exhibit superior familiarity and training in human factors compared to their NHS counterparts.
  • Non-training grade doctors appear less inclined to seek HF training, highlighting a gap in engagement.
  • Given the critical role of HF in preventing errors, litigation, and improving overall healthcare delivery, enhanced and targeted HF education is imperative for all medical professionals.