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RBWH HP Fatigue Risk Management Project

The Health Roundtable. New Zealand. RBWH HP Fatigue Risk Management Project. Using Benchmarking Data to Drive Improvement. Presenter: Peter Slattery, A/Director AHP Hospital Name: Royal Brisbane and Women’s Hospital Key contact for this project : Scott McMullen,

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RBWH HP Fatigue Risk Management Project

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  1. The Health Roundtable New Zealand RBWH HP Fatigue Risk Management Project Using Benchmarking Data to Drive Improvement Presenter: Peter Slattery, A/Director AHP Hospital Name: Royal Brisbane and Women’s Hospital Key contact for this project : Scott McMullen, ED Corporate Services RBWH , Metro North HDS

  2. Key Problem • Fatigue recognised as a major risk factor for health services around the world • Q-Health identified fatigue as an issue of importance • Agreed to be assessed for Health Practitioners (HPs) as part of new award agreement • No data on potential risk

  3. Key Strategies / Ideas Implemented • 3 month assessment project • Looked at HP services with 24 hr or on-call services • AHP – Physiotherapy and Social Work • 3 other HP disciplines (Pathology, Radiography and Clinical Measurements Scientists) • Defences in Depth (DID) model used • Two tools used to identify level of risk • FAID-Interdyne Roster Analysis • Prior Sleep Wake Model

  4. Timelines & Resources & • Initial project over 3 months • 1.0 FTE Project Officer to oversee • 0.2 FTE Project Officer per discipline for roll out Staff involved (FTE)

  5. Key Outcomes Achieved • Physiotherapy • Roster analysis indicated current rostering practices are sound in Physiotherapy. • PSWM indicated risk mitigation strategies still needed – staff education • Rosters in Social Work presented high risk when >2 consecutive nights on-call • Review rostering • Developed “call-in” checklist, staff education

  6. Lessons Learnt • Validation & legitimising of fatigue as a real workplace issue for the individual, their line manager & and the organisation • Identification & response to fatigue issues belong to each level • Realisation that fatigue is more than a roster-based issue • Rolled out to broader workforce

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