Endoscopy
DOI: 10.1055/a-1204-5212
Innovations and Brief Communications

TEAMWORKING IN ENDOSCOPY: A HUMAN FACTORS TOOLKIT FOR THE COVID-19 ERA

1  Imperial College London, Surgery and Cancer, London, United Kingdom of Great Britain and Northern Ireland (Ringgold ID: RIN4615)
1  Royal College of Physicians, Joint Advisory Group on Gastrointestinal Endoscopy, London, United Kingdom of Great Britain and Northern Ireland (Ringgold ID: RIN4846)
,
Manmeet Matharoo
2  St Mark's Hospital and Academic Institute, Wolfson Unit for Endoscopy, Harrow, United Kingdom of Great Britain and Northern Ireland (Ringgold ID: RIN105692)
,
Mark Coleman
3  University Hospitals Plymouth NHS Trust, Department of Colorectal Surgery, Plymouth, United Kingdom of Great Britain and Northern Ireland (Ringgold ID: RIN6634)
3  Royal College of Physicians, Joint Advisory Group on Gastrointestinal Endoscopy, London, United Kingdom of Great Britain and Northern Ireland (Ringgold ID: RIN4846)
,
Sarah Marshall
4  St Mark's Hospital and Academic Institute, Wolfson Unit for Endoscopy, Harrow, United Kingdom of Great Britain and Northern Ireland (Ringgold ID: RIN105692)
4  British Society of Gastroenterology, Nurses Association Committee, London, United Kingdom of Great Britain and Northern Ireland (Ringgold ID: RIN515043)
,
Chris Healey
5  Airedale NHS Foundation Trust, Department of Gastroenterology, Keighley, United Kingdom of Great Britain and Northern Ireland (Ringgold ID: RIN4215)
5  Royal College of Physicians, Joint Advisory Group on Gastrointestinal Endoscopy, London, United Kingdom of Great Britain and Northern Ireland (Ringgold ID: RIN4846)
,
Ian Penman
6  British Society of Gastroenterology, Endoscopy Section Committee, London, United Kingdom of Great Britain and Northern Ireland (Ringgold ID: RIN515043)
6  Royal Infirmary of Edinburgh, Centre for Liver and Digestive Disorders, Edinburgh, United Kingdom of Great Britain and Northern Ireland (Ringgold ID: RIN59843)
,
7  Imperial College London, Surgery and Cancer, London, United Kingdom of Great Britain and Northern Ireland (Ringgold ID: RIN4615)
7  St Mark's Hospital and Academic Institute, Wolfson Unit for Endoscopy, Harrow, United Kingdom of Great Britain and Northern Ireland (Ringgold ID: RIN105692)
› Author Affiliations

Background and Aims Endoscopy services have had to rapidly adapt working practices in response to COVID-19. As recovery of endoscopy proceeds, there are numerous challenges facing our workforce which 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 six-week period. Results The toolkit consists of four cognitive aids that can be used to support team huddles, briefings and debriefs, alongside techniques to optimise endoscopic non-technical 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.



Publication History

Received: 07 June 2020

Accepted after revision: 22 June 2020

Publication Date:
22 June 2020 (online)

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