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SCReaM Programme Structure

Our Training Programme:

Whether you are new to human factors or have experience in this area, this facilitative rolling training aims to help healthcare workers understand that, as humans, we make mistakes, but that the systems in which we work are not always set up to support this. Our application of Safety II and systems thinking approaches will help delegates understand why we make mistakes and how we can learn from them, as well as provide tools and techniques to reduce the likelihood of them happening. 

Our training programme encapsulates both CRM principles and HF methodology to enable staff to design their ‘system’ to best fit their ways of working and improve patient safety.


It provides participants with the opportunity to gain a solid understanding of HF and its impact on healthcare, and includes modules such as:


  • Threat and Error Management (TEM)

  • Stress and Fatigue 

  • Communication 

  • Leadership and Team Synergy

  • Situational Awareness

  • Safety Culture 

  • Decision Making

  • System's Thinking 

  • Models of Safety

  • Psychological Safety

  • Assertiveness and Civility

The training programme is structured with two individual days of core training, followed by a rolling recurrent course. The recurrent course is carried out yearly as a means of reducing skill and knowledge atrophy as well as providing delegates with the latest thinking in HF in healthcare. Click the buttons at the bottom of the page to see each course content.

Currently, we have rolling training programmes in our Theatres and Oncology departments, although we are expanding rapidly. Whilst containing the core principles of HF, each department’s training programme is tailored to the specific needs of that department, which are identified through discussions with team leaders, line managers and from anecdotal reports of departmental needs. If you are interested in introducing SCReaM training for your department, please do contact us.

HF Projects:

We have a number of ongoing HF projects within the programme.

Emergency Prompt Cards: The project implementing the prompt cards into our Theatres was the first of our HF projects. Since then, we have continued to evaluate the use of the emergency prompt cards and introduced the role of the Reminder Of the Cards (ROC) to support their use.

Pledges: As part of the training courses, delegates are encouraged to undertake a ‘pledge’: something from the course that has resonated with them and they wish to try in their working lives. These are small, simple and time bound. Delegates are supported in creating and carrying out their pledge by faculty and are encouraged to share their successes and challenges with their own course peers in a closed forum. Past examples have included improving team briefs, encouraging positive feedback, improving sleep quality, drinking more water, or using people’s names during a brief. To-date, delegates have completed in excess of 150 pledges, making small but significant improvements to their working environment.

Team Briefs: Our project looking at the Team Brief aims to reduce the variability - in quality and documentation - of operating theatre team briefs to improve patient and staff safety and wellbeing. A number of PDSA cycles have been carried out looking at the quality of the brief, amending the template for the team brief, and improving the consistency of the team brief.

As with most HF work, these projects remain ongoing utilising Quality Improvement's (QI) PDSA (Plan-Do-Study-Act) methodology to continue building on and evaluating their success.

HF Engineering:

This is the newest component of the programme aimed as providing HF Engineering support to programmes across the Trust. We apply known and recognised HF tools and techniques to support these large scale Transformation Programmes. We have provided HF support to the Trust's review of our Finance department, and are in the process of supporting our theatres maximisation programme.

Training Content
HF Projects Anchor
HF Engineering Anchor
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