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Author Eva-Maria Carman, Ayah Ebeidalla, Cherisse Littrean, Hannah Wilkincrowe, Alice Reid, Matthew O'Meara, Steve Cantellow |
| Abstract In healthcare, there are situations that clinicians seldom face, yet have to be prepared for. One such example is a resuscitative hysterotomy. This paper presents how, through the use of hierarchical task analysis and consideration of work systems elements, a basis can be constructed for future work in developing both training and wider work system considerations for this type of procedure. Review of the latest guidelines and a total of 26 observations of demonstrations by faculty and attendees practicing a resuscitative hysterotomy during a new training package were used to explore the wider task context, identify the sub-operations for the procedure of a resuscitative hysterotomy, and document potential system considerations. From the task decomposition, key work system considerations already became visible. These included the SEIPS components of person(s), organisation of work, tools and technology and internal environment. For this procedure, there are multiple task and work system considerations for performing this procedure that add to the complexity of how to prepare clinicians for this. Using the task decomposition diagrams and tables, an in situ simulation could be developed that helps the organisation not only train staff but also evaluates the organisation’s preparedness for such events. The work system considerations identified provide an initial basis for this type of evaluation. |
