Professor Bryn Baxendale - Director
Professor Bryn Baxendale
Bryn was appointed as a consultant anaesthetist at NUH in 1998 and currently has clinical responsibilities related primarily to vascular and emergency surgical services at QMC. In 2009 he was appointed as an honorary professor by the School of Psychology at the University of Nottingham. He has been President of the Association of Simulated Practice in Healthcare since 2009, which is the national learned body in relation to the use of simulation and related innovative learning technologies to professional education and training, workforce development, and quality and patient safety improvement. In 2012 Bryn joined the national strategy board for Technology Enhanced Learning led by Health Education England and the Higher Education Academy.
His interests relate to leading the widespread adoption of simulation-based methodologies across the healthcare system in order to enhance patient safety and quality of care. Specifically this involves exploration of how best to enhance the development of expertise in individual professionals and multiprofessional teams, and how to support organisational learning and attainment of high reliability amidst complexity and constrained resources.
Dr Stephanie Smith - Assistant Director
Dr Stephanie Smith
Stephanie is an emergency paediatrician with dual accreditation in paediatrics and emergency paediatrics appointed to the Trust in 1996 and is Head of Service for Nottingham Children's Hospital.
She was appointed as Assistant Director for TSCSC in January 2014 and concentrates on the faculty development and human factors training with the specialist trainer in the centre as well as delivering the national instructor training courses.
Stephanie has been a named doctor for safeguarding for Nottingham University Hospitals NHS Trust since her appointment and leads on strategic issues, as well as training and advising staff regularly on safeguarding issues.
She is Chair of the Intercollegiate Committee for Children and Young People in Emergency Care Settings hosted by the RCPCH, which published the updated Standards for Care in May 2012. She has undertaken a number of external clinical reviews of paediatric emergency and acute services on behalf of the RCPCH, which gives her useful insight into service issues locally.
Giulia Miles - Business Development Manager
Giulia Miles, BSC (Hons), is the Business Development Manager at TSCSC. She has key responsibilities for strategic business development and operational matters for a wide portfolio of education and patient safety programmes led or supported directly by the TSCSC team or wider faculty. She has over 20 years' NHS management experience and holds a Postgraduate Certificate in Managing Health Services and PRINCE2 project management. She holds a MSc in Human Factors and Ergonomics for Patient Safety from Loughborough University.
Some key recent or current projects include:
- Successful tender and implementation of the national NHS Blood & Transfusion Programme for Specialist Nurses in Organ Donation working in partnership with NHSBT and St George’s NHS Trust, London .
- Re-design of simulation-based education module for Masters in Medical Education, Faculty of Medicine & Health Sciences, University of Nottingham
- Design of simulated patients training and role development to support training of clinical staff working with patients with dementia -VOICE research project
- Co-design of new MSc in Quality & Patient Safety Improvement in conjunction with the School of Health Sciences, the Business School, and the Human factors Research Group, University of Nottingham
Contact Giulia if you need to know about developing new course programmes, human factors projects, simulated patients, partnerships, business developments or collaborations.
Sharon Martin - Administrator
Sharon Martin - Administrator
Sharon joined the Centre when it opened in January 2019 and is a key point of contact for general enquiries, room and course bookings. She looks after faculty recruitment for all simulation courses, and organises Trent Simulation faculty development courses. She is also the lead administrator for the Craniotomy Simulation Course and provides administration support for the majority of the Centre’s simulation and surgical courses; and PA to Bryn Baxendale & Giulia Miles.
Paul Knight - Multimedia Simulation Technician
Paul is a multimedia Simulation Technician primarily supporting courses in the simulation and clinical rooms of the centre. He also provides expertise and support for multimedia/audio-visual and IT issues ( software, web, social media etc) and developments
Alongside the work he does for the centre, he also films, edits and produces training videos for departments within NUH for e.g. assisting with doctors' induction programme. Paul is also happy to provide support and advice to colleagues at NUH re: manikins and models, VR simulators etc. See the multimedia services pages for more information.
Michael Johnson - Multimedia Simulation Technician
Michael's background is in A/V & live event technology. He graduated in 2010 and started work at the Museum of London installing and designing A/V equipment for exhibitions. He joined NUH in 2012.
Michael is a member of the TSCSC technician team and is currently responsible for technical maintenance, technical support and supporting courses in the simulation and clinical skills rooms. He is also responsible for the self-directed VR learning environment within the centre.
Fellows and Clinical Trainers
Paul Bailey - Professional Practice Educator
Paul trained as a nurse in Nottingham, qualifying in 1997. He has worked in haematology, outpatient chemotherapy and oncology. Most recently he spent 14 years in critical care/ICU. He has a BSc (hons) in Chemistry from York University and post graduate qualifications in palliative care, teaching and critical care.
Paul has worked as a clinical nurse educator within critical care delivering teaching at the bedside and in the classroom to post-registration nurses new to the speciality. He has provided training on clinical equipment, the AIMS course, AHLS/resuscitation, Moving and handling and patient transfer. He has always had a passion for education and teaches regularly on Human Factors. He joined the faculty at the TSCSC in May 2016 as a clinical trainer, part time, in the hope of developing his teaching skills, broadening his knowledge base of human factors/non-technical skills and becoming part of a great team of educators already striving to enhance medical education in the East Midlands. He took on the role of Professional Practice Educator (Full Time) in May 2018. He is currently studying for his Masters in Health and Social Care Education.
Dr Swe Khin Htun - Clinical Skills Fellow
Dr Swe Khin Htun
Swe graduated in 2001 and finished basic surgical training rotation in Plymouth. She became a Member of the Royal College of Surgeons of Edinburgh in 2007 and obtained the Master of Medical Science in Clinical Education from the University of Nottingham in 2009. She is a member of the Faculty of Surgical Trainers of the Royal College of Surgeons of Edinburgh and a Fellow of the International College of Surgeons, USA. She is also a Fellow of High Education Academy and member of the Academy of Medical Educators. She is an international ALS (Acute Life Support) course instructor and has been nominated to join the GIC (Generic Instructors’ Course) instructors.
Swe is heavily involved in undergraduate medical education teaching and assessment of University of Nottingham across the whole curriculum and is a member of University of Nottingham Undergraduate Curriculum Committee and Admission Committee. She is a course lead for Approach to Sick Patient Course Inter-professional Learning for Clinical Phase 1 students and also a course lead for Clinical Phase 3 simulation days.
At the moment, Swe is writing her PhD thesis on developing, implementing and evaluating the effectiveness of an undergraduate clinical reasoning curriculum (University of Nottingham). Her special interest is in clinical reasoning and patient safety and she is one of the members of National Clinical Reasoning in Medical Education Group and University of Nottingham Clinical Reasoning group.
Swe is a co-writer of Notes on Essential Urology book published for 20 Anniversary of UNIMAS (University of Malaysia, Sarawak)
Sam Bray - Human Factors Programme Lead
Samantha qualified as an Operating Department Practitioner in 2001 after completing her training at Kings Mill hospital. She has worked in the operating theatres of several hospitals across the midlands over the last 17 years. Throughout her career in theatres she has gain skills in anaesthetists, scrub and recovery across many different specialities. Her passion for improving the care patients receive as led her to be involved in projects such as a national evaluation of the WHO checklist and the NUH TEAMS programme.
Samantha joined NUH in 2014 were she has been involved in the education and development of theatre staff. Having a better understanding how individuals, teams and organisations work together has led Samantha to join the team in March 2018 as the Human Factors Programme Lead. Samantha is currently studying for her diploma in Coaching and Mentoring with the East Midlands Leadership Academy and the MSc in Quality and Patient Safety Improvement with Nottingham University.
Laura Evans - Clinical Trainer
Laura graduated from the University of Nottingham with a BSc (Hons) Physiotherapy in 2009. After completing rotations at NUH as a junior physiotherapist, she started working as a senior physiotherapist within the area of respiratory care in 2013.
Throughout her career she has loved teaching and mentoring junior staff and students. Laura regularly mentors physiotherapy students on clinical placement. She has taught on the undergraduate and postgraduate cardio-respiratory physiotherapy program at the University of Nottingham. In 2017 she developed an on-call physiotherapy simulation course for junior physiotherapists in conjunction with the TSCSC.
In 2018 she joined the TSCSC as a Clinical Trainer on a year’s secondment.
Christopher Mcdonald - Clinical Trainer
Chris qualified as a mental health nurse before pursuing his career as an Operating Department Practitioner - working at Queens Medical Centre. He shares his time working in practice and as a clinical trainer at the Simulation Centre. His background is in maxillofacial surgery and currently works as an Anaesthetic Practitioner in spinal theatres. Chris enjoys mentoring and developing ODP, nursing and medical students throughout their theatre experience. Chris works in conjunction with the University of Leicester – delivering lectures on maxillofacial surgery and difficult airways to ODP students.
Chris will be involved with the anaesthetic crisis resource management amongst other simulation programmes at the centre.
Yusuf Ghumra - Anaesthetic Fellow
Yusuf graduated from Sheffield medical school in 2009 and moved back home to the East Midlands for foundation training . He entered anaesthetics training through the ACCS route, and is a Fellow of the Royal College of Anaesthetist of Great Britain and Ireland. Yusuf has paused his anaesthetic training at ST6 level to pursue a fellowship and MSc in Patient Safety and Quality Improvement. He has an interest in debriefing and will be involved in the anaesthetic crisis resource management courses amongst other sim courses.
Sarah Davis - Clinical Teaching and Research Fellow
Sarah graduated from Nottingham with a BN (Hons) in 2000 and a qualification as a Paediatric Nurse. After a year rotation in Paediatric medicine and surgery, she began a full time post on Paediatric Intensive Care. She remained here for 13 years, gaining her Post Graduate Certificate in Paediatric and Neonatal Intensive and High Dependency Care.
More recently she has been involved in teaching and managing health care in Developing and Humanitarian contexts. She studied for her Diploma in Tropical Nursing before spending 2 years in Hospital Emergency Health Care in Uganda and most recently a year as a Health Manager in South Sudan responding to malnutrition and disease outbreaks.
Throughout her career she has loved teaching, mentoring and empowering health care professionals. In 2018 she joined the Undergraduate Medical Department and the TSCSC as a Clinical Skills and Research Clinical Teaching Fellow. She is currently studying for her Master’s in Medical Education.
Dr Adrian Kwa
Dr Adrian Kwa
Adrian is an anaesthetist based at Queen’s Medical Centre. Qualified from Sheffield in 2003, he has worked in various acute specialties before starting a career in Anaesthesia in 2007. He is a member of the College of Anaesthetists, Ireland. He was an Anaesthetic Fellow in Patient Safety and Simulation between 2013 and 2014. He now works part-time at the Centre, and regularly leads on simulation study days for doctors and nurses.
Adrian is Project Lead and inspiration behind the NUH Guidelines app. The app designed to improve accessibility to all Trust-approved guidelines and other useful resources for all healthcare professionals working for Nottingham University Hospitals NHS Trust. It was launched to universal acclaim and has won numerous awards and accolades. The app has been downloaded over 5000 times in the first 18 months. We have also witnessed a 6-fold increase in the number of guidelines accessed over the same period.
Prizes and Awards
- Health Education East Midlands Quality Improvement Awards 2015 – Winner
- Nottingham University Hospitals Patient Safety Conference Staff Poster Prize 2015– Winner
- Nottingham University Hospitals Patient Safety Awards 2015 – Winner
- Association of Anaesthetist of Great Britain and Ireland Patient Safety Prize– 2nd Runner-up
- NHS Innovator of the Year 2015 – East MidlandsFinalist
- HSJ Awards 2015 – Finalist
- HSJ Value in Healthcare Awards 2015 – Finalist
- NHS Innovation Challenge Prize 2014/5 – Finalist
- East Midlands Academic Health Science Network Innovation in Healthcare Awards 2014 – Runner up
- NUHonour 2014 Staff Award–Nominated
- Kwa A,Carter M, Page D, Wilson T, Brown M, Baxendale B (2015). Nottingham University Hospitals Guidelines app – Improving Accessibility to 650 Hospital Clinical Guidelines.Contemporary Ergonomics and Human Factors 2015, p220-4.
- Kwa A,Wilson T, Carter M, Page D, Brown M, Baxendale B (2015). NUH Guidelines app – a mobile app for improving accessibility to trust-approved and national guidelines for Nottingham University Hospitals NHS Trust.SALG Patient Safety Update, October to December 2014,p7.
- Kwa A– User-centred design of a clinical guidelines app -The Ergonomist,533
- p4-5, November 2014
- Kwa A,Wilson T, Carter M, Page D, Brown M, Bennett O, Miles G, Baxendale B (2014). Developing A Mobile App To Improve Access And Application Of Key Hospital Guidelines.BMJ Simulation & Technology-Enhanced Learning, 1:Suppl 1A25.
- Nottingham University Hospitals Patient Safety Conference 2015, Nottingham- Audit of incident reporting in anaesthesia within Nottingham University Hospitals NHS Trust
- Poster atNottingham University Hospitals Patient Safety Conference 2015, Nottingham– Improving accessibility to Clinical Guidelines at Nottingham University Hospitals – NUH Guidelines app
- Poster atRoyal College of Anaesthetists Patient Safety Conference 2014, Belfast- Audit of incident reporting in anaesthesia within Nottingham University Hospitals NHS Trust
- Poster atInternational Conference on Ergonomics and Human Factors 2014, Southampton– Developing a Mobile App to hold Clinical Guidelines for Nottingham University Hospitals NHS Trust
- Speaker atHSJ Value in Healthcare Congress 2016– NUH Guidelines app
- Speakerat Clinical Librarian Guidelines Study Day 2015– NUH Guidelines app
- Oral presentation at International Conference on Ergonomics andHuman Factors 2015, DaventryDeveloping the NUH Guidelines App using a User-Centred Design approach: providing clinicians with access at the bedside to nationally or locally approved guidelines in healthcare practice
- Oral presentation atAssociation of Simulated Practice in Healthcare Annual Conference 2014, Nottingham– NUH Guidelines app – Developing a mobile app to improve access and application of key hospital guidelines
- Oral presentation atHuman Factors: Improving Quality & Safety in Healthcare Symposium 2014, London– Developing the NUH Guidelines App using a User-Centred Design approach: providing clinicians with access at the bedside to nationally or locally approved guidelines in healthcare practice
- Speaker atNottingham Autumn GP Refresher Course 2014– Social media, Apps, MHRA, and Mobile phones
- Oral presentation atRoyal College of Anaesthetists Patient Safety Conference 2014, Belfast– Designing a mobile app to hold Trust-approved guidelines using a User-centred Design approach – NUH Guidelines app
Contact me if you need to know about…..
NUH Guidelines app
Human Factors Specialists
Eva Burford - Human Factors Specialist
Eva-Maria Carman (nee Burford) has a BSc and MSc degree in Human Kinetics and Ergonomics from Rhodes University, South Africa, where her MSc thesis investigated the physical strain of South African nursing staff and the predicted human error probability for critical hospital tasks. She is currently completing a PhD in Human Factors at Loughborough University, with a focus on proactive safety elements in the healthcare environment. In 2017, she received the 3rd Annual Ted Brown and Hal Hendrick Young Investigators Award at the Organizational Design and Management Conference held in Banff, Canada, for her PhD work on proactive safety elements in healthcare.
Prior to starting her PhD, between 2012 and 2014, she worked as a researcher in the Ergonomics Unit at the Institute for Occupational Safety and Health of the German Social Accident Insurance in Germany investigating the biomechanical and physical strain of preschool teachers and the effect of dynamic office workstations on performance. More recently, between 2016 and 2018, she worked as a research assistant at Loughborough University and together with Health Partnerships, a division within Nottinghamshire Health Care NHS Trust, investigated adopting a human factor’s approach to handovers in the community.
Eva joined the Trent Simulation and Clinical Skills Centre as a Human Factors Specialist in April 2019. Her research interests include adopting a systems approach in healthcare, the use of facilitators and signals to enhance safety, cross specialisation to enhance quality and safety, and bringing human factors more widely into the field of healthcare.
Latest Publications and Conference Papers:
- Waterson, P., Carman, E.-M., Manser, T., & Hammer, A. (2019). Hospital Survey on Patient Safety Culture (HSPSC): A Systematic Review of the Psychometric Properties of 62 International Studies. BMJ Open, 9(9). British Medical Journal Publishing Group.
- Carman, E.-M., Fray, M., & Waterson, P. (2018). Weak Signals in Healthcare: The Case Study of the Mid-Staffordshire NHS Foundation Trust. Proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018) (pp. 691–700). Springer.
- Carman, E.-M., Fray, M., & Waterson, P. (2017). Development of a framework for the analysis of weak signals within a healthcare environment. Organizing for High Performance: Proceedings of the 48th Annual Conference of the Association of Canadian Ergonomists & 12th International Symposium on Human Factors in Organizational Design and Management (pp. 265–271). Banff, Canada: © Association of Canadian Ergonomists (ACE).
- Carman, E.-M., Fray, M., & Waterson, P. (2017). Sepsis: A work systems analysis of 30 survivor and tribute stories. Organizing for High Performance: Proceedings of the 48th Annual Conference of the Association of Canadian Ergonomists & 12th International Symposium on Human Factors in Organizational Design and Management (pp. 102–108). Banff, Canada: © Association of Canadian Ergonomists (ACE)