SCReaM Human Factors and Team Resource Management Training

Summary: The course is aimed at raising the awareness, understanding, and application of Human Factors in healthcare, specifically focussed on Theatre staff (both clinical and non-clinical) in order to improve staff and patients’ safety and wellbeing.
Provider: The courses are delivered by a faculty of accredited Crew Resource Management (CRM) instructors, experts from other high risk and performance industries, a chartered ergonomist, and healthcare workers with a background in HF.
Location: Royal Surrey NHS Foundation Trust, Guildford, Surrey.
Duration: Three stage course, each stage is one day. Recommend six months to a year between each stage for participants.
Knowledge/experience needed: None related to HF, but delegates must be Healthcare professionals working within the theatre environment – qualified or in training.
Email: [email protected]

Who should attend?

Healthcare workers.

Why should you attend?

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.

What will you learn?

 Our two initial core training days provide an overview of what HF is and how it can be used in healthcare, but has a focus on non-technical skills training based on Crew Resource Management. Our rolling recurrent course, which is carried out yearly as a means of reducing skill and knowledge atrophy, then expands on the core training. It provides delegates with the latest thinking in HF in healthcare and also covers systems thinking, models of safety, safety culture, psychological safety and civility. Each course utilises a facilitative workshop style aimed at helping delegates discuss these topics and apply it to their own areas of expertise, ensuring content remains personally relevant. Finally, the course provides insight and tools & techniques to help identify and capture the causes of mistakes in ourselves, in others, and in the environments in which we work, as well as learning from when things go right. 

Expected outcomes

Having attended the course, delegates are expected to: have a basic understanding of human factors and how it impacts performance, teamwork, safety, and wellbeing; have a good understanding of the non-technical skills that affect performance; take away a range of tools and techniques to support self-improvement; understand how systems thinking and safety II can improve healthcare; and have an improved confidence to put their learning into practice.

Course content

The training modules in the core training days include: Overview of what HF is, The SHEEP model, Threat & Error Management (TEM), Stress and Fatigue, Communication, Leadership & Team Synergy, Situational Awareness, Safety Culture, and Decision Making. The Recurrent course, as well as recapping and expanding on these topics, covers Systems Thinking, Models of Safety, Psychological Safety, and Assertiveness and Civility.


There is no formal assessment as part of the course, however, as part of their continued learning and to track the translation of learning into practice, participants are encouraged to undertake a ‘pledge’: Something from the training that has resonated with them that 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 course peers.

What’s included?

Each course is a full day, with lunch and breaks. Due to Covid-19, these are currently run virtually, with a view of returning to the classroom in the future. Post course notes are distributed after the course. On completion of the pledge activity, delegates will be provided with their own personalised lanyard. On completion of the post-course feedback delegates will be given their certificate of attendance.

About us

In 2013, the Royal Surrey NHS Foundation Trust in Guildford developed a Human Factors and Team Resource Management programme to improve team performance, staff wellbeing, and patient safety. In 2015, we developed and implemented the first UK Emergency Theatre Prompt Cards to improve team performance during theatre emergencies. In October 2016 we then launched our training programme. We have since provided tailored training to other departments including Maternity, the Emergency Department, Oncology, and to teams involved in specific Serious Incidents and Never Events.