Marcus Durand Email & Phone Number

Reading, England, United Kingdom

Oxford, United Kingdom

Strategic and Operations management of the Clinical Engineering group within Medical Physics and Clinical Engineering.

John Radcliffe Hospital, Oxford

To conduct a study of hazards and risks related to technology in the care of patients undergoing surgery at Oxford University Hospitals NHS Trust. This involves systematic analysis of the management and use of medical devices in the process of surgical care and the associated risks to patients. Human factors, teamwork, process and organizational factors are being considered along with issues of medical devices management.

My task was to conduct a scoping review of Patient Safety for the National Institute for Health Research (NIHR) Service Delivery and Organisation (SDO) funded project “How Do They Manage”, led by Professor David Buchanan. This included identifying key themes and discussing them in terms of past development and future possibilities for research or improvement. The implementation of patient safety improvement was discussed in some detail as this was found to be particularly prominent. The subject of Improvement itself was also discussed with particular reference to the science of improvement.

The NPSA issues patient safety centred guidance to the NHS and organizations providing services to the NHS. My main tasks have been: - To provide research support to clinical teams - To evaluate the impact and uptake of NPSA guidance through the use of audits, surveys, interviews and other qualitative and quantitative research methods. - Scoping and development of guidance related to medical devices, medications, primary care, ambulances, human factors, design and nutrition with specific attention to insulin and pressure ulcers. The two largest evaluation projects I have recently been involved in are: - Evaluating the effects on service provision following the issue of the Rapid Response Report NPSA/2008/RRR003, which alerted healthcare staff to the risks associated with the insertion of chest drains. An audit incorporating a questionnaire to practitioners conducted in conjunction with the British Thoracic Society resulted in an article in the BMJ. - Evaluating the uptake of guidance on the design and use of wristbands. A safer Practice Notice (Standardising Wristbands Improves Patient Safety) issued on the 3rd July 2007, provided an outline standard for patient identification wristbands. This evaluation aims to examine the adoption of these standards and the effects on the service.

Official graduation June 2010; PhD, Patient SafetyResearch was conducted into the assessment of patient safety hazards in ward based therapies. A data sharing agreement was initiated with the National Patient Safety Agency and a collaboration was formed with consultant anaesthetists and research departments at two NHS Hospitals. The validity of advanced hazard analysis methods such as Fault Tree Analysis, Failure Modes and Effects Analysis and Hazard and Operability Analysis were assessed for application to healthcare by using a triangulated research methodology. The results produced a comprehensive hazard analysis of oxygen therapy and indicated that there are clear advantages to the use of these methods in healthcare.

In addition to my core role of technical support of medical devices for all clinical areas of the Trust, I also:Provided managerial support to the department as deputy to the Medical Engineering Manager.Provided detailed technical and safety advice to enable decisions for the purchasing of medical devices.Developed and maintained an efficient information management system which saved the department approximately £40 000 per year in lost revenue.

As lead technician in a small electronics workshop, my main duties were as technical support for medical research and teaching activities at the medical school, which included the design and production of bespoke devices. In addition to this I also:Provided specialist advice at meetings of the medical school safety committeeWorked with the Sensory-Motor group within the Department of Neuroscience in the development of an electronic hardware based mathematical model of a mammalian muscle spindle primary afferent fibre. Provided first line IT support for the division of Neuroscience and PhysiologyIdentified the need for a divisional website, implemented it and managed the authoring and administration.

Provided technical support, repair and maintenance for medical devices.Special responsibility for:Infusion devices; maintenance, training and purchasing advisorManagement and maintenance of the medical equipment inventory database.

Phd, Hazard Analysis For Patient Safety

Activities and Societies: Cranfield Safety Group Jitsu Club Thesis available online at: http://hdl.handle.net/1826/4480 Research training.

Education record

Bsc (Hons), First Class, Medical Electronics

Education record