07/02

Question 1

Why is teamworking important in NHS?

Answer 1

efficient and or effective service delivery
May improve decision making
May reduce medical error
Essential due to complex conditions, complex services, complex treatments

Question 2

How many medical errors are attributable to breakdowns in communications in health care teams?

Answer 2

70%

Question 3

Why is the patient’s chart important?

Answer 3

It is legally what happened to the patient, need to write things down on it

Question 4

What are the 3 timepoints to better understand voice?

Answer 4

T0 - timepoint 0
Awareness of unethical issue
T1 - enactment of voice - someone actually speaks up
T2 - Action in response to voice

Question 5

What are the challenges to voice?

Answer 5

Hierarchical challenge - lower in the hierarchy have a harder time challenging those higher on it - e.g. nurses challenging physicians
Even above physicians there’s NHS CEOs, supervisors, people not on the front lines of interactions

Question 6

What can different climates cause?
Blame
Silence
Safety climate

Answer 6

Climate of blame - defensiveness, end up being rigorous not for patient but for themselves
Climate of silence - scared to speak up
Safety climate - trust teammates, no blame

Question 7

What enables voice? (like in safe environment)

Answer 7

Leadership - good standards are set
Emotions -
Coaching - supporting people to speak up
Support - removing workplace pressures
Formal mechanisms and SOPs e.g. the WHO surgical safety checklist

Question 8

What are the 3 sections in the WHO surgical safety checklist?

Answer 8

Sign in
Time out
Sign out

Question 10

What is prosocial voice?

Answer 10

Improves outcomes for the patient and everyone involved

Question 11

What is defensive voice?

Answer 11

Use of voice for numero uno - looking out for oneself instead of thinking of patient safety