Chapter 2 Getting it right: non-technical factors and communication

Question 1

Define clinical human factors

Answer 1

enhancing clinical performance through and understanding of:

teamwork
tasks
equipment
workspace
culture and organisation

on human behaviour and abilities

and applying that knowledge in the clinical setting

Question 2

Give an example of how you might raise concerns when in a team scenario?

Answer 2

PACE

Probe - “Have you noticed that this child is cyanosed?”

Alert - “I am concerned, the child is deeply cyanosed, should we start bag–valve–mask ventilation?”

Challenge - “you must listen to me now, this child needs help with their ventilation”

Emergency - “you are overlooking this child’s respiratory state, please move out of the way as I am going to ventilate them”

Question 3

What alternative approach is there to raising concerns in a team?

Answer 3

CUSS

Concerned - I am concerned

Uncomfortable - I am uncomfortable with this

Safety issue - This is unsafe

Stop - You need to stop this is not appropriate

Question 4

Awareness of situations when errors are more likely to occur include? (4)

Answer 4

HALT

Hungry
Angry
Late
Tired

Question 5

What checklist do they use in the aviation industry to assess their situational awareness of whether they are safe to perform?

Answer 5

IMSAFE

Illness
Medications
Stress
Alcohol
Fatigue
Emotion

Question 6

What can effect your assessment of a patient?

Answer 6

Confirmation bias