Key Points of IDEALs Sessions Flashcards

1
Q

what are the three types of breaches in professionalism? which is the most serious?

A

Cant, Wont, Oops.

Wont is by far the worst and often leads to disciplinary action

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2
Q

what are the three strands of professionalism?

A
  1. Behaving Responsibly
  2. Self-awareness
  3. Demeanour, Moral Values & Motivation
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3
Q

what tool can be used to review professionalism?

A

360 degrees feedback

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4
Q

what theory can be used to explain why people act like they do?

A

Theory of Planned Behaviour

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5
Q

in the theory of planned behaviour, what leads to the behaviour?

A

Behavioural Intention and Perceived Behavioural control.

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6
Q

in the theory of planned behaviour, what leads to the behaviour intention?

A

a combination of::

The Attitude towards the behaviour
The Subjective norm
The Perceived Behavioural Control

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7
Q

give an example of advocacy at an individual level

A

helping a family with inadequate housing

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8
Q

give an example of advocacy at a community public health level

A

helping improve disability access at a primary school

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9
Q

give an example of advocacy at a city public health level

A

improving day care facilities for the elderly and those with mental health problems

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10
Q

what are the key points of Information Governance?

A

 Justify the purpose of using confidential information
 Only use it when absolutely necessary
 Use the minimum required
 Allow access on a strict need-to-know basis
 Understand your responsibility
 Understand and comply with the law

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11
Q

What are the key teamworking theories?

A

 Maslow’s Hierarchy of Needs
 Tuckman’s Theory
 Belbin roles
 De Bono’s Hats

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12
Q

what are De Bono’s hats?

A

 White- Information – factual
 Blue – thinking about thinking
 Black –drawbacks- logical negative
 Red - Feelings- does the idea appeal to me?
 Green – Creativity- what new possibilities are offered
 Yellow- Benefits- logical positive

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13
Q

what are Belbin’s Roles?

A
Shaper
Implementer
Completer finisher
Coordinator
Team Worker
Resource Investigator
Plant
Monitor-Evaluator
Specialist
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14
Q

What are the stages in Tuckman’s theory?

A

 Forming – beginning, polite stage
 Storming – becoming more familiar, less tolerant
 Norming/Performing – accepting differences, productive
 Mourning/Adjourning – sense of loss on moving on

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15
Q

What are the different levels in Maslow’s Hierarchy? (top to bottom)

A
Self actualisation
Self-esteem
Belonging
Safety
Physiological needs
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16
Q

What Leadership theories are there?

A
  • Trait theory – leaders are born and have certain traits.
  • Style theory – leaders learn a style and this is what makes them good
  • Situational theory – good leaders can adapt (contingency theory)
  • Transformational theory– leaders help their team grow
17
Q

what emerging leadership models are there?

A

Born AND made - good leaders are made by a combination of the two

Servant Leadership - ie the leader is actually the one serving the whole as opposed to the team serving the leader. Good leaders know this

18
Q

why do doctors need leadership skills

A

to:

set direction
improve services
Manage Services
Working with Others
Demonstrating personal qualities
19
Q

what model is used to explain accidents?

A

the Swiss cheese model

20
Q

what were the given examples of accidents/incidents in the Patient Safety lecture?

A

● Stoke Mandeville – July 2006 - 334 cases of C. difficile, 38 deaths
● Maidstone – October 2007 - >500 cases of CDI 60 deaths

21
Q

when doing root cause analysis, what structure can help make sure you don’t miss any factors

A

Fish bone Diagram

22
Q

what is a Gap analysis?

A
  • Where are we now?

* Where would we like to be?

23
Q

what are SMART aims?

A
Specific
Measurable
Attainable
Realistic and Relevant
Time limited

(for a given population)

24
Q

what are the steps in the PDSA cycle?

A

Plan, do, study, act

25
what are kotter's eight steps in leading change
* Establish a sense of urgency * Form a powerful guiding coalition * Create a vision * Communicate the vision * Empower others to act * Plan for and create short-term wins * Consolidate improvements * Institutionalise the new approach
26
in the adverse affect iceberg, what event types are under the water (ie are not reported)
errors considered insignificant, near misses (good catches) and unnoticed errors. nobody really knows how many adverse events are not reported (it will be a lot)
27
how can you calculate how severe an incident is?
using a risk matrix (likelihood against severity) note this is limited in use because the factors are subjective.
28
what key systems are in place to help reduce error?
SBARR, NEWS
29
explain the SBARR system
– S – Situation – the punch line in 5-10 seconds – B – Background – circumstances leading up to the situation – A – Assessment – your assessment as it relates to the present situation/problem – R – Recommendations – what needs to be done – R – Review/Response – the opportunity to clarify that the receiver understands the message
30
what indicators of mortality are there
Crude mortality rate Hospital standardised mortality ratio (HSMR) Summary hospital mortality Indicator (SHMI)
31
what is crude mortality rate?
How many die in a set period
32
what is HSMR (Hospital standardised mortality ratio)
Standardised mortality rate using many factors which estimate many people should be expected to die. It is expressed as a percentage of that expectation. 100% is normal.
33
what is SHMI (Summary hospital mortality Indicator)
a. Like HSMR. Importantly includes information for after patients leave hospital b. Can be used as an indicator of care within a health community and excludes bias due to better access to community care for the dying.
34
what important rules can help you keep your professional boundaries (keeping social and professional life separate)
Transfer a patient should you be close to them Be careful what you put on social media Do not discuss patients in your social life