Module 2 - Understanding Authority Gradient

Question 1

What proportion of maternal deaths do MBRRACE report involve substandard care?

Answer 1

50% direct matenral deaths.
Substandard care or poor inter-professional team work.

Question 2

What proportion of term stillbirths are found to involve poor teamwork?

Answer 2

40%

Question 3

What proportion of term stillbirths are found to involve lack of senior support?

Answer 3

20%

Question 4

Who needs to feel safe to speak up and raise concerns?

Answer 4

All staff and patients.

Question 5

Define PDI

Answer 5

Power Distance Index.
Degree of inequality between people.

Question 6

Define hierarchy.

Answer 6

People are stratified based on rank and status (different to PDI but often coincides).

Question 7

Name 3 models that enable staff to speak up.

Answer 7

1. 2 challenge rule (challenged twice but not heard, every team member should feel empowered to summon additional help).
2. PACE (probe, alert, challenge, emergency).
3. CUSS (Concerned, uncomfortable, not safe, stop).