Patient Safety Flashcards
Draw a Venn Diagram of the differences between Medical Errors and Adverse Events, and the three types of outcome they lead to:
Outline the differences between the 3 basic types of error: Slips/Lapses, Mistakes and Violations
What are the three main differences between a ‘personal’ and a ‘systemic’ framework of medical error?
What are the 10 deadly errors?
Sloth
Teamwork
Communication
Mis-triage
Ignorance
Playing The Odds
Fixation
Bravado
Lack of Skill
System Error
Give 9 common scenarios in which the likelihood of medical error is increased:
What is Datix?
Datix is the Trust’s electronic incident reporting system.
What is the Swiss Cheese idea of patient safety and adverse incidents?
Swiss Cheese Idea
Medical error doesn’t always lead to harm as there are barriers to prevent it
However when there is error on several layers, or by just chance errors slip through, it leads to patient harm
Give four ways to effectively prevent systemic medical errors
- Training
- Supervision/Management
- Team work
- Policies and procedures
Give 3 examples of ways to prevent recurrence of errors
- Monitoring
- Audit
- Picking up on root causes
