PPS lectures Flashcards
Human factors
Teamwork
Leadership
Lack of resources
Fatigue
Never events
Events that should never happen
Hospital patient safety team
Report Investigate Root causes Learn Implement Measure Change
Safety interventions
Behaviour change Safety huddles Simulations Collaborative working Culture surveys
Human factors which are bad in emergency situations
Loss of situational awareness
Perception and cognition
Teamwork
Culture
What are the three buckets
Self
Context
Task
Theory of planned behaviour
Subjective norm, perceived behaviour control, attitude toward behaviour determine intention and therefore behaviour
Four areas of negligence
Human error
Neglect
Poor performance
Misconduct
What are mistakes
Rule based
Knowledge based
What are violations
Routine
Reasoned
Reckless and malicious
What are lapses
Memory failures
Losing place
Omitting items
What are slips
Attentional failures
Intrusions
Omissions
Misordering
Medical negligence 4 tests
Was there a duty of care
Was there a breach in the duty of care
Did the patient come to harm
Did the breach cause the harm
Which test can be used to see if youve been negligent
Bolam and Bolitho
What is a datix
Incident form
