Professionalism and lessons from medical scandals Flashcards
What scandal uncovered by Dr Bolsin, ocurred at the Bristol royal infirmary?
Childrens cardiac surgery a shambles with high mortality an power struggles,
NHS at large, collecting and retaining organs without permission
What did the donaldson report proclaim
Organ harvesting and retention unacceptable, NHS could no longer be a secret society
What piece of legislation came from the donaldson report
Human tissue act 2004
What came from Francis inquiry into the mid staffordshire trust?
290 reccommendations including openness, transparency, and candour, stronger leadership
Which are the 3 most common preventable mistakes
medication error
Harm around time of surgery
HAIs
In human factors training, what does SHEEP stand for
Systems Human interaction Environment Equipment Personal