Professionalism and Patient Safety Flashcards
what is error
an unintended outcome
what are the GMC duties of a doctor
make the care of your patient your first concern
protect and promote the health of patients and the public
provide a good standard of practice and care
treat patients as individuals and respect their dignity
work in partnership with patients
be honest and open and act with integrity
what is the rule of rescue
an ethical imperative to save endangered life when possible
what are the four principles of medical negligence
- Is there a duty of care?
- Was there a breach in that duty? (Bolam test and Bolitho test)
- Did the patient come to any harm?
- Did the breach cause that harm?
what is the swiss cheese model
an overlap of multiple human and system errors leading to patient harm
What is the Bolam test
would a group of reasonable doctors do the same
what is the Bolitho test
was it reasonable of them to do so
what factors determine how much a patient was compensated for negligence
loss of income
cost of extra care
pain and suffering
What is the person approach to error
focused on the individual
- error is the product of wayward mental processes
- focuses on the unsafe acts of people on the front line
what are shortcomings the person approach to error
anticipation of blame promotes cover up
what is the system approach to error
focus on the working conditions
Who should never events be reported to
CQC, NHS England and Public Health England
