rest Flashcards
what are the human factors of performance
understanding of patterns and causes of errors and systems failure
situational awareness
communication in teams
limitations of human performance
what are major contributors to adverse events in HC
human factors
what is a key factor in safety
team situational awareness
what are the three conditions needed for team situational awareness
perception
comprehension
projection
what are some challenges in health care teams
multiple patient handovers
hierarchy
cultures that discourage challenge
stress repossess
define these terms vigilance awareness engagement root cause
preoccupation without failure
sensitivity to operation - shared goal
commitment to resilience
reluctance to simplify interpretation
what human factors can increase risk
mental workload distractions physical environment physical demand product design team work process design
what does the cabler ross diagram measure
the change curve - shares stages of change and how they can affect competence and moral over time
what are the stages of the cabler ross change curve
shock, denial, frustration, depression, experiment, decision, integration
what are the 8 steps to successful change
establish urgency create a guiding coalition shard vision communicate vision empower act to vision short term wins build institutionalise
what is informed consent
valid consent - be comment to make decision
received sufficient information to make decision
not be acting under duress
what is explicit consent
articulated agreement orally or writing - recommended written by GMC
what is implied consent
agreement signalled by behaviour of an individual
what are the key legal issues fo consent
obtained before examination
adults assumed competent to give consent
patient can withdraw consent at anytime
consent can be written, verbal/nonverbal, signing a from does NOT make it valid
if patients have capacity what is the GMC model of approach
make assessment of patient condition
identify treatments and options
patient decides whether to accept
discuss why if patient request is not optimal
what is delegated consent
consent tale for a procedure by someone not competent to carrot out
requires specific training
what is the mental capacity act
replaces enduring power of attorney with a wider reaching lasting power of attorney
what is IMCA in mental capacity act
indépendant mental capacity advocacy
what are the 5 principles of the mental capacity act
always presume capacity and prove that it does not exist
supported participation in decision making
right to make unwise decision - respect the decision if have capacity
best interest at heart
least restrictive alternative
what is incapacity what what happens if that is the case
person lack capacity - mind or brain disturbance
fails to absorb, retain, communicate the decisions
- can be temporary
what do designated decision makers aid capacity
lasting power of attorney - someone with capacity nominated to make decisions once the patients capacity is lost
what decision makers cannot override a LPA’s or have the power to refuse life sustaining treatment
court appointed deputies, welfare, health and finance decisions
what is an advance directive in mental capacity decision making
decision made by an adult who at the time has competence to apply to circumstances where competence is lost in the future, only relate to refusal of treatment
what must happen for an AD to refuse life saving treatment
must be in writing, signed and witnesses - specific and valid at the time
