Safety Snd Quality In Clinical Practice

Question 1

Factors contributing to a clinical incident

Answer 1

HUMAN FACTORS

• skill based: not checking BGL prior to mess
• error of judgment: giving analgesia without proper assessment
• rule violation: done knowingly (short cut)

SYSTEM FACTORS
- related to coordination of processes: now policies- failure to update staff

Question 2

Managing clinical incidents

Answer 2

• identification of incidents
• immediate actions to reduce harm
• notification in to incident reporting systems
• investigation, classification, analysis - action

Question 3

Responding to mistakes

Answer 3

• the importance of self respect
• trustworthiness
• courage, honesty, accountability and integrity (CHAI)
• patient centered care

Question 4

What is a clinical incident?

Answer 4

• refers to any u planned event resulting in, or having the potential to result in, harm to a patient
• categories
  Clinical error
  System error
  Minor or complex