Teamwork

Question 1

What is team of HCP called?

Answer 1

Multidiscplinary team

Question 2

Define error?

Answer 2

Any preventable event that may cause or lead to patient harm

Question 3

State 5 ways ensure patient safety?

Answer 3

1) Build safety culture
2) Risk management
3) Promote reporting
4) Involve and communicate with patients and public
5) Learn and share safety lessons

Question 4

Define error of omission?
Define error of commission?
Define skill based error?
Define rule/knowledge based error?

Answer 4

Error omission- required action delayed/not taken
Error commission- wrong action taken
Skill based error- routine task- lack concentration
Rule/knowledge- inexperience, complex task

Question 5

State 2 outcomes of medical errors?

Answer 5

1) Adverse event- incident result harm to patient, not due illness
2) Near miss- event has potential cause harm but fails develop

Question 6

State 3 ways reduce error?

Answer 6

Simplify and standardise clinical practise
Checklist
IT and software

Question 7

What are 2 approaches to managing error?

Answer 7

Person approach- individual
Anticipate blame- coverup

System approach- organsiational
Causal factors

Question 8

Define latent conditions

Answer 8

Latent conditions- lie dormant within system before combine with active failures and local triggers to create an accident opportunity - Can be identified and remedied