Test 1 Flashcards
1
Q
Why do we file incident reports (4)
A
PIMP
Induce POLICY change
ITS your duty
Jog MEMORY (court case)
Learn from PAST errors
2
Q
When to file incident report
A
PEMI
PT complaint
Medication ERROR
Medical device MALFUNCTION
INJURY/potential
3
Q
6 ways of Identifying potential safety issues
A
Root cause analysis Failure mode and effects analysis Incident reporting system Internal audits Safety briefings Complaint management system
4
Q
What do you include in an incident report (6)
A
Date/time/location Events leading up to incident First hand info Names of all involved Response to incident End result
5
Q
Don’t include in incident report (6)
A
Abbreviations Opinions or feelings Blame Proposed preventative measures Hearsay Don’t try and make report match colleagues
6
Q
Persons approach to a mistake
A
Shame and blame
Assumption error was due to laziness, forgetfulness, negligence, lack of knowledge, skill/experience
Punishment
7
Q
Systems approach to a mistake
A
Acknowledgement humans are fallible
Anticipates human error
Systems designed to decrease risk of error occurring
Focuses on latent failures versus active failures
