Lecture 2 P2.

Question 1

Root cause analysis

Answer 1

System based review of incidents to identify contributory factors in order to develop strategies to reduce the risk of recurrence

Question 2

Failure mode and effects analysis

Answer 2

Proactive technique that anticipates failures and deals with them before they occur, rather than reacting afterwards

Question 3

Incident reporting system

Answer 3

The documentation of actual or potential incidents in order to learn from our mistakes

Question 4

Internal audits

Answer 4

Periodic assessment of systems, processes and patient care outcomes

Question 5

Safety briefings

Answer 5

Daily briefings among staff to share concerns about potential issues

Question 6

Complaint Management system

Answer 6

A way for patients to have their concerns dealt with efficiently and effectively

Question 7

When should a incident report be filed

Answer 7

Whenever an unexpected event occurs: 
a patient complaint
medication error
medical device malfunctions
someone is injured or involved in a situation where there was a potential for injury

Question 8

Whats the point of filing incident reports

Answer 8

A method of learning from past errors – teaching opportunity
To jog your memory (court case?)
To trigger a rapid response (induce policy change)
It’s in your job description and is your duty. Failure to do so can lead to termination and expose you to liability, especially in cases where someone was injured or harmed in any way.

Question 9

What to include in incident reports

Answer 9

Time/date.location 
Events leading up to incident 
First hand information 
Second hand information in quotes 
Names of all those involved
Response to incident 
End result

Question 10

Do not include in incident report

Answer 10

Your opinions or feelings 
Blame
Preventative measures 
Hearsay 
Dont make report match colleagues