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Flashcards in PPS lectures Deck (15)
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1

Human factors

Teamwork
Leadership
Lack of resources
Fatigue

2

Never events

Events that should never happen

3

Hospital patient safety team

Report
Investigate
Root causes
Learn
Implement
Measure
Change

4

Safety interventions

Behaviour change
Safety huddles
Simulations
Collaborative working
Culture surveys

5

Human factors which are bad in emergency situations

Loss of situational awareness
Perception and cognition
Teamwork
Culture

6

What are the three buckets

Self
Context
Task

7

Theory of planned behaviour

Subjective norm, perceived behaviour control, attitude toward behaviour determine intention and therefore behaviour

8

Four areas of negligence

Human error
Neglect
Poor performance
Misconduct

9

What are mistakes

Rule based
Knowledge based

10

What are violations

Routine
Reasoned
Reckless and malicious

11

What are lapses

Memory failures
Losing place
Omitting items

12

What are slips

Attentional failures
Intrusions
Omissions
Misordering

13

Medical negligence 4 tests

Was there a duty of care
Was there a breach in the duty of care
Did the patient come to harm
Did the breach cause the harm

14

Which test can be used to see if youve been negligent

Bolam and Bolitho

15

What is a datix

Incident form