Mastering Errors and Mistakes in Healthcare
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Questions and Answers

Which factor is NOT mentioned as a potential cause of errors and mistakes in the text?

  • Experience (correct)
  • Distractions
  • Incompetence
  • Haste
  • What can help avoid most errors?

  • Increasing workload
  • Cutting corners
  • Practicing low-risk behaviors (correct)
  • Working in high-risk situations
  • What does the 'swiss-cheese model' refer to in the text?

  • The gradual introduction of risk in processes
  • The holes in the system through which mistakes can occur (correct)
  • The layers of protection in place to prevent mistakes
  • The cleverness of humans in finding shortcuts
  • Who is prone to making errors?

    <p>Everyone</p> Signup and view all the answers

    What does the Yerkes-Dodson Law refer to in the text?

    <p>The relationship between workload and performance</p> Signup and view all the answers

    What is the purpose of health and safety legislation according to the text?

    <p>To prevent errors</p> Signup and view all the answers

    What determines outcomes in our behaviors?

    <p>Our culture</p> Signup and view all the answers

    What is NOT mentioned as a potential human factor contributing to errors and mistakes?

    <p>Experience</p> Signup and view all the answers

    What are most near-misses and significant events due to according to the text?

    <p>System or process problems</p> Signup and view all the answers

    What does the Hebbian Law refer to in the text?

    <p>The inability to challenge authority</p> Signup and view all the answers

    Which of the following is NOT mentioned as a potential hazard in the text?

    <p>Lack of communication</p> Signup and view all the answers

    What is one way to challenge the culture in operating theatre behaviors according to the text?

    <p>Standardize procedures</p> Signup and view all the answers

    Which of the following is NOT a control measure mentioned in the text to minimize risk?

    <p>Use phones during procedures</p> Signup and view all the answers

    When should errors and incidents be reported internally according to the text?

    <p>All the time</p> Signup and view all the answers

    What type of incidents require reporting to the Health and Safety Executive (HSE) according to the text?

    <p>All of the above</p> Signup and view all the answers

    What legislation covers the reporting of injuries or incidents involving animals according to the text?

    <p>Animal Welfare Act (2006)</p> Signup and view all the answers

    What should be done with breaches of the RCVS code of conduct according to the text?

    <p>Report them to the RCVS</p> Signup and view all the answers

    What is the purpose of clinical audits/incident reports according to the text?

    <p>To identify errors and improve future practice</p> Signup and view all the answers

    What is one way to challenge the culture in operating theatre behaviors according to the text?

    <p>Standardize procedures</p> Signup and view all the answers

    What is one way to challenge the culture in operating theatre behaviors according to the text?

    <p>Standardize procedures</p> Signup and view all the answers

    What does the Yerkes-Dodson Law refer to in the text?

    <p>The Yerkes-Dodson Law refers to the relationship between arousal and performance, stating that there is an optimal level of arousal for optimal performance. Too little or too much arousal can lead to errors and mistakes.</p> Signup and view all the answers

    What does the 'swiss-cheese model' refer to in the text?

    <p>The 'swiss-cheese model' refers to the idea that the system can have 'holes' through which mistakes can occur. The more layers of protection put in place, the less likely a mistake occurs.</p> Signup and view all the answers

    What does the Hebbian Law refer to in the text?

    <p>The Hebbian Law refers to the concept that neurons that fire together, wire together. It highlights the importance of repeated practice and reinforcement in learning and performance.</p> Signup and view all the answers

    What is one way to challenge the culture in operating theatre behaviors according to the text?

    <p>One way to challenge the culture in operating theatre behaviors is by encouraging and promoting a culture of open communication, where everyone feels comfortable questioning authority and raising concerns.</p> Signup and view all the answers

    What are most near-misses and significant events due to?

    <p>Most near-misses and significant events are due to system or process problems.</p> Signup and view all the answers

    What are some potential hazards mentioned in the text?

    <p>Some potential hazards mentioned in the text include loss of situational awareness, distractions, high workload, fatigue, stress, haste, inexperience, and incompetence.</p> Signup and view all the answers

    When should errors and incidents be reported internally according to the text?

    <p>Errors and incidents should be reported internally as soon as possible, following the appropriate reporting procedures.</p> Signup and view all the answers

    What are some potential challenges in the organizational culture mentioned in the text?

    <p>Overly hierarchical structure, organizational pressures, professional tribalism</p> Signup and view all the answers

    What are some strategies mentioned in the text to improve patient safety?

    <p>Identify hazards, conduct risk assessments, standardize procedures, educate and communicate, remove distractors</p> Signup and view all the answers

    What are some examples of control measures mentioned in the text to minimize risk?

    <p>Checklists, algorithms, standard operating procedures</p> Signup and view all the answers

    When should errors and incidents be reported internally according to the text?

    <p>All the time, as part of good practice</p> Signup and view all the answers

    What types of incidents require reporting to the Health and Safety Executive (HSE) according to the text?

    <p>Death, specified injuries to workers, incapacitance for over 7 days, non-fatal accidents to non-workers, dangerous occurrences, gas incidents</p> Signup and view all the answers

    What legislation covers the reporting of injuries or incidents involving animals according to the text?

    <p>Animal Welfare Act (2006)</p> Signup and view all the answers

    What is the purpose of clinical audits/incident reports according to the text?

    <p>To identify errors and use them to improve future practice</p> Signup and view all the answers

    What does the term "swiss-cheese model" refer to in the text?

    <p>A model that explains how multiple layers of defense can fail and align to allow an incident to occur</p> Signup and view all the answers

    Who should breaches of the RCVS code of conduct be reported to according to the text?

    <p>The RCVS</p> Signup and view all the answers

    What are most near-misses and significant events due to according to the text?

    <p>Human factors and system failures</p> Signup and view all the answers

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