Mastering Errors and Mistakes in Healthcare

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

Experience

What can help avoid most errors?

Practicing low-risk behaviors

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

The holes in the system through which mistakes can occur

Who is prone to making errors?

Everyone

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

The relationship between workload and performance

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

To prevent errors

What determines outcomes in our behaviors?

Our culture

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

Experience

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

System or process problems

What does the Hebbian Law refer to in the text?

The inability to challenge authority

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

Lack of communication

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

Standardize procedures

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

Use phones during procedures

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

All the time

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

All of the above

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

Animal Welfare Act (2006)

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

Report them to the RCVS

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

To identify errors and improve future practice

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

Standardize procedures

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

Standardize procedures

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

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.

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

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.

What does the Hebbian Law refer to in the text?

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.

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

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.

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

Most near-misses and significant events are due to system or process problems.

What are some potential hazards mentioned in the text?

Some potential hazards mentioned in the text include loss of situational awareness, distractions, high workload, fatigue, stress, haste, inexperience, and incompetence.

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

Errors and incidents should be reported internally as soon as possible, following the appropriate reporting procedures.

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

Overly hierarchical structure, organizational pressures, professional tribalism

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

Identify hazards, conduct risk assessments, standardize procedures, educate and communicate, remove distractors

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

Checklists, algorithms, standard operating procedures

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

All the time, as part of good practice

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

Death, specified injuries to workers, incapacitance for over 7 days, non-fatal accidents to non-workers, dangerous occurrences, gas incidents

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

Animal Welfare Act (2006)

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

To identify errors and use them to improve future practice

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

A model that explains how multiple layers of defense can fail and align to allow an incident to occur

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

The RCVS

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

Human factors and system failures

Test your knowledge on errors, mistakes, and health and safety with this quiz by Tom Hackney and Kate White. Learn about procedures and processes that may fail during sedation, anesthesia, and imaging, as well as the importance of human factors in preventing errors. Understand how health and safety legislation works to prevent errors and when errors should be reported. Challenge yourself and improve your understanding of errors and mistakes in the healthcare field.

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