Patient Safety and Duty of Candour

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These flashcards cover key concepts related to patient safety, communication, human factors, incident reporting, and duty of candour as presented in the lecture notes.

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1
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What are the key components of the duty of candour?

Patients and families should receive an explanation, a meaningful apology, involvement in the review, actions for improvement, and communication regarding those actions.

2
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Why is feedback important in incident reporting?

Without feedback, there is no incentive to report incidents and staff need to know outcomes and changes made.

3
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What factors contribute to human errors in the imaging environment?

Tiredness, working under pressure, poor leadership, personal circumstances, and inadequate training.

4
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What does a good communication practice look like in a medical setting?

Avoid assumptions, ask clarifying questions, designate roles, and record important information accurately.

5
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What is the Swiss Cheese Model?

It illustrates how systems designed for safety can have flaws, and that alignment of these flaws may lead to incidents.

6
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What does SEIPS stand for?

System Engineering Initiative for Patient Safety.

7
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What are some elements of a good safety culture?

Proactive system reviews, open discussion of mistakes, and a no blame approach.

8
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What should be done when a patient incident occurs?

Apologize, inform the patient, provide a detailed explanation, and take corrective actions when possible.

9
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What are some common pitfalls in communication during incidents?

Assumptions, misinterpretations, passing messages through multiple people, and ambiguity.

10
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What does the NHS Patient Safety Strategy (2019) aim to achieve?

Improvement of patient safety through insight, involvement, and systematic approaches.