Patient Safety and Duty of Candour

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

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.

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.

What factors contribute to human errors in the imaging environment?

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

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

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

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.

What does SEIPS stand for?

System Engineering Initiative for Patient Safety.

What are some elements of a good safety culture?

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

What should be done when a patient incident occurs?

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

What are some common pitfalls in communication during incidents?

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

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

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