Patient safety and incident reporting

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Last updated 4:26 PM on 4/14/26
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12 Terms

1
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What are the seven pillars of clinical governance?

  • Patient and public involvement

  • Use of information to support clinical governance and health care delivery

  • Risk management

  • Research and clinical effectiveness programs

  • Clinical audit

  • Staffing and management

  • Education, training and continuing personal and professional development

2
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What are the ways to ensure patient safety?

  • Teamwork

  • Communication

  • Culture

  • Psychological safety

  • Promoting diversity and inclusion

  • Being civil

3
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What is the SBAR communication tool?

Standardised prompt questions to ensure info is shared effectively

  • Reduces barrier to effective communication across different disciplines and between different levels of staff

<p>Standardised prompt questions to ensure info is shared effectively </p><ul><li><p>Reduces barrier to effective communication across different disciplines and between different levels of staff </p></li></ul><p></p>
4
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What is a just culture?

Creating a culture of fairness, transparency and learning

  • Removes fear and encourages people to report concerns

5
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What are the RPS error reporting standards

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6
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What is ‘learn from patient safety events’

2021 NHS service to record and analyse patient safety events

  • Allows organisations to record events

  • Providers can gain access for analysis

7
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What is a never event?

Serious and preventable incident that the department of health has deemed should never occur provided the appropriate measures are in place

8
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What is pharmacovigilance?

Science and activities relating to the detection, assessment, understanding and prevention of ADRs and other safety problems

9
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What is the yellow card scheme?

Report suspected side effects to medicines, vaccine, e-cigs, medical devices, defective or fake products to the medicines and healthcare products regulatory agency to ensure safe and effective use

10
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What is the ‘adverse section scheme for vet medicines’

Same as the yellow card scheme

  • Adverse reactions to vet meds from humans

  • Failure to read and/or follow product guidance

11
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What is a near miss?

Patient safety incident detected before the patient is handed the prescription. All should be recorded

<p>Patient safety incident detected before the patient is handed the prescription. All should be recorded</p>
12
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Swiss cheese model for risks and error prevention

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