Critical Incident /System Analysis – A Learning Checklist

$10.00

  •  Standard operating procedures?
  • Quality Assurance Program?

 

 

SKU: Repo336931

Critical Incident /System Analysis – A Learning Checklist

What Happened/Focus of Investigation

Brief description of incident – just the facts:

Margin for Error

Patient Factors

  • Age/Sex?
  • Comorbidities?
  • Medications/Allergies?
  • Diagnosis/Prognosis?
  • Personality Factors?
  • Social/Cultural Factors?
  • Anything Else?

Task Factors

  • Routine/Emergency?
  • Simple/Complex?
  • Level Of Skill Required?
  • Time Constraints?
  • Fixed Sequence Essential?
  • Risks:
  •    Chances of failure?
  •    Impact of failure?
  •    Complications?
  • Anything Else?

Active Error

Individual Factors

  • Position/Rank?
  • Education/Training?
  • Experience/Intuition?
  • Fatigue/Stressors?
  • Physical/Mental Health?
  • Task Saturation/Overload?
  • Anything Else?

Latent Errors and Conditions

Team Factors

  • Regular Team ?
  • Defined Roles?
  • Authority Gradients?
  • Communication Good/Bad?
  • Team Culture/Morale?
  • Regular Drills?
  • Briefings/debriefings?
  • Anything Else?

Workplace Factors

  • Environment
  •   Physical Layout?
  •   Access/Isolation?
  •   Lighting/Temp/Noise?
  • Equipment
  •   Appropriate/Modern?
  •   Design?
  •   Maintained/Neglected?
  • Protocols/Policies
  •   Available/Workable?
  •   Standard operating procedures?
  •   Checklists?
  •   Inservices/Briefings?
  • Manpower
  •   Rosters/Overtime?
  •   Remuneration?
  •   Multitasking?
  •   Senior Help Available?
  • Anything Else?

Organisational Factors

  • Staffing Patterns?
  • Regulars/Trainees/Locums?
  • Paging/Telephone System?
  • Inform Design/Records?
  • Quality Assurance Program?
  • Organisational Culture?
  • Clerical/Administrative?
  • Legislation?
  • Anything Else?

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