Error Wisdom and Patient Safety course for GPs
This session will improve your understanding of how frontline healthcare staff can thwart patient safety incidents using the Three Buckets model. This session was reviewed by Suchita Shah and last updated in January 2015.
Learning Objectives
By the end of this session you will be able to:
- Use the Three Buckets model of error wisdom to conceptualise risks present in a given scenario
- Recognise how frontline healthcare staff thwart patient safety incidents and contribute to improving patient safety
- Identify what lessons can be learnt from near misses in primary care
This session looks at how healthcare staff adapt to an imperfect healthcare system and bridge the safety gaps to prevent patients being harmed. By identifying and adapting to factors that could potentially lead to patient harm, healthcare staff show what is called error wisdom or foresight.
Before commencing this session you should have completed:
- Session - An Introduction to Patient Safety in Primary Care
- Session - Human Factors and Patient Safety in Primary Care
Dr Jane Carthey is a Patient Safety and Human Factors Specialist who has worked in the NHS for 13 years, both at a local Trust level and for a national agency. Dr Carthey has applied human factors methodologies to understand the causes of incidents in healthcare in acute and primary care settings. Her expertise includes incident reporting, organisational and team safety culture, observational data collection, incident investigation, prospective risk assessment and improving communication between patients and healthcare staff when things go wrong.
Christine has worked as a GP in Nottingham since 1988.
Through her undergraduate work at the University of Nottingham as Community Sub Dean and postgraduate work as part of Health Education East Midlands, she has been involved in the delivery of education to both medical and multi-professional audiences with a particular emphasis on Quality Improvement and Patient Safety.
She represents Vale of Trent on the RCGP Council.
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