Video

That’s really the whole point of the video. You need to look beyond the technical skills of what they should have done and start understanding the human factors that are going on. The Drs got fixated on the task of intubation. They lost track of time, they didn’t realise how long the sats were low for. If they had recognised this as they went along then maybe they would have done a trach. The thing is, it would be very easy to simply blame them for not recognising what was happening and making the correct choice. But if you do that you are not going to learn the lessons that will prevent a recurrence. You first need to accept that humans are fallible. Drs are not some all mighty being who can be aware of everything that is going on simultaneously. If someone is undertaking a skill they must focus on that skill- once they are focused on the skill in question they will lose a global perspective, they won’t be able to keep an eye on how long has passed. It needs to be accepted that this will happen and planned for that others can watch the time/ sats etc. On top of that there are power hierarchies to consider. Nursing staff recognised what needed to happen and brought Tracey tray/ booked itu bed- when Drs didn’t respond to that / looked at nurses as to say “why did you do that” nurses cancelled their actions. For myself, I can look back to when I was more junior and my utter confidence in consultants- I would never have thought they didn’t fully understand the situation, much less that they needed me to tell them anything. But really these Drs didn’t have full situational awareness, when they looked at the nurses in a questioning manner it was the cue that they didn’t know the nurses concerns. But the nurses took it as a cue they had done the wrong thing. What didn’t happen was a conversation. Why do you think we need itu bed/ why don’t you think we need on. So many other factors to consider. Airline industry teaches its pilots they are capable of mistakes, they set up their industry with the expectation that mistakes can happen and make it a safe place to admit mistakes. Because of this, when Martin Bromley started to note the human factors that led to his wife’s death he was able to look to how that could be addressed to make healthcare safer. In healthcare we don’t always feel safe admitting mistakes or near misses. But if you think about life at home you will almost certainly realise you made mistakes in the last week (lost something. Forgot something, misinterpreted something that was said to you, Tool a wrong turn, went to supermarket for bread, spent £50 and came home without any ) we make mistakes all the time. So what stops us making those sort of mistakes at work? Things like team briefs, checklist- how well they work is down to your attitude towards them.

That’s really the whole point of the video. You need to look beyond the technical skills of what they should have done and start understanding the human factors that are going on. The Drs got fixated on the task of intubation. They lost track of time, they didn’t realise how long the sats were low for. If they had recognised this as they went along then maybe they would have done a trach. The thing is, it would be very easy to simply blame them for not recognising what was happening and making the correct choice. But if you do that you are not going to learn the lessons that will prevent a recurrence. You first need to accept that humans are fallible. Drs are not some all mighty being who can be aware of everything that is going on simultaneously. If someone is undertaking a skill they must focus on that skill- once they are focused on the skill in question they will lose a global perspective, they won’t be able to keep an eye on how long has passed. It needs to be accepted that this will happen and planned for that others can watch the time/ sats etc. On top of that there are power hierarchies to consider. Nursing staff recognised what needed to happen and brought Tracey tray/ booked itu bed- when Drs didn’t respond to that / looked at nurses as to say “why did you do that” nurses cancelled their actions. For myself, I can look back to when I was more junior and my utter confidence in consultants- I would never have thought they didn’t fully understand the situation, much less that they needed me to tell them anything. But really these Drs didn’t have full situational awareness, when they looked at the nurses in a questioning manner it was the cue that they didn’t know the nurses concerns. But the nurses took it as a cue they had done the wrong thing. What didn’t happen was a conversation. Why do you think we need itu bed/ why don’t you think we need on. So many other factors to consider. Airline industry teaches its pilots they are capable of mistakes, they set up their industry with the expectation that mistakes can happen and make it a safe place to admit mistakes. Because of this, when Martin Bromley started to note the human factors that led to his wife’s death he was able to look to how that could be addressed to make healthcare safer. In healthcare we don’t always feel safe admitting mistakes or near misses. But if you think about life at home you will almost certainly realise you made mistakes in the last week (lost something. Forgot something, misinterpreted something that was said to you, Tool a wrong turn, went to supermarket for bread, spent £50 and came home without any ) we make mistakes all the time. So what stops us making those sort of mistakes at work? Things like team briefs, checklist- how well they work is down to your attitude towards them.

That’s really the whole point of the video. You need to look beyond the technical skills of what they should have done and start understanding the human factors that are going on. The Drs got fixated on the task of intubation. They lost track of time, they didn’t realise how long the sats were low for. If they had recognised this as they went along then maybe they would have done a trach. The thing is, it would be very easy to simply blame them for not recognising what was happening and making the correct choice. But if you do that you are not going to learn the lessons that will prevent a recurrence. You first need to accept that humans are fallible. Drs are not some all mighty being who can be aware of everything that is going on simultaneously. If someone is undertaking a skill they must focus on that skill- once they are focused on the skill in question they will lose a global perspective, they won’t be able to keep an eye on how long has passed. It needs to be accepted that this will happen and planned for that others can watch the time/ sats etc. On top of that there are power hierarchies to consider. Nursing staff recognised what needed to happen and brought Tracey tray/ booked itu bed- when Drs didn’t respond to that / looked at nurses as to say “why did you do that” nurses cancelled their actions. For myself, I can look back to when I was more junior and my utter confidence in consultants- I would never have thought they didn’t fully understand the situation, much less that they needed me to tell them anything. But really these Drs didn’t have full situational awareness, when they looked at the nurses in a questioning manner it was the cue that they didn’t know the nurses concerns. But the nurses took it as a cue they had done the wrong thing. What didn’t happen was a conversation. Why do you think we need itu bed/ why don’t you think we need on. So many other factors to consider. Airline industry teaches its pilots they are capable of mistakes, they set up their industry with the expectation that mistakes can happen and make it a safe place to admit mistakes. Because of this, when Martin Bromley started to note the human factors that led to his wife’s death he was able to look to how that could be addressed to make healthcare safer. In healthcare we don’t always feel safe admitting mistakes or near misses. But if you think about life at home you will almost certainly realise you made mistakes in the last week (lost something. Forgot something, misinterpreted something that was said to you, Tool a wrong turn, went to supermarket for bread, spent £50 and came home without any ) we make mistakes all the time. So what stops us making those sort of mistakes at work? Things like team briefs, checklist- how well they work is down to your attitude towards them.

Yes, to make the doctors more time, nurses were assigned another job.

It’s not her story to be telling

whats Flixzone is it web site

DO YOU HAVE email Address?

Yeah, there is a typo at 10:26. The video is about 10 years old now. I should retire it. The eLearning in the link in the description is more modern though. Love to hear your thoughts on that if you can find the time. Also thanks for the comment.

Hi Hina, these videos are shared with Alan's Channel: czcams.com/channels/TC5Z5CBru0vyOnsoEi1tfw.htmlvideos If you are after specific ED things, that's a good place to go.

try this one: s3.amazonaws.com/keiran_harvey/Portfolio/Advanced%20Life%20Support/story.html I should probably update it.

Peppie Tan I feel like we really need more nurses. Sucks that the nursing programs are so competitive that only some make it

haha brutal ^^

Chill out mate, he's just helping, you don't need to go on a full dig and call him out for being a ?med student which I highly doubt he is anyway.

You are foolish...so much bitterness in your comment. Such a pity because the joke is actually on you!

Unlike people who kill people.

Your being funny and I think most of the nurses who waste time reading your insult will swat it like a fly. No one just gets tired and kills ppl. Your def not a nurse so you just sound ignorant and dont know what your talking about.

Are you a medic?

Nurses don’t intentionally kill people. How ignorant of you to say that. I feel sad for both parties.

Stop being soo o judgemental!

BS the fault is hers, she is the one that did not use the bar code, she is the one that did not bother to read the chart to determine the correct medication, they are labeled you know. No she kill that woman and her baby. She is the one that used the wrong medication. As for all the great nursing she did before, how many good deeds does it take to cover up two murders? Ask the loved ones she left behind. She is no different than a tired driver that runs a stop sign and kills 2. both are negligent murder. Medical mistakes kill about 200,000 in the US every year. it is the culture of "the system is to blame" that allows this to continue. 2 10 year consecutive sentences would go a long way to correcting this murders problems.

This is a horrible thing to go through. Not many people try to go to work to hurt people.

Systems are in place to "help" and not to dictate healthcare practice. Healthcare professionals are well compensated to carry our their fiduciary duty to heal and not harm the patient. It is tragic that 100,000 patients die because of incompetence. Stop blindly follow whatever system is in place. You must supercede when the system is faulty. Be a human, not a humanoid.

What did she lose compared to the family? She’s doing tours and probably getting paid by telling someone else’s story about losing and “having a mental breakdown..” if y’all wanna hear the real story that actually matters . Lmk

Exactly, did not catch it, hasn't worked long, and I would add one more possibility...a liar. We must work to improve processes and appropriate care of the caregivers to include preshift assessments for rest.