Black Box Thinking for vets: Why we make mistakes and how we can learn from them
It shouldn’t happen to a vet...But we know it does. Everybody makes mistakes sometimes, but if you are a vet or nurse, the consequences can be serious and distressing for all involved. Using the VDS VetSafe system and human factor frameworks developed from aviation and medicine to identify why things go wrong in veterinary practice, this session will give delegates tools to learn from clinical mistakes, support individuals and drive quality improvement in practice.
With direct application to significant event reporting and mortality and morbidity meetings, it will be useful for any organisation participating in the practice standards scheme, and for all those interested in improving quality of care, changing practice culture and supporting colleagues in the aftermath of clinical errors.
- •Understand the term Human Factors and its importance in significant event investigation
- •Understand the second victim phenomenon and the barriers to investigating errors
- •Describe practical tools and a framework for successful Mortality and Morbidity meetings