View stunning SlideShares in full-screen with the new iOS app!Introducing SlideShare for AndroidExplore all your favorite topics in the SlideShare appGet the SlideShare app to Save for Later — even offline
View stunning SlideShares in full-screen with the new Android app!View stunning SlideShares in full-screen with the new iOS app!
Contacting service user’s GP for advice and guidance (or emergency services)
Complete incident form and nursing notes
Inform all staff of incident, particularly at hand over to next shift
Complete risk assessment forms
Management response to the mistake - steps to prevent future errors (short term)
Warning notice or memo (in communication book) at time of mistake
Supervision of Rebecca by her manager (with review meeting)
Team meeting looking at the mistake and what caused it and learning from it
Management response to the mistake - taking steps to prevent future errors (longer term)
Training for home staff (internal or external) (assess training needs first)
Planning for new policies and procedures is a major part of the management process [Cole, 1996]
Did the team work effectively? Training/education for team – staff encouraged to identify areas where support is needed Lack of support from colleagues Improve understanding of when tasks can be delegated and when not. Failure of delegation Improve induction and on-the-job training of nurses (perceptorship course?) Poor communication Improve understanding of staff roles and expertise and boundaries of practice. [Anciano, 1990] Didn’t follow policies and procedures What can they do to improve? What went wrong?