Coroner’s inquest into the death of Patient X: the hard truths of human performance

“The quality of what Pharmacy Management is putting on is simply streets ahead of anything else I’m seeing at the moment. Keep up the good work!”
Noel Wicks, Managing Director, Right Medicine Pharmacy Ltd, Stirling
Satellite Coroner’s inquest into the death of Patient X: the hard truths of human performance
Speakers Ravinder Bratch (Lead Pharmacist for Theatres and Acute Pain, Royal Wolverhampton NHS Trust)
Satellite Description

This session will cover:

  • gaining a broad understanding of how drug related death/error in relation to behaviour is influenced by design, confirmation bias and levels of situational awareness
  • understanding principles from “Designing for Human Reliability” by Ron McLoed and relating this understanding to the Coroner’s Inquest
  • influence of attribution biases on incident investigations
  • taxonomies of non-technical skills  (NOTSS, ANTS, etc) and how they might be used to influence performance of pharmacists.

@ravinderbratch

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