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

PM Healthcare events are Quality Assured by the University of Bradford

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