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

The UKCPA/JOMO study day has become the main event in the respiratory pharmacy calendar. Despite the challenges this year this speakers and sessions were excellent.
NHS attendee at the UKCPA/JOMO respiratory study day
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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