Paeds Vivas · professional-practice-and-evidence
Recognition, reporting and analysis of adverse events — branching viva
Branching viva on paediatric adverse event recognition, systems analysis, trigger tools, disclosure and second-victim support.
On this page
Study tools
Target exams
RACP General PaediatricsRACP DWERACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
You are the general paediatric registrar on a busy ward. A ten-fold opioid infusion error has just been stopped. The examiner will test definitions, detection, immediate action, systems analysis, disclosure and clinician welfare.
Stem
The examiner opens with a bedside scenario, then probes the language you use, your detection logic, your systems analysis and your duty to the family and the distressed nurse. [1] [14]
References8ShowHide
- [1]Reason J Human error: models and management. The Western journal of medicine, 2000.PMID 10854390
- [2]Leape LL Error in medicine. JAMA, 1994.PMID 7503827
- [5]Woods D Adverse events and preventable adverse events in children. Pediatrics, 2005.PMID 15629994
- [11]Classen DC 'Global trigger tool' shows that adverse events in hospitals may be ten times greater than previously measured. Health affairs (Project Hope), 2011.PMID 21471476
- [13]Starmer AJ Changes in medical errors after implementation of a handoff program. The New England journal of medicine, 2014.PMID 25372088
- [14]Gallagher TH Patients' and physicians' attitudes regarding the disclosure of medical errors. JAMA, 2003.PMID 12597752
- [15]Wu AW Medical error: the second victim. The Western journal of medicine, 2000.PMID 10854367
- [16]Pronovost P An intervention to decrease catheter-related bloodstream infections in the ICU. The New England journal of medicine, 2006.PMID 17192537