1. 20 th and 22 nd September 2011

2.  Facilitators ◦ Adam Figgins ◦ Adrian Hayes ◦ Rosalind Pool ◦ Siobhan Reilly ◦ Poppy Roberts ◦ Chris Roughley ◦ Tommy Salter ◦ Jessica Scott ◦ Sarah Watson ◦ Rebecca Woodside Dr Vinod Patel, WMS Institute for Applied Teaching and Learning

3.  7:00 – 7:30 Introduction  7:30 – 7:45Station 1  7:45 – 8:00Station 2  8:00 – 8:30Refreshments  8:30 – 8:45Station 3  8:45 – 9:00Station 4

4.  Consent Form  Questionnaires ◦ Before and After  Interviews  Follow-up  Please complete Before questionnaires now

5.  The freedom from accidental injury due to medical care or from medical error (Institute of Medicine 2000)  ‘doing the right thing to the right person at the right time, getting it right first time’ (Ambrose, 2009)

6. “If you fly on a plane, you have a one in 10m chance of being killed. If you go into hospital, you have a one in 300 chance – and not from the illness you went in with.” Richard Branson

7. Amalberti et al, 2005

8.  Why? ◦ Heavy workload ◦ Fatigue ◦ Stress ◦ Shift work ◦ Reliance on memory ◦ Reliance on vigilance ◦ Noise ◦ Distractions ◦ Unnatural workflow Watson, 2010

9. Reason, 2000

13.  Just a Routine Operation Just a Routine Operation

15.  Protocols and checklists  Constraints  Forcing functions  Encouraging function  Discouraging functions  Leadership and Culture

17.  Recommendations ◦ BMA ◦ GMC ◦ WHO  Little formal teaching Walton et al, 2010  RISC initiative

18.  How to prepare for surgery  How to hand over a patient  How to recognise an ill patient, and what to do about it  How to spot an unsafe clinical event, and what to do about it

19.  3 rd and 4 th year students  3 grants  1 publication (in press)  17 projects ◦ Handover ◦ ED Admissions ◦ Sepsis ◦ Medication Error Audits ◦ Surgical Safety Checklist ◦ iPhone App ◦ Uniforms for Medical Students Get Involved!

20.  Patient safety is important (and interesting)  Medical students can contribute