A junior trainee in distress has asked to speak to you regarding a medical error they have made that has resulted in a life-threatening adverse outcome for the patient.
Outline the key points of the initial discussion with the trainee.
The key points that the candidate needed to cover were:
Examiners Comments:
A common omission from candidates’ answers was failing to discuss medico legal issues and root cause analysis.
CICM: GUIDELINES FOR ASSISTING TRAINEES WITH DIFFICULTIES (T-13), 2010
Mitchell, Jeffrey T. "Stress. The history, status and future of critical incident stress debriefings." JEMS: a journal of emergency medical services 13.11 (1988): 46-7.
Mitchell, Jeffrey T., and George S. Everly Jr. "Critical Incident Stress Debriefing (CISD) and the Prevention of Work-Related Traumatic Stress among High Risk occupational Groups." Psychotraumatology: Key papers and core concepts in post-traumatic stress (1994): 267.
Bledsoe, Bryan E. "C RITICAL I NCIDENT S TRESS M ANAGEMENT (CISM): B ENEFIT OR R ISK FOR E MERGENCY S ERVICES?."Prehospital Emergency Care 7.2 (2003): 272-279.
Harris, Morag B., Mustafa Baloğlu, and James R. Stacks. "Mental health of trauma-exposed firefighters and critical incident stress debriefing." Journal of Loss &Trauma 7.3 (2002): 223-238.
Laurent, Alexandra, et al. "Error in intensive care: psychological repercussions and defense mechanisms among health professionals." Critical care medicine 42.11 (2014): 2370-2378.