6th Session (Professionalism, Management, Leadership, Communication, Teamwork, Patient Safety, Clinical Governance)

Nov 2021

Scenario: A patient was transfused with blood, but subsequently received a call that the pack cell was not listed as cross matched for this patient, leading to a transfusion error. What would you do?
Critical incident report
Root cause analysis and its principles
Audit after implementation
After checking however it was fortunate that the wrong blood product was still compatible and patient did not suffer harm.
Would you inform the patient?
Ethical principles, autonomy, beneficence, non-maleficence, justice
Involvement of consultants, and the medico-legal unit
Documentation
Why is it important for the patient-doctor relationship for proper disclosures?

Scenario: A patient who is critically ill is in shock with multiorgan failure, and unstable for cvvh
How to inform family
Breaking bad news steps
How to counsel for withdrawal
Methods of medical withdrawal
Visitation for family
Dealing with family members who cannot accept their loved one’s condition
Regarding continuation of cvvh and vasopressors

Nov 2024

Clinical governance: Definition, components
Comparison of audit vs research.
Patient safety: Definition
Malaysian Patient Safety Goals 2.0
Medication Errors: Prevention
Critical Incidents: Categorization
Communication - Breaking bad news to family (e.g. a scenario where a patient required CPR in OT)
Professionalism - Dealing with a senior MO who did a mistake intraop as a junior specialist
Local Guidelines: Guidelines On Safe Use of Medications in Anaesthesia