Mistake/DATIX

We recommend the following structure when answering this question.

  • Event
  • What did you do to rectify the mistake
  • Duty of candour
  • Reflection
  • Steps to reduce this from occurring
  • ST3 implications

Example answer

“I was preparing patients for theatre the next day and was taking a group and screen from a patient. The group and screen bottle was out of date and was therefore rejected. I realised and luckily no delays to surgery occurred however I had to bleed the patient again. I therefore apologised and explained my mistake to the patient. In addition I took steps to ensure that it didn’t happen again by informing my colleagues of the incident and discarding the out of date bottles. Personally I learnt the importance of ensuring that all equipment is in date and appropriate for use.”

A never events are serious patient safety incidences that are preventable. Examples in surgery include: Wrong components, wrong side surgery, retention of material post surgery e.g. swabs.  components.

Patients are entitled to full explanation of what happened, why and an apology if error/omission.

Complaints procedure:
– Local resolution: appropriate written response within 28 days of complaint signed by CEO
– The Convenor: evaluates any request for an inependent review, evaluates if a full explination has been given. 3 outcomes:
1) Refer back to local resolution
2) Agree to independent review
3) Refuse request
 
Independent review panel: establish facts and make recommendations to improve effectiveness
 
If not happy can contact ombudsman.
 
If litigation is pursued the complaints process ceases immediately.
  • You may have made a mistake and reflected on this.
  • You may have submitted an incident report
  • You may have received a good feedback incident report. In some hospitals they have GRATIX (for good incidences).
Please log in to join the chat