Prompting Question Relevant to CONTRIBUTORY FACTOR DOMAIN Incident? Situational Factors Did the involved function as a team? Yes Team Factors For example: – Conflicting team goals Maybe Lack of respect for colleagues Poor delegation No Absence of feedback On the day of the incident, how did you feel? Yes Individual Factors For example: – Fatigue Maybe Stress Rushed No Distraction Inexperience Yes For example: Did the task features make this incident more likely? Task Characteristics – Unfamiliar task Maybe Difficult task Monotonous task No Were there any reasons this incident was more likely Yes Service User Factors for example: – to occur to this particular service user? Language barrier Maybe Uncooperative Complex medical history No Unusual physiology Intoxicated Prompting Question Relevant to CONTRIBUTORY FACTOR DOMAIN Incident? Local Working Conditions Did provision match the expected workload Yes Workload & Staffing issues- For example: around the time of the incident? High unit workload Insufficient Unable to contact No Staff sickness Did everyone understand their role? Yes Leadership, Supervision & Roles example: – Inappropriate delegation Unclear responsibilities Remote supervision No Were the correct drugs, equipment and supplies Yes Drugs, Equipment & Supplies example: – Unavailable Drugs available and working properly? Equipment not working No Inadequate maintenance No supplies delivery Prompting Question CONTRIBUTORY FACTOR DOMAIN
Prompting Question Relevant to Incident? CONTRIBUTORY FACTOR DOMAIN Situational Factors Did the involved function as a team? Yes Maybe No Team Factors – For example: Conflicting team goals Lack of respect for colleagues Poor delegation Absence of feedback On the day of the incident, how did you feel? Yes Maybe No Individual Factors – For example: Fatigue Stress Rushed Distraction Inexperience Did the task features make this incident more likely? Yes Maybe No Task Characteristics – For example: Unfamiliar task Difficult task Monotonous task Were there any reasons this incident was more likely to occur to this particular service user? Yes Maybe No Service User Factors – for example: Language barrier Uncooperative Complex medical history Unusual physiology Intoxicated Prompting Question Relevant to Incident? CONTRIBUTORY FACTOR DOMAIN Local Working Conditions Did provision match the expected workload around the time of the incident? Yes No Workload & Staffing issues- For example: High unit workload Insufficient Unable to contact Staff sickness Did everyone understand their role? Yes No Leadership, Supervision & Roles – example: Inappropriate delegation Unclear responsibilities Remote supervision Were the correct drugs, equipment and supplies available and working properly? Yes No Drugs, Equipment & Supplies – example: Unavailable Drugs Equipment not working Inadequate maintenance No supplies delivery Prompting Question CONTRIBUTORY FACTOR DOMAIN
yorkshire-contributory-factors.docx