Characteristics of high reliability organisations

Containment of unexpected events, Problem anticipation and leadership, Robust process improvement, Safety oriented culture

What part of the veterinary medicines regulations 2013 states that owners can’t share medicines between them

Part 2 regulation 7, Schedule 3 part 1

What does steeple stand for?

Social, technology, economic, environmental, political, legal, ethical

How to achieve safety culture?

Invest resources, seeking continuous improvement, Establish expected behaviours and ways of thinkings, Articulate values, De-incentivise undesired behaviour and incentivise desired behaviours

What are diagnostic pointers for non-accidents injury?

History inconsistent with injuries or conflicting, Previous injury or death in another animal in same household, Family violence known or suspected, Lack of evidence of RTA or bone pathology/ bleeding disorders

Failure to follow accepted guidance or practices- employee choosing to drift from accepted behaviour

Non-compliance or at risk behaviour

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VMS3011 - clinical PART 1/2 (tuesday bits)

100 termsStudBud Administration59 plays

clinical reasoning, pharmacy practice, patient safety, legislaton, employment law, domestic violence + animal abuse, ethics + welfare, business (some of business in part 2)

Flashcards100 cardsFPractice quizPHost liveL

Questions 100

Answers

1
Which are mainly ectoparasite products for non- food producing animals?
POM-VPS
AVM-GSL
NFA-VPS
POM-V
2
A negative effect, whether or not it is evident to the patient
Harm
Adverse event
Hazard
Near miss
3
Dealt by discussing flaws in system and consoling employee involved
Reckless behaviour
Non-compliance or at risk behaviour
Human error
4
Characteristics of high reliability organisations
Containment of unexpected events
Problem anticipation and leadership
Robust process improvement
Safety oriented culture
5
System of shared accountability by organisation and employee
Safety culture
Just culture
Psychological safety
Blame culture
6
An environment where people or teams blamed for mistakes and errors, leading to reluctance to accept responsibility
Safety culture
Blame culture
Just culture
Psychological safety
7
Value of all assets reasonably expected to be converted into cash within one year (‘inventory of stock’)
Tangible assets
Intangible assets
Current assets
Fixed assets
8
Which includes products which must be used under the supervision of a vet?
AVM-GSL
POM-VPS
NFA-VPS
POM-V
9
What part of the veterinary medicines regulations 2013 states that owners can’t share medicines between them
Schedule 4
Part 2 regulation 7
Schedule 6
Schedule 3 part 1
10
Hold individuals accountable for actions - disciplinary actions and consequences for behaviour
Reckless behaviour
Human error
Non-compliance or at risk behaviour
11
The collection of beliefs, perceptions and values that employees share in relation to risk
Blame culture
Just culture
Safety culture
Psychological safety
12
Potential source of harm
Unavoidable harm
Hazard
Near miss
Adverse event
13
What does steeple stand for?
Social, technology, economic, environmental, political, legal, ethical
Social, technology, economics, environmental, political, legal, existing
Social, time, economic, environmental, political, location, ethical
Social, technology, economic, environmental, political, liability, ethical
14
Where to access summary of product characteristics
Home office
VMD
BVA
RCVS
15
The total value of work undertaken and goods sold in a period without VAT
Net profit
Current assets
Turnover/revenue
Gross profit
16
Amount remaining after costs of sales subtracted from turnover
Current assets
Fixed assets
Gross profit
Net profit
17
Actively acquired animals purely to serve own needs, rare
Overwhelmed caregiver
Rescue hoarder
Exploiter hoarder
18
Where does the practice want to be? How will the practice differentiate itself? How will the practice get there?
Mission statement
External factors
Vision statement
Internal factors
19
What is the withdrawal period for meat from mammals?
6m
7d
28d
500 degree days
20
Which needs to have receipt/supply recorded in a register?
Schedule 4
Schedule 2
Schedule 3
Schedule 1
21
Terms put into contract from other sources eg. Staff handbook, company policies, local radiation rules
Implied terms
Statutory terms
Express terms
Incorporated terms
22
Error in execution of correctly planned action - attention diverted from well rehearsed tasks eg. Slips and lapses
Action error
Mistake
23
How to achieve safety culture?
Invest resources, seeking continuous improvement
Establish expected behaviours and ways of thinkings
Articulate values
De-incentivise undesired behaviour and incentivise desired behaviours
24
Matching your resources and capabilities with your strategy to gain an advantage
Vision statement
Strategic fit
Mission statement
External factors
25
Which should be kept in safe custody (as recommended by RCVS)
Schedule 4
Schedule 3
Schedule 2
Schedule 1
26
Who what and why? Based in present, actionable
External factors
Mission statement
Strategic fit
Vision statement
27
Shares available on stock exchange for anyone to buy, registered with HMRC, ‘plc’ eg. CVS Group plc
Private equity group
Joint venture partnerships
Public limited companies
Private limited companies
28
Wrong plan used to achieve an aim - thinking error, decision-making error or error of judgement
Mistake
Action error
29
Values of all assets which are not expected to be converted into cash within one year (equipment, buildings)
Intangible assets
Current liabilities
Tangible assets
Fixed assets
30
Can be reduced by checklists, alarm warning systems, cross-checking, reducing or removing distractions + sufficient time
Action errors
Thinking errors (mistakes)
31
Which is non-analytical, intuitive, relies on pattern recognition and comes with experience?
Type 1 clinical reasoning
Type 2 clinical reasoning
32
Outlined in the veterinary surgeons (practice by ______) regulations 1993
Delegating to vet students
Delegating to lay persons
Delegating to RVNs
Delegating to SVNs
33
Problems in caring for animals may be triggered by change in circumstances or resources
Rescue hoarder
Overwhelmed caregiver
Exploiter hoarder
34
Needs to be reasonable, not put animal at risk and be minor medical treatment owner can undertake
Delegating to lay persons
Delegating to vet students
Delegating to RVNs
Delegating to SVNs
35
Any undesirable experience associated with the use of a medicinal product in a patient (FDA)
Unavoidable harm
Adverse event
Sentinel event
Near miss
36
Mistakes, slips or lapse
Reckless behaviour
Non-compliance or at risk behaviour
Human error
37
Porters generic strategies - first opinion veterinary hospital
Cost leadership
Cost focus
Broad differentiation
Differentiation focus
38
What are diagnostic pointers for non-accidents injury?
History inconsistent with injuries or conflicting
Previous injury or death in another animal in same household
Family violence known or suspected
Lack of evidence of RTA or bone pathology/ bleeding disorders
39
Errors that occur in the process of providing medicinal care that are detected and corrected before a patient is harmed
Sentinel event
Error
Near miss
Unavoidable harm
40
Failure to follow accepted guidance or practices- employee choosing to drift from accepted behaviour
Non-compliance or at risk behaviour
Reckless behaviour
Human error
41
Which is analytical, reflective and relies on first principles?
Type 2 clinical reasoning
Type 1 clinical reasoning
42
Porters generic strategies - ophthalmology specialist hospital
Broad differentiation
Cost leadership
Cost focus
Differentiation focus
43
Reacting to a particular choice differently depending on how the information is presented
Availability bias
Framing effect
Confirmation bias
Gamblers fallacy
44
Which can only be supplied by a veterinary surgeon or pharmacist for a patient under the prescribing vets care?
POM-V
AVM-GSL
NFA-VPS
POM-VPS
45
Investors pool their money to acquire businesses, ‘silent partners’ eg. VetPartners
Private limited companies
Public limited companies
Private equity group
Joint venture partnerships
46
Once first diagnosis reached, all other ddx disregarded
Confirmation bias
Availability bias
Gamblers fallacy
Premature closure
47
Those agreed in writing eg. Surrounding notice period, max weekly working hours and restrictive covenants
Statutory terms
Incorporated terms
Implied terms
Express terms
48
Which are mainly products authorised for food producing animals?
AVM-GSL
POM-VPS
NFA-VPS
POM-V
49
What part of VMR 2013 outlines which species medicines don’t need marketing authorisation?
Schedule 3 part 1
Schedule 6
Schedule 4
Part 2 regulation 7
50
What is the withdrawal period for meat from poultry?
28d
7d
6m
500 degree days
51
Where should most medicines (apart from cytotoxic drugs) be disposed?
Sharps
Yellow + black
Blue
Purple
52
Describes perceptions of the consequences of taking interpersonal risks in a particular context (such as the workplace)
Psychological safety
Safety culture
Blame culture
Just culture
53
Diagnosing conditions according to expected prevalence, even when given a skewed population
Availability bias
Gamblers fallacy
Framing effect
Confirmation bias
54
Deliberate and conscious disregard with knowledge of risk involved or repeated non-compliant behaviours
Non-compliance or at risk behaviour
Human error
Reckless behaviour
55
What is the withdrawal period for milk?
500 degree days
7d
28d
6m
56
A negative effect that cannot be prevented, harm not caused by error eg. Pain of injections
Error
Sentinel event
Near miss
Unavoidable harm
57
Terms that are a part of employment by law
Incorporated terms
Implied terms
Express terms
Statutory terms
58
Separated ownership of business from company itself - less liability but retains clinical freedom eg. Simply loving
Public limited companies
Joint venture partnerships
Private limited companies
Private equity group
59
What is the withdrawal period for meat from fish?
6m
28d
500 degree days
7d
60
Understanding meaning and purpose, future based, aspirational
External factors
Mission statement
Vision statement
Strategic fit
61
What is the withdrawal period for medicines essential for treating equidae?
500 degree days
7d
6m
28d
62
What does ARDR stand for?
Assess, reassure, document, report
Ask, reassure, document, refer/report
Ask, reassess, document, refer
Ask, reassure, delegate, report
63
The use of a wrong plan to achieve an aim
Error of planning
Error of execution
64
Which is more susceptible to bias?
Type 1 clinical reasoning
Type 2 clinical reasoning
65
Which can be supplied by anyone?
POM-V
POM-VPS
AVM-GSL
NFA-VPS
66
Things you can’t touch but are still of value to your business eg. Copyrights, computer programming
Working capital
Intangible assets
Fixed costs
Current liabilities
67
Funding for day to day business: current assets - current liabilities
Overheads
Fixed costs
Working capital
Variable costs
68
An unintended act (either of omission or commission) or one that does not achieve its intended outcome
Near miss
Error
Unavoidable harm
Sentinel event
69
Porters generic strategies - low cost neutering clinic
Differentiation focus
Cost leadership
Broad differentiation
Cost focus
70
Porters generic strategies - low cost clinic
Cost focus
Differentiation focus
Broad differentiation
Cost leadership
71
Independently owned practices which work together to increase buying power and economies of scale
Large independent practice groups
Employee share ownership
Independent owned practice
Limited companies
72
Amount remaining after all trading expenses have been deducted from turnover, more realistic
Current assets
Tangible assets
Fixed assets
Net profit
73
All employees have shared in company eg. Pennard vets
Employee share ownership
Large independent practice groups
Independent owned practice
Limited companies
74
What legal considerations are there? Competition? Where to dispose of clinical waste? Who is my client base?
Mission statement
External factors
Vision statement
Strategic fit
75
Which is susceptible to over-interpreting ‘rules based’ reasoning?
Type 2 clinical reasoning
Type 1 clinical reasoning
76
The failure of a planned action to be completed as intended
Error of planning
Error of execution
77
Seizing on the dx you know most about or that readily comes to mind
Confirmation bias
Gamblers fallacy
Framing effect
Availability bias
78
What generates most revenue in a vet practice?
Drugs
Consults
Inpatients
Diagnostics
79
Expenses that do not vary with level of income or activity
Variable costs
Overheads
Gross margin
Fixed costs
80
What is the withdrawal period for eggs
7d
28d
6m
500 degree days
81
Current and fixed assets - things you can touch
Tangible assets
Current liabilities
Intangible assets
Working capital
82
Too obvious to be written in contract, work in best interest of company
Incorporated terms
Statutory terms
Express terms
Implied terms
83
Outlined in schedule 3
Delegating to SVNs
Delegating to RVNs
Delegating to vet students
Delegating to lay persons
84
Which schedule is not used in vet med?
Schedule 1
Schedule 3
Schedule 2
Schedule 4
85
The long term intent of a practice or business (over the next 5-10 years)
Internal factors
Vision statement
External factors
Strategy
86
Shared ownership, returns, risks and governance - two or more parties sharing business eg. Vets4pets
Joint venture partnerships
Public limited companies
Private limited companies
Private equity group
87
Value of all creditors owed money and other obligations for payments due within one year
Fixed costs
Current liabilities
Variable costs
Working capital
88
Looking for confirming evidence to support your dx rather than looking for (more definitive) disconfirming evidence
Availability bias
Framing effect
Confirmation bias
Gamblers fallacy
89
Managed by staff coaching
Reckless behaviour
Non-compliance or at risk behaviour
Human error
90
Can be reduced by self reflection, support from experienced colleagues and standard operating procedures
Action errors
Thinking errors (mistakes)
91
What part of the veterinary medicines regulations 2013 outlines the cascade?
Schedule 6
Schedule 4
Part 2 regulation 7
Schedule 3 part 1
92
What part of the veterinary medicines regulations 2013 states that you can’t dispense expired medicines?
Part 2 regulation 7
Schedule 6
Schedule 3 part 1
Schedule 4
93
Which can be supplied by a vet surgeon, pharmacist or suitably qualified person?
NFA-VPS
POM-VPS
POM-V
AVM-GSL
94
A patient safety event that results in death, permanent harm, or severe temporary harm
Near miss
Sentinel event
Unavoidable harm
Error
95
Owners partners in practice, clinical freedom
Employee share ownership
Independent owned practice
Limited companies
Large independent practice groups
96
Which are products with a wide margin of safety?
POM-VPS
POM-V
NFA-VPS
AVM-GSL
97
company has legal identify of its own, separate from its owners (shareholders) and directors
Independent owned practice
Employee share ownership
Large independent practice groups
Limited companies
98
Where should cytotoxic drugs be disposed?
Yellow + black
Sharps
Purple
Blue
99
Which prescription valid for 28d?
Schedule 2
Schedule 4
Schedule 1
Schedule 3
100
Strong sense of mission to save animals, irresistible compulsion, often oppose euthanasia
Rescue hoarder
Exploiter hoarder
Overwhelmed caregiver

VMS3011 - clinical PART 1/2 (tuesday bits) Flashcards | StudBud