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we are morally responsible for actions that contain an

element of chance

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A = for Airway

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B = for Breathing

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C = for Circulation

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D = for Disability

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E = for Exposure

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VOMIT

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Errors

» No-Fault Errors

» Systemic Errors

» Cognitive Errors

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Understand

» Quick Diagnostic Decisions

» Biases in Decision Making

» Recognizing High Risk Situations

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Are you sure?

» Affective Bias

» Confirmation Bias

» Anchoring Bias

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High Risk Situations

» Night Shift» Handover

» The overconfident» The very young patiënt

» The very old patiënt » High patiënt volumes» Low patiënt volumes

» Interruptions23

Disclosure

» Explain to the patiënt and family what went wrong in the presence of another doctor

» Notify who should be notified

» Make meticulous notes in the patient file

» Make a private note to yourself24

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