1. First impressions: what struck you as particularly interesting or surprising about this scenario. Why?

the fact it was a routine opp and so many experienced consultants etc could not, communication errors etc etc

1. Reflecting on the video: In what ways did the knowledge, skills and behaviours of the different healthcare professionals contribute to the events in this scenario, positively and negatively?

neg- lack of communication,

pos - took action nurse with er room bed

1. Reflecting on the video: What were the issues (the “human factors” – see above for definition) which led to the errors committed in this video scenario and how did they rise? What can you learn from this?

2. Think about an everyday activity you take part in where there is potential for errors to be made affecting the outcome. What processes (if any) have been put in place (by you, or the organiser, or the App designers etc) to make sure that the effects of errors caused by human factors is reduced

hockey, gum shields to avoid error from ball, goal keeper helmet, shin pads.

rules and regulations ball cant go between above knee and head