Training activity information
Details
Reflect on a situation or case you were involved with where something went wrong or didn’t go to plan, discuss the consequences, overall outcome, and how this experience may influence your future practice
Type
Developmental training activity (DTA)
Evidence requirements
Evidence the activity has been undertaken by the trainee.
Reflection on the activity at one or more time points after the event including learning from the activity and/or areas of the trainees practice for development.
An action plan to implement learning and/or to address skills or knowledge gaps identified.
Considerations
- Reflective practice
- The professional and personal standards of a Clinical Scientist
- Exercising professional judgement and personal responsibility
- Patient centred care and support
- Culture and values
- Knowledge of limitations
- Continued professional development
- Ethical practice, including confidentiality, consent and candour
- Leadership
- Patient safety
- NHS principles and values
- Continuous improvement
- “No blame” culture, lessons learned, and mitigating actions
- Raising concerns, including incident reporting and investigation, and whistle blowing
Reflective practice guidance
The guidance below is provided to support reflection at different time points, providing you with questions to aid you to reflect for this training activity. They are provided for guidance and should not be considered as a mandatory checklist. Trainees should not be expected to provide answers to each of the guidance questions listed.
Before action
- What criteria define when ‘something went wrong’ in the context of your practice?
- What specific situation or case are you considering, and why do you believe it didn’t go to plan?
- Before reflecting, what potential consequences and outcomes do you anticipate discussing?
- What existing knowledge and skills will you draw upon to analyse this situation?
- What areas of your practice or knowledge do you think this reflection might highlight for development?
In action
- As you recall and analyse the situation, are you focusing on specific actions and decisions as things started to deviate from the plan?
- Are you actively considering the immediate and broader consequences of the actions taken during this situation?
- As you discuss the potential influence on your future practice, are you identifying ways you might apply these lessons in different contexts to prevent similar issues or manage them more effectively in the future?
On action
- What specific actions or behaviours stood out as things started to go wrong or didn’t go to plan?
- What were the negative consequences and overall outcome of this situation?
- What factors do you think contributed to the situation not going to plan?
- Did you recognise when things were not going to plan in the moment?
- What does this tell you about your awareness of professional standards?
- What role did your actions (or inactions) play in the situation?
- What skills could you have utilised?
- How effective were you at analysing the factors that led to the realisation something went wrong or didn’t go to plan, ?
- What actions will you take to avoid similar situations in the future?
- How will you apply the learning from this experience into your own work?
- What specific aspects of this experience will you consciously try to avoid in future situations?
- How could you share your learning from this experience with colleagues?
- What support or resources might you need to further develop in the areas identified?
Beyond action
- Have you encountered situations since this case where you have consciously prevented something from going wrong or bring something back on to plan
- How has reflecting on this situation shaped your understanding of what constitutes high-quality patient-centred care in different contexts?
- How has reflecting on this situation shaped your understanding of risk management and quality improvement in your practice?
- In future complex or challenging situations, how might you draw upon the experience and outcomes from this case?
Relevant learning outcomes
| # | Outcome |
|---|---|
| # 1 |
Outcome
Practice lawfully and safely in accordance with the required standards. |
| # 2 |
Outcome
Justify their own practice, taking personal responsibility for their limits, scope and fitness to practice. |
| # 3 |
Outcome
Appraise and reflect on all elements of practice, identify areas for improvement and personal development. |
| # 4 |
Outcome
Demonstrate effective interpersonal communication skills, identify the needs of the intended audience and employ appropriate methods to meet those needs. |
| # 5 |
Outcome
Practice inclusively in a non-discriminatory manner to provide patient centred care. |
| # 6 |
Outcome
Summarise the role and responsibilities of healthcare scientists in providing and upholding high quality patient centred care. |
| # 7 |
Outcome
Identify stakeholders involved with and affected by their practice and work with stakeholders to provide high quality patient centred care. |
| # 8 |
Outcome
Apply the principles and values of the NHS in their practice. |
| # 9 |
Outcome
Describe the framework of local and national healthcare provision and the contribution of their role and specialty. |