SJT: Handling Clinical Errors & The Duty of Candour (passthemsra.com) - Free MSRA revision

This episode breaks down exactly how to respond when something goes wrong in clinical practice, using a structured, GMC-aligned candour sequence. It covers immediate patient safety, fast escalation, sincere disclosure, documentation, and the organisational framework behind LFPSE, PSIRF, and CQC Regulation 20. A high-yield, exam-focused guide to safe, honest, accountable error management. 0:00 Why candour matters00:20 Core professionalism principles00:40 Drug error scenario01:05 Speed and honesty01:40 Sincere apology + known facts02:10 GMC professional duty02:45 Five required components03:20 Fear of apologising03:50 “Apology ≠ liability”04:20 Immediate patient safety04:50 Early escalation05:20 Patient conversation structure05:55 Documentation standards06:20 LFPSE logging06:48 PSIRF investigation07:15 Near-miss rules07:50 Major traps to avoid08:30 Record integrity and probity09:05 High-scoring sequence recap09:40 Rapid-fire rules10:20 Apology before investigation10:50 Three essential actions11:15 Four key acronyms11:40 Final reflection• Safety first: stabilise, monitor, mitigate harm• Disclose early: apology + known facts + plan• Apology is ethically required and not a legal admission• Immediate senior escalation protects patient and organisation• Document clearly and contemporaneously• Report all harm, no-harm and near-miss events to LFPSE• PSIRF focuses on system learning, not individual blame• Never alter notes—use dated/timed addenda onlyTAPER mnemonic:• T – Tell the patient• A – Apologise sincerely• P – Plan next steps• E – Escalate/report (senior + LFPSE)• R – Record everythingREAL apology mnemonic:• R – Regret• E – Explain known facts only• A – Actions taken to keep them safe• L – Learn + commitment to reviewLinks:• passthemsra.com – Complete MSRA revision, notes, mocks, flashcards• freemsra.com – Free podcasts, threads and rapid-learning guides• msra.io – Smart MSRA Qbank with analytics#MSRA #SJT #MedicalRevision #UKDoctors #DutyOfCandour #PatientSafety #LFPSE #PSIRF #GMCStandards #MedicalEthics #passthemsra #freemsra #msraio