SJT: Medical Error Reporting The Safety Hierarchy (passthemsra.com) - Free MSRA revision

This episode breaks down one of the most exam-relevant professionalism themes in the SJT: recognising and responding to medical errors, near misses, and systemic hazards. You’ll learn the exact hierarchy of safety actions, how candour and documentation work together, and how LFPSC + PSIRF define modern UK patient-safety culture. The episode gives you a clear framework for high-scoring decisions under pressure.0:00 Missed dose / near-miss scenario00:28 Why incident reporting matters01:04 Core professional duties (GMC, LFPSC, PSIRF)01:45 Mindset shift: report to learn, not blame02:30 Safety hierarchy: risk → candour → documentation → learning03:10 Step 1: Reduce immediate risk03:50 Step 2: Notify senior team04:32 Step 3: Duty of candour to patient05:10 Step 4: LFPSC factual reporting06:00 Handling senior pressure to “keep it local”06:48 LFPSC explained (national safety database)07:20 PSIRF explained (how learning happens)08:15 Systems thinking vs old RCA punitive models09:02 Why near-miss reporting is essential09:50 Candour + reporting: how they interact10:32 Trap answers that score poorly11:20 REPORT mnemonic (full framework)12:30 Applying the safety hierarchy in real cases13:45 When the system fails to act14:20 Final takeaways & reflection• Clinical safety always comes before administrative tasks• Stabilise first, then escalate, then disclose, then document• LFPSC = record facts; PSIRF = how organisations learn• Candour requires openness, apology, clear explanation• Reports must be factual, objective, blame-free• Near-misses are vital data for preventing future harm• Avoid traps: delay, concealment, blaming individuals, bypassing systemsREPORT mnemonic:R – Reduce risk nowE – Explain to patient (candour)P – Present facts to LFPSCO – Ongoing risk escalateR – Response via PSIRF remediesT – Track learning timestampLinks:• 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 #MedEd #PatientSafety #PSIRF #LFPSC #freemsra #passthemsra #msraio