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Sexual assault consultations - from high risk to high reliability
1Division of Clinical Forensic Medicine, Victorian Institute of Forensic Medicine, 57-83 Kavanagh Street, Southbank, VIC 3006, Australia. nicola.cunningham@vifm.org
Sexual assault consultations are high-risk medical procedures. Applying Threat and Error Management (TEM) principles can improve patient and staff safety in these critical events.
Area of Science:
- Medical safety
- Forensic medicine
- Patient care quality
Background:
- Sexual assault consultations are high-risk procedures with potential for errors impacting patients and staff.
- Practices in high-risk industries like aviation and surgery emphasize performance safety and Threat and Error Management (TEM), which is not widely adopted in sexual assault consultations.
- There's a growing recognition of vulnerabilities in the investigative and prosecutorial stages of alleged sexual assaults.
Purpose of the Study:
- To identify latent threats in sexual assault consultations.
- To propose a conceptual framework for applying Threat and Error Management (TEM) in this specialized medical area.
- To enhance practitioner recognition of risks and improve the safety and performance of sexual assault consultation processes.
Main Methods:
- Literature review and conceptual analysis.
- Identification of latent threats within the sexual assault consultation process.
- Development of a framework for applying Threat and Error Management (TEM) principles.
Main Results:
- Latent threats in sexual assault consultations were identified.
- A conceptual framework for implementing Threat and Error Management (TEM) in sexual assault consultations was proposed.
- The framework aims to improve practitioner preparedness and the overall safety of the consultation process.
Conclusions:
- Sexual assault consultations require enhanced safety protocols due to their high-risk nature.
- Implementing Threat and Error Management (TEM) offers a structured approach to mitigate risks and improve outcomes.
- Focusing on education and safety culture is crucial for achieving organizational reliability in sexual assault consultation processes.
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