Table 3

Highlighting the risk assessment score of some of the identified latent safety threats

Latent errorsRisk score (using the 2008 National Patient Safety Agency risk matrix)20
Ward shares an ECG machineMinor consequence and almost certain likelihood=10 (high risk)
Unable to contact Junior doctors about simulated deteriorating patient as they did not have working pagersModerate consequence and almost certain likelihood=15 (very high risk)
Ward did not have Sengstaken-Blakemore tube to manage deteriorating simulated patient.Moderate consequence and unlikely=6 (moderate risk)
Ward does not have their own Bair-HuggerMinor consequence and possible likelihood=6 (moderate risk)