This episode explains how to support a distressed colleague after a medication error while maintaining absolute patient safety. It covers just culture, second-victim principles, supported candour, documentation, and the full CARE STAFF framework you must apply in MSRA SJT scenarios. Clear, humane, and safety-first.

0:00 The scenario and second-victim concept
00:34 Why distress makes colleagues unsafe
01:07 Just culture mindset
01:40 System vs individual error
02:20 GMC expectations on safety and respect
02:55 Step 1 – Check welfare & pause duties
03:40 Step 2 – Arrange safe cover + senior review
04:48 Step 3 – Supported candour (not alone)
06:00 NHS Resolution rules on apology
06:35 Step 4 – Long-term welfare & signposting
07:15 Step 5 – Log on LFPSC + PSIRF learning
07:55 CARE STAFF mnemonic
08:40 Three Cs: Colleague, Candour, Culture
09:15 Red flags – distress, blame culture, cover-ups
10:20 Key phrases for safe conversations
11:00 High-risk trap responses to avoid
12:05 Three ultimate takeaways
12:47 Embedding the learning and final reflections

• Two patients: the harmed patient and the distressed colleague
• Pause duties immediately if a colleague appears unsafe
• Senior-led review and structured debrief protect everyone
• Supported candour → timely, honest, prepared, not punitive
• Document facts, log on LFPSC, drive system actions (PSIRF)
• Just culture prevents hiding errors and improves patient safety
• Avoid traps: “carry on”, cover-ups, blame, unsupported apology

CARE STAFF
C – Check welfare
A – Arrange safe cover
R – Review with senior
E – Enable supported candour
S – Signpost support
T – Track actions
A – Apply just culture
F – Feedback & follow-up

Links:
• 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 #passthemsra #freemsra #msraio #JustCulture #PatientSafety #DutyOfCandour