# data[].attributes.headline
You are a New Intern Doctor and have always been competitive in sport and in your studies, for which you achieved individual awards and high-marks.You work with a fellow Intern who you recall had to repeat several exams, unlike you, and appear to take much longer to do the same tasks as you. It is approaching the end of your shift and you have your tasks completed but your colleague has several tasks to complete and one of their patients has become unwell. You wonder should you help them complete their tasks or leave on time?

# data[].attributes.subject
You are a New Intern Doctor and have always been competitive in sport and in your studies, for which you achieved individual awards and high-marks.You work with a fellow Intern who you recall had to repeat several exams, unlike you, and appear to take much longer to do the same tasks as you. It is approaching the end of your shift and you have your tasks completed but your colleague has several tasks to complete and one of their patients has become unwell. You wonder should you help them complete their tasks or leave on time?

# data[].attributes.headline
You are a new Intern Doctor and have been socialising a lot and staying out late to party. You are tired and have been turning-up late for work and whilst your fellow Intern’s have been covering some of your work it is leading to delays in morning admission clerk-ins, drug-charts and medications and blood tests.Today, you arrive late and are told the morning Theatre List was delayed and a patient cancelled because the Day-case Admission patients were not all clerked-in and ready for Theatre. You are on the early shift again tomorrow but are invited to a great party tonight and wonder what to do?

# data[].attributes.subject
You are a new Intern Doctor and have been socialising a lot and staying out late to party. You are tired and have been turning-up late for work and whilst your fellow Intern’s have been covering some of your work it is leading to delays in morning admission clerk-ins, drug-charts and medications and blood tests.Today, you arrive late and are told the morning Theatre List was delayed and a patient cancelled because the Day-case Admission patients were not all clerked-in and ready for Theatre. You are on the early shift again tomorrow but are invited to a great party tonight and wonder what to do?

# data[].attributes.headline
You are a Senior Registrar and your new training attachment is in a small but very busy peripheral hospital. You notice there is no formal handover from the on-call overnight team and the morning ward round is lengthy because you often find rather sick patients newly admitted patients without a clear management and it delays catering of breakfasts and your arrival at morning clinic.You have seen things run much smoother and safer in a previous hospital which had introduced a formal morning handover, but you are only here for 6 months and wonder what you should do?

# data[].attributes.subject
You are a Senior Registrar and your new training attachment is in a small but very busy peripheral hospital. You notice there is no formal handover from the on-call overnight team and the morning ward round is lengthy because you often find rather sick patients newly admitted patients without a clear management and it delays catering of breakfasts and your arrival at morning clinic.You have seen things run much smoother and safer in a previous hospital which had introduced a formal morning handover, but you are only here for 6 months and wonder what you should do?

# data[].attributes.headline
Patient-centred care, ethical practice, working in partnership, integrity

# data[].attributes.subject
Patient-centred care, ethical practice, working in partnership, integrity

# data[].attributes.headline
Patient-centred care, ethical practice, working in partnership, integrity

# data[].attributes.subject
Patient-centred care, ethical practice, working in partnership, integrity

# data[].attributes.body
Apologise, not go to the party or leave early and make sure to be on time from now

# data[].attributes.body
being on time - don't sacrifice patient care for your social life

# data[].attributes.body
micro: don't be late, professionalism is your responsibility
institutional: I can't believe nobody said anything before, affecting patient care
societal: difficulty long working hours, risk of patient harm & decreased trust

# data[].attributes.body
be balanced and responsible for you choices - do no affect patient care

# data[].attributes.headline
have conversation with intern who is late

# data[].attributes.subject
have conversation with intern who is late

# data[].attributes.headline
Although the social part of your life is important to maintain your own mental health. You need to be aware of the consequences of your actions and find a balance that doesn't impact patient care and professional relationships

# data[].attributes.subject
Although the social part of your life is important to maintain your own mental health. You need to be aware of the consequences of your actions and find a balance that doesn't impact patient care and professional relationships

# data[].attributes.body
working in partnership, communication, advocacy, altruism, reflective practice

# data[].attributes.body
discuss with the intern - if you feel you are safely able to, take some of their tasks or assist the sick patient, see if they want help to learn tasks in the future

# data[].attributes.body
Both of you finish 'early' and go home, patients are taken care of, intern accepts or asks for help learning how to do tasks faster in the future

# data[].attributes.body
micro: affecting patient care, affecting interns and colleagues time and relationships
institutional: higher cost, higher work hours, time in hospital, error rate?
societal: standard of training, accumulated fatigue, patient trust - supports for interns who are struggling to transition

# data[].attributes.body
communication, advocacy, evidence based practice, working with others, integrity

# data[].attributes.body
talk to your consultant and take responsibility for implementing it on your team
discuss with hospital management
PDSA cycle

# data[].attributes.body
hospital management & consultant is interested - implementation starts at a small level and spreads easily improving patient safety

# data[].attributes.body
micro: your team starts a handover
institutional: your hospital starts doing a handover
societal: look at and teach practices that teach patient safety

# data[].attributes.body
improvement can be implemented at any level
individual responsibility to lead quality improvement

# data[].attributes.headline
Present this change in a positive light to avoid resistance from the team. Don't make it sound like "You're doing it wrong and I know better" but instead present it as "I have an idea that we could all work on implementing to improve patient care!"

# data[].attributes.subject
Present this change in a positive light to avoid resistance from the team. Don't make it sound like "You're doing it wrong and I know better" but instead present it as "I have an idea that we could all work on implementing to improve patient care!"