1 / 8

Critical Incidents

Critical Incidents. PRIMARY CARE. AGENCIES. CHI-Commission for Health Improvement NPSA National Patient Safety Agency National Clinical Assessment Authority to name but a few. Why now?. Organisation with a Memory Clinical Governance Risk Management

xerxes
Download Presentation

Critical Incidents

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Critical Incidents PRIMARY CARE

  2. AGENCIES • CHI-Commission for Health Improvement • NPSA National Patient Safety Agency • National Clinical Assessment Authority to name but a few

  3. Why now? • Organisation with a Memory • Clinical Governance • Risk Management • Supported by the defence organisations

  4. What must we do? • Set up an adverse event reporting system • Define what is to be reported • Ensure staff are trained and supported • Send reports to the PCT

  5. PCT • Must set up adverse event reporting • To Include primary care • To facilitate training in reporting • Collate reports in order to learn from • Events • Report to CHI and NPSA on numbers and themes. • Report serious adverse events to Strategic • HA.

  6. Culture • Airline industry experience • No –blame culture • Learning from events-Root cause analysis • Multidisciplinary and open

  7. YOUR TASK • Reflect on a clinical or organisational • Error which has come to your attention within the last 3 months • Would you report it • How would you report it • Would there be any difficulties • What are the consequences –good and bad…

  8. Homework • Ask your practice manager /ward manager • About critical incident reporting • –where are the forms • -who do they get sent to • How does the practice learn from incidents

More Related