At a time of increasing regulatory scrutiny and medico-legal risk, managing serious clinical incidents within primary care has never been more important. Failure to do so can be catastrophic for individuals as well as organisations, whether you be clinician, service manager or trainee.
At a time of increasing regulatory scrutiny and medico-legal risk, managing serious clinical incidents within primary care has never been more important. Failure to do so can be catastrophic for individuals as well as organisations, whether you be clinician, service manager or trainee.
Dr Russell Kelsey is Regional Medical Director of North and West, Health Care Division, Care UK, the largest independent provider of NHS care in the UK. His role encompasses clinical governance for provision of out of hours and NHS 111 services to a region with a patient population of over 5 million. He is also Care UK Subject Matter Expert in Serious Clinical Incident investigation and provides CPD accredited training in SI recognition and RCA for both internal Care UK staff as well as for NHS colleagues from outside the organisation Russell has received training from both NPSA and NCAS in case management and is NPSA trained as a
Inhaltsangabe
1 Introduction. 2 What is a clinical incident and what makes an incident serious? 3 Recognising serious incidents. 4 Root cause analysis. 5 Humans and heuristics ¿ why do we make errors? 6 What can we learn? 7 Writing reports. 8 Preventing clinical errors - The Sixth sense and the wisdom of Dr Pepper. 9 Creating a no blame culture - Coroners courts and Litigation. 10 Case studies. 5 cases demonstrating human factors in primary care. When Humans and systems interact.
1 Introduction. 2 What is a clinical incident and what makes an incident serious? 3 Recognising serious incidents. 4 Root cause analysis. 5 Humans and heuristics ¿ why do we make errors? 6 What can we learn? 7 Writing reports. 8 Preventing clinical errors - The Sixth sense and the wisdom of Dr Pepper. 9 Creating a no blame culture - Coroners courts and Litigation. 10 Case studies. 5 cases demonstrating human factors in primary care. When Humans and systems interact.
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