Russell Kelsey

Patient Safety (eBook, ePUB)

Investigating and Reporting Serious Clinical Incidents

• Format: ePub

Produktbeschreibung

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 manage appropriately can have serious consequences both for service organisations and for individuals involved. This is the first book to provide detailed guidance on how to conduct incident investigations in primary care. The concise guideexplains how to recognise a serious clinical incident, how to conduct a root cause analysis investigation, and how and when duty of candour appliescovers the technical aspects of serious incident recognition and report writingincludes a wealth of practical advice and 'top tips', including how to manage the common pitfalls in writing reportsoffers practical advice as well as some new and innovative tools to help make the RCA process easier to followexplores the all-important human factors in clinical incidents in detail, with multiple examples and worked-through cases studies as well as in-depth sample reports and analysis.This book offers a master class for anyone performing RCA and aiming to demonstrate learning and service improvement in response to serious clinical incidents. It is essential reading for any clinical or governance leads in primary care, including GP practices, 'out-of-hours', urgent care centres, prison health and NHS 111. It also offers valuable insights to any clinician who is in training or working at the coal face who wishes to understand how serious clinical are investigated and managed.

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Produktdetails

• Verlag: Taylor & Francis
• Seitenzahl: 222
• Erscheinungstermin: 30. November 2016
• Englisch
• ISBN-13: 9781315349503
• Artikelnr.: 47510095

Autorenporträt

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.

Inhaltsangabe

About the Author. Introduction: Why do we still miss appendicitis? Clinical
incident investigation: Background and context. How do we recognise patient
safety incidents that need in-depth investigation? Recognising serious
patient safety incidents using the SIRT: Case studies. A culture of
complaint: Openness, candour and blame. RCA: Understanding what happened.
RCA: Understanding how. RCA: Understanding why. Understanding why: System
factors. Understanding why: Human error, Part 1. Understanding why: Human
error, Part 2: Situational awareness and high-pressure environments. Root
cause. Learning and recommendations. Solution design and changing cultures.
Writing reports. Glossary. Index.