Patient Safety Incident Report

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Are you looking for a professional Patient Safety Incident Report? If you've been feeling stuck or lack motivation, download this template now!

Do you have an idea of what you want to draft, but you cannot find the exact words yet to write it down or lack the inspiration how to make it? If you've been feeling stuck, this Patient Safety Incident Report template can help you find inspiration and motivation. This Patient Safety Incident Report covers the most important topics that you are looking for and will help you to structure and communicate in a professional manner with those involved. 

NHS Trust An Organisation-wide Document for the Reporting and Management of Incidents Including Serious Incidents Version: Ratified by: Date ratified: Name of originator/author: Name of responsible committee/individual: Name of executive lead: Date issued: Review date: Target audience: Contents 1 Introduction 5 2 Purpose 5 3 Explanation of Terms 5 4 Duties 8 4.1 Duties within the Organisation 8 4.2 Committees and Groups with Overarching Responsibilities 9 5 Response, Communication and Notification 10 5.1 Immediate Response by the Organisation 10 5.2 Reporting the Incident 10 5.3 Patient/Relative/Visitor/Contractor Communication and Support 11 5.4 Internal Communication 11 5.5 External Stakeholder Notification 11 6 Communication with Staff 12 6.1 Communication Following an Incident 12 6.2 Process by which to Raise Concerns 12 7 Media Involvement 12 7.1 Media Unaware of Serious Incident 13 7.2 Media Unaware but Proactive Media Handling Necessary 14 7.3 Media Aware of Serious Incident 14 8 Hotline Arrangements 14 9 Incident Investigation 15 9.1 Incident Grading and Appropriate Levels of Investigations 15 9.2 Responsibility for Investigation 15 9.3 Responsibility for Causal Factor Analysis 16 9.4 Responsibility for Causal Factor Analysis Post Investigation 16 9.5 Involving Patients and their Families in Investigations into Serious Incidents 16 9.6 Involvement of Relevant Stakeholders 16 9.7 Root Cause Analysis (RCA) and Investigation Report 17 9.8 Recommendations and Action Planning 17 9.9 Monitoring of Action Plans 17 9.10 Process of Ensuring Continual Risk Reduction Following the Implementation of Action Plans 17 9.11 Sharing of Lessons Learnt 17 10 Equality Impact Assessment 19 11 Monitoring Compliance with the Document 19 11.1 Process for Monitoring Compliance 19 11.2 Standards/Key Performance Indicators 19 12 References 19 12.1 Legislation 19 12.2 Guidance from Other Organisations 20 13 Associated Documentation 21 Appendix A - Incident Reporting Timescales 22 Appe

Feel free to download this intuitive template that is available in several kinds of formats, or try any other of our basic or advanced templates, forms or documents. Don't reinvent the wheel every time you start something new... 

Download this Patient Safety Incident Report template and save yourself time and efforts! You will see completing your task has never been simpler!
 


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