Incident Reporting

1
Incident Reporting

• Jenny Tedbury Hale
• Clinical Risk Manager

2
A Reportable Incident -

• Is contrary to the specified or expected standard
  of patient care or services
• Places patients, staff or others at risk
• Puts the PCT in adverse legal and/or media
  position with potential loss of reputation
• Puts PCT property or assets in an adverse
  position or at risk of loss or damage

3
Every Employee has a duty to report -

• Adverse Incidents
• Near misses
• Serious Untoward Incidents
• Major Incidents

4
Anyone who discovers/involved in an incident
should-

• Ensure safety of all involved
• Report incident to their manager
• Complete Incident Reporting Form (IR1)
• Send white IR1 to manager
• Send Pink copy to Risk Department
• Leave grey form in the book

5
On receipt of an IR1, the manager will-

• Grade the severity of the incident
• Report to RIDDOR where required
• Send copies of IR1 and RIDDOR form to Risk
  Department
• Report any Serious Untoward Incident or Major
  Incident to Director
• Initiate investigation and action plan
• Complete IR2 and send to Risk Department

6
An Organisation with a Memory

• Identifies organisational culture as central to
  every stage of the learning process