Incident reporting policy - Homerton University Hospital

Appendix 7: Flowchart SUI processDAY 1Identify IncidentReport incident to Senior Manager on callReport incident to Clinical Risk Manager and ExecutiveDirectorTellpatient/relativesabout incident andoffer an apology –as in Being OpenPolicyComplete Incidentreport form andrequest statementsWithin 24hours ofincidentreportHold 24 hour meeting – Chaired by Executive DirectorIf SUI report to SHA and PCT (Using STEIS)If the patient hasdied as a result ofthe incident report toNPSA via NRLSCarry out Investigation and Root Cause AnalysisInvestigator completes draft report using NPSA/TrusttemplateInformpatient/relativesinvestigation is beingconducted –establish type offeedback theyrequire after theinvestigationDay 30Send draft report to Clinical Risk Manager (CRM) 30days from date investigation commencedCRM and investigator address any queries/issues in thereportSend final draft report to the relevant Executive DirectorSend final draft report to the relevant Division/Directorate teamSend final draft to Patient Safety Committee for ratificationFormal sign offfollowing PSCmeeting – finalreport and sign offsheet will beadded to Datixrecord by CRMReport and action plan sent by CRM to relevant GM, CD,SN and governance lead for actionFeedback topatient/relativesvia meeting/letteras agreedMaximumDay 60Update STEIS with root cause and lessons learnt.Send ratified report to SHA via sui@london.nhs.ukPatient Safety Committee follow up action planPage 39 of 47