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Musgrave Park Hospital, Belfast - 10 March 2011 - Regulation and ...

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Reporting & Re-Audit<br />

Episode of Inspection<br />

Carry out Inspection<br />

Day of Inspection<br />

Day of Inspection<br />

Is there immediate risk<br />

requiring formal escalation?<br />

NO<br />

YES<br />

Invoke<br />

RQIA<br />

IPHTeam<br />

Escalation<br />

Process<br />

B A<br />

Feedback Session<br />

14 days after<br />

Inspection<br />

Preliminary Findings<br />

disseminated<br />

Does assessment of<br />

the findings require<br />

escalation?<br />

NO<br />

YES<br />

Invoke<br />

RQIA<br />

IPHTeam<br />

Escalation<br />

Process<br />

B A<br />

28 days after<br />

Inspection<br />

Draft Report<br />

disseminated<br />

14 days later<br />

Signed Action Plan<br />

received<br />

Within 0-3 months<br />

Is a Follow-Up required?<br />

Based on Risk Assessment/key<br />

indicators or Unsatisfactory Quality<br />

Improvement Plan (QIP)?<br />

YES<br />

Invoke<br />

Follow-Up<br />

Protocol<br />

NO<br />

YES<br />

Is Follow-Up<br />

satisfactory?<br />

Open Report published to Website<br />

NO<br />

Refer to DHSSPS<br />

HSC Board/PHA<br />

for<br />

49

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