Annual Report and Clinical Governance Report 2008 to 2009

A total of 10 legal files were opened via solicitors’ requests on the behalf of clients
and with their mandated written consent for information; These were all in regard
to information to support the clients with for example asylum status application or
confirming attendance within counselling services
Reports on adverse events
In this financial year Sandyford recorded adverse events under factors according to
our adverse event framework. Factors identified are client factors; institutional
factors; individual staff factors; task factors; team factors and work and
environmental factors.
Our rationale for this was to assist staff in identifying factors in which an adverse
event may occur within the organisation allowing for any additional factors to be
added where this was necessary and monitored.
For example, verbal aggression was not part of the adverse event framework
previously however as staff reported their experiences of verbal aggression they
were in turn encouraged to report this to the service. It demonstrated an increase
in verbal aggression being reported which in turn enabled the organisation to
deliver training through partnership to members of staff particularly those who
were deemed to be in frontline areas (nurse telephone helpline, switchboard and
receptions staff ).
Table 1 identifies from 2006 a year on year increase in adverse event reporting. One
explanation for this increase is that since the integration of two previous health
boards (NHS Argyll & Clyde and NHS Greater Glasgow) all Sandyford services are
now reporting adverse events as they arise according to the adverse event
framework. In 2008-2009 there was 0.6% of adverse events reported from 136,020
total attendances throughout Sandyford services in NHS Greater Glasgow & Clyde.
Table 1: Record of Adverse Events
1000
900
800
700
600
500
400
300
200
100
0
2002-
2003
2003-
2004
2004-
2005
2006-
2007
2007-
2008
2008-
2009
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