Serious Untoward Incident Policy - Health Partnerships Learning ...

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18. Bibliography Australia/New Zealand Risk Management Standard: AS/NZS 4360:1999 Assurance: The Board Agenda (August 2002) NPSA Seven Steps to Patient Safety 2003 NPSA toolkit at: http://www.npsa.nhs.uk/health/resources/root_cause_analysis] Standards for Better Health DoH 2004 NHSLA PCT Risk Management Standards April 20078
MANAGEMENT OF SUIs: SECTION ANCH Serious Untoward Incident Process:1. Immediate Management of a Serious Untoward Incident [SUI]1.1 The situation must be immediately controlled ensuring the health, safety and welfare ofthose specifically involved.1.2 The incident must be immediately reported through the relevant Line Management Chainduring business hours and through on call mechanisms out of hours. In all cases where aSUI is reported the Assistant Director or Professions and Governance (and in their absencethe Head of Governance and Compliance) will be notified as soon as possible.1.3 Some SUIs may not require immediate investigation but most will require immediatemanagement actions urgently to prevent further harm or damage, preserve evidence and togain the facts. The Duty / nominated Lead Assistant Director will be accountable and actionsmay include: Ensuring patients and relatives are appropriately informed of the SUI and theimmediate steps being taken.Ensuring staff are supported as required.Taking a faulty item of equipment out of action. Any allegedly defective piece ofequipment should be withdrawn from use and kept secure (do not change anysettings or dials). Advice on any biohazard can be obtained from the infection controladvisor.Closing a workplace until repairs can be effected.Sealing / preserving an area and equipment or paperwork to ensure evidence ispreserved.Ensuring appropriate internal managers and external agencies are informed.2. Staff present at incident / discovering incident – responsibilities:2.1 The most senior person at the incident will make arrangements to secure the immediatewell being of patients and other staff and the safety of the workplace or clinical area asappropriate. If necessary this will include calling a Duty Doctor or Ambulance, or specificNCH Managers e.g. Estates, Health, Safety & Risk Facilitator and / or Head of Governance& Compliance.2.2 It is the responsibility of the senior person present at the incident (or the personidentifying an incident has occurred) to inform their responsible NCH Assistant Director,normally via the local manager or duty manager, immediately that they believe that a SUIhas occurred, and describe what happened and the initial actions taken.2.3 In the case of potential Police or Health and Safety Executive involvement or a potentiallegal claim, the senior person will ensure that the scene is secured and left untouched forfurther investigation and that all equipment and associated disposable items are retainedand preserved, and that the Head of Governance & Compliance for NCH is informed.9
Page 3: 1. Policy Statement1.1 This policy
Page 6 and 7: 9 Investigating SUIs9.1 See Section
Page 11 and 12: 5.6 In the event that an external i
Page 13 and 14: The Chief Operating Officer will co
Page 15 and 16: 10.5 Progress on the investigation
Page 17 and 18: Appendix B - Quick reference guide
Page 19 and 20: Appendix C - Deciding whether an in
Page 21 and 22: Appendix D - Essential Contact Numb
Page 23 and 24: Appendix F:EXTERNAL REPORTINGIncide
Page 25 and 26: Coronial Law - request for reports
Page 27 and 28: It is important to remember that ve
Page 29 and 30: Appendix I:- Investigating a Seriou
Page 31 and 32: Main report Headings:3 Relevant doc
Page 33 and 34: Appendix K: - Serious Untoward Inci
Page 35: If you have identified a potential

Serious Untoward Incident Policy - Health Partnerships Learning ...

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