Incident Management Policy and Procedure 652.0 KB - Oxleas NHS ...

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Type of incident Level 1NegligibleAbsconds / AWOLAccidentsIncidents aregraded by the levelof actual injury /damage sustainedrather than by thepotential for aninjury / damage tooccurAdult protectionAggressionWhere aggressionis staff to patient orstaff to staff pleaseconsult the PatientSafety Team forgradingThreats to abscond andattempted abscondingAny accident with no/(minimal) injuryFailure to shareinformation that avulnerable adult may beat risk from harm orabuseVerbal aggression withno clear intent/ nondirectedPhysical aggressionpushing, shoving andthreats with no injuryChart to now include alltypes of abuse includingsexual, racist orhomophobic abuse,financial etc.Level 2MinorInformal patient fails toreturn from leaveInformal client withpotential risk leaves thewardAccidents resulting inminor injury requiring firstaid within the serviceDelay in implementingsafeguarding proceduresresulting in a failure toprovide protectionVerbal aggressiondirected at personPhysical aggression withno implements usedcausing minor injury.Possession of banneditems.Persistent sexual racisthomophobic ordiscriminatory commentsand /or behaviorRacial abuse directed atperson/sLevel 3ModerateAbscond but not deemedvulnerable suicidal orviolentDetained patient fails toreturn from leaveInformal patient fails toreturn from leave but isdeemed vulnerable.Violent or suicidalAccidents resulting in asignificant injury thatrequires medical attentioni.e. Accident andEmergency referralRIDDOR IncidentsAn event which impactsadversely on a largenumber of patients orstaffHarm to vulnerable adultfollowing a failure toshare information orimplement safeguardingproceduresVerbal aggressiondirected at person /property with intent.Physical aggressionresulting in restraint,injury requiring medicalattention.Use of weapon /implement resulting ininjury.Possession of a weapon.Threat of sexual assault.Threat of assault basedon equalitycharacteristics – eg race,sexual orientation,transgender, disabilityetc.Sexual harassment withphysical contact. Sexualexposure.Level 4MajorAbsconds deemed to bevulnerable, suicidal orviolentDetained patient underrestriction order fails toreturn and is deemedviolent/suicidalAccident resulting ininjury that requires aninpatient stay in a anacute hospital and or anyfractureMismanagement ofpatient care with longterm effectsSignificant harm tovulnerable adult followinga failure to shareinformation or implementsafeguarding proceduresThreat to Kill or Maim,with intent and or historyof physical aggression.Physical assault resultingin serious injury and orhospitalisation.Attempted homicide.Serious sexual assault.Persistent seriousharassment with contactbut no intent to molest.Use ofweapon/implementresulting in injury to staffor patientPersistent seriousharassment with contactbased on equalitycharacteristicsAssault motivated bydiscriminatory attitudes –eg Racist, homophobicLevel 5 / neverEventsCatastrophicRestricted patientsescape from within theperimeter of a mediumsecure unitAbsconding leading tosuicide / homicide,serious harm to others.AWOL leading to suicide/ homicide, serious harmto othersAccident that results ondeath or life threateninginjuriesSerious adult abuse andor neglect which may ormay not cause death of aclientSerious threat with staffand or patient placed inimmediate danger.Homicide / Manslaughter.Rape and very serioussexual assault.Assault of pregnantwoman causing physicaldamage or harm to thechild or womanAssault of a person with adisability with seriousconsequences -eg loss ofmobilityAssault resulting inserious harm wherediscriminatory attitudesare clearly identified asthe causeDeath N/A Expected death fromnatural causes on aninpatient unit.Unexpected death fromnatural causes in thecommunityForm of words forstalking to be includedUnexpected death fromnatural causes within aninpatient unitSuicide in the communityof client known toservices within 12 monthof the incidentDeath related to illicitdrug /alcohol misuse of acurrent service userSuicide of an in patient orsuicide on Trustpremises.Suicide of clientdischarged within 14days from inpatientservicesFalls Resulting in no injury Fall resulting in minorinjury requiring on sitefirst aidFireSetting off fire alarmsaccidental or deliberatewith little or no disruptionSetting off fire alarmsaccidental or deliberateresulting in evacuationand attendance of firebrigadeFall requiring medicalattention i.e. accident andemergency referralFire resulting in minorinjuryFall resulting in injury thatrequires hospitalisationand/or dislocations andfracturesFire resulting insignificant damage toproperty and orsignificant injuryFall causing deathFire resulting in majordamage to propertyresulting in substantialdisruption to services andor death/ life threateninginjuries of an individualThreat of arsonFire resulting in no injuryor damages26
Type of incident Level 1NegligibleDiscrimination onthe basis ofprotectedcharacteristicsunder the EqualityAct (2010):Ethnicity / race /gender /Transgender / civilpartnership /marriage /Religion / sexualorientation / age /Disability /pregnancy /maternityHealth and SafetyHumanResources/staffingInfection ControlIT andCommunicationManagementLoss/Theft ofpersonal/trustpropertyMedication errorsDerogatory comments orbehavior (including theuse of unacceptable/abusive words) based onequality characteristicsRacist or otherdiscriminatory insignia orimagesPornography where thismay impact on others(excluding private use)Reported defect to theinterior/exterior part orparts of the building notresulting in the disruptionto serviceRelease (spillage/gasdischarge) of thesubstance non hazardousto healthShort term low staffinglevel that temporarilyreduces service quality 1dayStaff whose professionalregistration expiredcontinues to practicewithout prior renewingtheir licenseNeedle stick injury/human bite that breaksskinExposure to body fluidsor other sources ofinfection resulting in 3days sicknessAny outbreak of infection(D&V, MRSA)Any diagnosis ofbacteraemia ( MRSA,MSSA, E Coli) in apatientDisruption of the ITsystem (server failure)affecting serviceprovision > 1 dayCost or loss to trust £500£10,000 Personalloss/cost to client, staff,public £100- £5000Error in administration orprescribing with apotential affect on clientIncorrect dosageDelayed and / or omitted(including omissions dueto alcohol and / or drugmisuse) medicationwhere there are anadverse affectsLevel 4MajorAssault motivated bydiscriminatory attitudes –eg racist, homophobicSerious sexual assaultPersistent seriousharassment with contactbased on equalitycharacteristicsHealth and SafetyIncident resulting inpatient or staff injuryrequiring hospitalisationUnsafe staffing level > 5daysNo staff attendingmandatory training on anongoing basisUnregistered staff or staffstruck of from the registercontinues to practiceNeedle stick injury froma patient with a knownblood borne virus (HIV,Hep B, Hep C)Exposure to body fluidsor other sources ofinfection resulting inserious illnessMRSA, Bacteraemia andC-Diff with infectionSerious Disruption of theIT system affectingservice provision > 5daysCost or loss to trust£10,000 - £40,000Personal cost to client,staff public £5,000 -£10,000Affect on client due toerror in prescribing,administration or dosageAny medication incidentcausing significantirreversible affectsProlonged delayed andomitted medicationwhere there is anadverse affect on thepatientLevel 5 / neverEventsCatastrophicAssault of pregnantwoman causing physicaldamage or harm to thechild or womanAssault of a person with adisability with seriousconsequences -eg loss ofmobilityAssault resulting inserious harm wherediscriminatory attitudesare clearly identified asthe causeHealth and Safetyincident resulting in adeath of patient or staffUnsafe staffing level forservice to operateNeedle stick injurycausing recipient tocontact a serious illness(HIV, Hep B)Sudden or unexpecteddeath where evidencemay be related toexposure to any infectionor infectious diseaseCost or loss to trust ofmore than £40,000 puspersonal loss to client,staff, public of more than£10,000Prescribing ,administration or wrongdosage leading to seriousharm or deathto alcohol and / or drugmisuse) medicationwhere there are noadverse affects27
Page 2 and 3: VERSION CONTROLDocument LocationOxl
Page 4 and 5: PART AINTRODUCTION1.1 Oxleas NHS Fo
Page 6 and 7: to the Senior Officer within HR who
Page 8 and 9: Head of Safeguarding Children and L
Page 10 and 11: 2 REPORTING AND IMMEDIATE ACTION2.1
Page 12 and 13: Immediate Within 24 Hours Within 3
Page 14 and 15: HOMICIDEHomicideNHSLondongrade 2Imm
Page 16 and 17: 2.3 Reporting to external agenciesC
Page 18 and 19: 3 INITIAL SERVICE MANAGEMENT REVIEW
Page 20 and 21: - individual factors;- task factors
Page 22 and 23: 4.1 InformationVictims, families an
Page 24 and 25: Directorate investigations reports
Page 28 and 29: Type of incident Level 1NegligibleL
Page 31 and 32: Appendix IIIIncident report form to
Page 33 and 34: Guidance notes for completing adver
Page 35 and 36: SERIOUS INCIDENTAppendix VPRIVATE A
Page 37 and 38: Date of discharge from most recent
Page 39 and 40: • Ensure that TOR’s and timesca
Page 41 and 42: Where the LSCB TOR includes service
Page 43 and 44: Appendix VIIIOXLEAS NHS FOUNDATION
Page 45 and 46: 5. CONTENT OF THE INVESTIGATION5.1
Page 47 and 48: Guidelines on writing witness state
Page 49 and 50: The following ‘‘do’s’’ an
Page 51 and 52: System owners may also be requested
Page 53 and 54: Strictly ConfidentialGreenwich Crit
Page 55 and 56: Strictly ConfidentialBexley Critica
Page 57 and 58: Strictly ConfidentialBromley Critic

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