Safety & security report - East and North Herts NHS Trust

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RIDDOR reported Manual Handling IncidentsThere are an average of around 30 manual handling related incidents in the Trust per quarter,with a ratio of roughly 2:1 for patient handling related incidents in relation to non-patient (orinanimate load) handling incidents,For example for Oct – Nov:Patient Handling related incidents = 23 & Non-Patient Handling related = 11 for a total numberof 34 reported incidents.For Jan / Feb 2011, the 5 manual handling related RIDDOR reported incidents – 3 patientrelated (staff injury) and 2 inanimate loads related.Current actions:Department managers are contacted to establish possible causes.Trends in RIDDOR reportable incidents relating to manual handling will generally fall either intoone of two categories ‘overexertion’ incidents or ‘cumulative effect’ incidents.In relation to inanimate load handling these are likely to be individual capability / equipment /environment based. All these aspects are covered on mandatory back awareness / loadhandling training with the opportunity for work area specific training being limited.In relation to patient handling, overexertion is often related to situations such as assistingpatients with unpredictable movements or falling, which can lead to inappropriate interventionsby staff in relation to their own safety.In response to this, emphasis is placed on including discussion of current best practiceguideline and some demonstration on annual patient handling training, though full practicaltraining is not possible due to the risk of injury during training for such an unexpected event.Patient handling needs assessment forms include a section to highlight possible unpredictableor uncooperative behaviour. This is often a key risk factor in patient handling incidents. The lastaudit of Patient Handling Needs Assessment documentation in September 2010 showedPatient cooperation was documented as assessed around 80% of the time.In relation to patient handling, cumulative effect is often related to overall workload and mobilitydependency of patients. Details of poor working postures or exact moving & handlingtechniques used are often difficult to fully establish. Potential shortfalls in sufficient equipmentare addressed with mangers and an improved system for the inventory of departmental moving& handling equipment has been devised which will involve closer working with departmentalHandling Co-coordinators and risk assessors.Although there are no significant issues regarding injury in the use of patient hoistingequipment, at times its use is mentioned by staff in a general context to highlight times whenpatient dependency increases in a department in terms of assistance with mobility,Staff IncidentsAnalysis of staff incidents reported and documented on to the Datix Incident Reporting Systemshow that the highest number of staff incidents can be attributed to:Moving and handling of patientsKnocks and bumpsSlips and TripsIncidents by Sub categoryDamage/loss to property 96Moving & Handling Patient Related 79Knock or bump 75Fall whilst walking 57Assault 55Accidental injury 47
Theft 44Moving & Handling No Patient Related 41Drugs missing 35Fire Events/Alarms/Explosions 34Exposure to body fluids 30Inappropriate disposal of sharps 26Verbal abuse 23Suspicious Incident 21Doors locked/unlocked 19Drug spillage/wastage 14Other injury 14Breach of confidentiality 13Hazardous exposure - chemical 13Contact with hot/cold substance/object 9Fainted 8Lone Worker issue 8Other challenging behaviour 8Aggressive behaviour 7Fall from sitting position 6Infectious disease exposure 6Motor Vehicle Accident 6Fall from height 5Hazardous exposure - electrical 5Struck by/knock 5Hazardous exposure - radiation 3Racial Abuse 3Cytotoxic Drug Spillage/Exposure 2Allergic reaction (non specific) 1Fall (non specific) 1Inappropriate behaviour 1Incident - no reported injury 1An analysis of these statistics confirms that patient handling, knocks and bumps and slips, tripsand falls are the most common cause of health & safety injury, whilst loss of property, assaultand theft are the main security related incidents.The results of the staff survey indicate a higher number of incidents of physical assaultoccurring between work colleagues, such incidents appear not to be reported via the AdverseIncident Reporting forms, however when reported they are investigated and action taken asappropriate to the situation.Compensation claims made by staff for injuries incurred in the workplace confirm that patienthandling and slips and trips are the main reason for claims being made.Analysis of loss of property shows many cases of lost identity badges as well as staff personalproperty which has been left unsecure.Regular Security Audits are conducted by the ward constable and PSCOs at both Lister andQEII which is helping to raise staff awareness about the security of their personal and trustproperty.This report does not cover the analysis of incidents within each division as this is monitored atthe directorate performance management meetings and quarterly reports are provided by theclinical risk management department.
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Page 3: Action; All RIDDOR reportable incid
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Safety & security report - East and North Herts NHS Trust

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