Incident Management Policy Including Serious Incidents Requiring ...

Grade 2 (requiring independent investigation such as Homicide Investigations) –Internal investigation should be completed within 60 working days from the date ofthe incident. Where an independent investigation is commissioned this should becompleted within 26 weeks from the date of commissioning.6. Serious incidents should only be closed on STEIS following the receipt of a robustinvestigation report that has been generated following a full root cause analysis. Asa minimum, reports should include:root cause(s);lessons learned;have a time-bound action plan.7. Serious incidents can be closed by the Commissioning PCT or the SHA before thecompletion of an action plan if assurance is received of ongoing monitoring ofimplementation. The exception to this is grade 2 incidents where an independentinvestigation has taken place. In these cases, the Commissioning PCT and the SHAwill continue to monitor the action plan and only close the incident once assurancehas been received that all action points have been completed.8. Providers are requested to update the PCT by the 10 th of each month on theprogress of the investigation of each SIRI.Process for the management of grade 2 serious incidentsGrade 2 incidents are defined as:a never event as defined by the National Patient Safety Never Event Framework2010 (Page 37 National Framework) a homicide or any incident falling into the definitions as defined by HRG 96 (27)that require or may require an independent investigation (see section 3 of thissection for further guidance);an inpatient suicide (including following absconsion);adult safeguarding incident;maternal death;child safeguarding incident data loss and information security (Department of Health criteria level 3-5);grade 4 pressure ulcer;accusation of physical misconduct or harm is made;significant media interest;serious failure of screening services where there is a mis-diagnosis or clinicalincident e.g. perforation.incident management policy 2011 with SUI v3 FINAL 42/51