Incident Management Policy Including Serious Incidents Requiring ...

will continue to monitor the action plan and only close the incident once assurancehas been received that all action points have been completed.16. 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) thatrequire or may require an independent investigation (see section 3 of this section forfurther 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.The incident should be reported by the provider organisation to STEIS within two workingdays of the organisation becoming aware of the incident.Where possible the incident will be reviewed by the NHS CIOS the next working day.The provider organisation should complete a 72 hour management report for distribution tothe SHA and Commissioning PCT. Such a report should include the following:- date and location of incident and STEIS identification number;- initials, gender and date of birth of client;- incident type; e.g. Never Event;- brief details leading up to the incident to include care and treatment;- immediate actions taken;- chronology of contacts.incident management policy 2011 with SUI v3 FINAL 46/51