2.4 Incident Reporting Incident reporting systems and policies are integral to patient safety and enable the Trust to analyse the type, frequency and severity of incidents that occur. The Trust’s open and honest reporting demonstrates a commitment to our patients and their safety. The information arising from these reports is used to make active changes, to improve our provision of quality care and to safeguard the wellbeing of our staff and patients. 2.4.1 Patient Incidents Figure 4 depicts the number of patient incidents reported each compared to previous years. Figure 4: There were a total of 693 patient incidents reported over the 2 months, 309 in April and 384 in May. Closer analysis shows that the top 3 themes were pressure sores, falls and medication. A total of 184 pressure sores were reported in April and May (total number of community and hospital acquired), accounting for 27% of all patient incidents. The Trust reported 44 hospital acquired pressure sores, 3 of which were grade 3 and required a Serious Investigation. The Trust informs Safeguarding Adults Leads across the healthcare community of the community acquired pressure ulcers it finds, so that any services (for example nursing or care homes) can be risk assessed and supported by commissioning and local authority colleagues. 122 slips, trips, falls & collisions occurred within April and May. The wards with the most falls reported were Kewstoke (25), Medical Assessment Unit (18) Berrow and Harptree (14). Actions taken by the Trust include the appointment of a Falls Lead Nurse from the beginning of April. All falls incidents are now reviewed by the Matrons to ascertain whether there was any learning. 73 medication incidents were reported. These errors included administration (meaning medication administered orally or intravenously) from a clinical area (such as ward areas),
2.4 Incident Reporting Incident reporting systems and policies are integral to patient safety and enable the Trust to analyse the type, frequency and severity of incidents that occur. The Trust’s open and honest reporting demonstrates a commitment to our patients and their safety. The information arising from these reports is used to make active changes, to improve our provision of quality care and to safeguard the wellbeing of our staff and patients. 2.4.1 Patient Incidents Figure 4 depicts the number of patient incidents reported each compared to previous years. Figure 4: There were a total of 693 patient incidents reported over the 2 months, 309 in April and 384 in May. Closer analysis shows that the top 3 themes were pressure sores, falls and medication. A total of 184 pressure sores were reported in April and May (total number of community and hospital acquired), accounting for 27% of all patient incidents. The Trust reported 44 hospital acquired pressure sores, 3 of which were grade 3 and required a Serious Investigation. The Trust informs Safeguarding Adults Leads across the healthcare community of the community acquired pressure ulcers it finds, so that any services (for example nursing or care homes) can be risk assessed and supported by commissioning and local authority colleagues. 122 slips, trips, falls & collisions occurred within April and May. The wards with the most falls reported were Kewstoke (25), Medical Assessment Unit (18) Berrow and Harptree (14). Actions taken by the Trust include the appointment of a Falls Lead Nurse from the beginning of April. All falls incidents are now reviewed by the Matrons to ascertain whether there was any learning. 73 medication incidents were reported. These errors included administration (meaning medication administered orally or intravenously) from a clinical area (such as ward areas),