Data loss and information security. Comprehensive RSA for incidents causing moderate to severe harm or death. The Company’s policy is this will be the default investigation level for grade 1 incidents. Investigations will be carried out by directors of the Company and led by the clinical governance and performance lead who may seek advice and services from specialist external sources as required. 2 Child protection incidents Comprehensive RCA. Initial report within 2 (see the Company’s working days. The safeguarding policy for Company will submit more information). a completed investigation within ‘Never events’ 60 working days. Accusation of physical misconduct or harm. Data loss and information security (DH Criteria level Selected grade 2 incidents Investigation Level 3: Initial report within 2 working days. might include major Independent RCA. Independent systemic failure with investigators should multiple stakeholders. be commissioned to complete an investigation within 6 months Root Cause Analysis Investigation Model The Company will ensure it has sufficient expertise in root cause analysis. The clinical governance and performance lead will lead this process and report to the coordinating commissioner on progress and with the outcome. A model we will use is below: Action 1 Action 2 Action 3 Action 4 Action 5 Root CAUSE EFFECT on Patient Recommendation Action to Address Root Cause Level for Action (Org, Direct, Team) Implementation by: Target Date for Implementation Additional Resources Required (Time, other) Evidence of Progress and Completion
Data loss and information security. Comprehensive RSA for incidents causing moderate to severe harm or death. The Company’s policy is this will be the default investigation level for grade 1 incidents. Investigations will be carried out by directors of the Company and led by the clinical governance and performance lead who may seek advice and services from specialist external sources as required. 2 Child protection incidents (see the Company’s safeguarding policy for more information). ‘Never events’ Accusation of physical misconduct or harm. Data loss and information security (DH Criteria level Comprehensive RCA. Initial report within 2 working days. The Company will submit a completed investigation within 60 working days. Selected grade 2 incidents might include major systemic failure with multiple stakeholders. Investigation Level 3: Independent RCA. Initial report within 2 working days. Independent investigators should be commissioned to complete an investigation within 6 months Root Cause Analysis Investigation Model The Company will ensure it has sufficient expertise in root cause analysis. The clinical governance and performance lead will lead this process and report to the coordinating commissioner on progress and with the outcome. A model we will use is below: Action 1 Action 2 Action 3 Action 4 Action 5 Root CAUSE EFFECT on Patient Recommendation Action to Address Root Cause Level for Action (Org, Direct, Team) Implementation by: Target Date for Implementation Additional Resources Required (Time, other) Evidence of Progress and Completion
Serious_Incidents_Policy%20Final.docx