clinical letters and other electronic records patient/family/whānau input. Depth of the analysis Evidence that staff have been A common problem is the failure to interviewed; if they have not establish all the facts including been interviewed, it should be witness interviews and the noted in the report. patient/family/whānau view. Evidence that the The team must review and interpret all patient/family/whānau have sources of information and interview been interviewed; if they have all relevant staff involved in the event not been interviewed it should (with their permission). be noted in the report. Evidence all relevant documents have been accessed. References to indicate current best practice evidence is Expert opinion, if obtained, is noted. Identification of Contributing factors (including The examination of contributing contributing factors human factors) are identified factors helps the team understand the and documented in the report. underlying system causes of the incident and ultimately make decisions about recommendations. The contributing factors must be identified to understand why the event occurred.
clinical letters and other electronic records patient/family/whānau input. Depth of the analysis Evidence that staff have been interviewed; if they have not been interviewed, it should be noted in the report. Evidence that the patient/family/whānau have been interviewed; if they have not been interviewed it should be noted in the report. Evidence all relevant documents have been accessed. References to indicate current best practice evidence is Expert opinion, if obtained, is noted. A common problem is the failure to establish all the facts including witness interviews and the patient/family/whānau view. The team must review and interpret all sources of information and interview all relevant staff involved in the event (with their permission). Identification of contributing factors Contributing factors (including human factors) are identified and documented in the report. The examination of contributing factors helps the team understand the underlying system causes of the incident and ultimately make decisions about recommendations. The contributing factors must be identified to understand why the event occurred.
template-quality-check-for-adverse-event-analysis-May-2018.docx