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Patient Safety: Investigating and Reporting Serious Clinical Incidents 2nd Edition

Patient Safety: Investigating and Reporting Serious Clinical Incidents 2nd Edition

Author: Russell Kelsey
Publisher: CRC Press
ISBN: 9781032377834
Published In: August 2023
Format: Paperback
Jurisdiction: U.K. ? Disclaimer:
Countri(es) stated herein are used as reference only

HKD 467.88

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Description
Contents

Details

The second edition of this well-received book, the first to provide detailed guidance on how to conduct incident investigations in primary care, has been thoroughly revised and updated throughout to reflect the current nomenclature for different aspects of the investigatory process in the UK and the latest format for incident reporting.

Key features:

Explains how to recognise a serious clinical incident, how to conduct a root cause analysis (RCA) investigation, and how and when duty of candour applies
Covers the technical aspects of serious incident recognition and report writing
Includes a wealth of practical advice and 'top tips', including how to manage the common pitfalls in writing reports
Offers practical advice as well as some new and innovative tools to help make the RCA process easier to follow
Explores the all-important human factors in clinical incidents in detail, with multiple examples and worked-through cases studies as well as in-depth sample reports and analysis.
At a time of increasing regulatory scrutiny and medico-legal risk, in which failure to manage appropriately can have serious consequences both for service organisations and for individuals involved, this concise and convenient book continues to provide a master class for anyone performing RCA and aiming to demonstrate learning and service improvement in response to serious clinical incidents. It is essential reading for any clinical or governance leads in primary care, including GP practices, 'out-of-hours', urgent care centres, prison health and NHS 111. It also offers valuable insights to any clinician who is in training or working at the coal face who wishes to understand how serious clinical incidents are investigated and managed.

Introduction: Why do we still miss appendicitis?

Clinical Incident Investigation: Background and context

How do we recognise patient safety incidents that need in-depth investigation?

Recognising serious patient safety incidents using the SIRT: Case studies

A culture of complaint: Openness, candour, and blame

RCA: Understanding what happened?

RCA: Understanding how?

RCA: Understanding why?

Understanding why: System factors

Understanding why: Human error Part 1

Understanding why: Human error Part 2

Root cause