Patient Safety: Investigating and Reporting Serious Clinical Incidents

The second edition of this book provides detailed guidance on how to conduct incident investigations in primary care, reflecting the current nomenclature and format for incident reporting in the UK. It covers recognizing serious clinical incidents, conducting root cause analysis (RCA) investigations, and managing the duty of candor. The book offers practical advice, innovative tools, and in-depth examples to help make the RCA process easier to follow. It is essential reading for clinical and governance leads in primary care, as well as clinicians in training or working at the coal face, to understand how serious clinical incidents are investigated and managed.

Format: Paperback / softback
Length: 237 pages
Publication date: 28 August 2023
Publisher: Taylor & Francis Ltd

The second edition of this highly acclaimed book, the first to offer comprehensive guidance on conducting incident investigations in primary care, has undergone a thorough revision and update to reflect the current nomenclature for various aspects of the investigatory process in the UK and the latest format for incident reporting. This comprehensive guide is designed to assist healthcare professionals in recognizing, investigating, and reporting serious clinical incidents effectively.

Key Features:

Comprehensive Coverage: The book provides a detailed explanation of how to recognize a serious clinical incident, conduct a root cause analysis (RCA) investigation, and understand when the duty of candor applies. It covers the technical aspects of serious incident recognition and report writing, offering practical advice and top tips to navigate the process smoothly.

Practical Advice: In addition to the theoretical framework, the book includes a wealth of practical advice and tips to help practitioners manage common pitfalls in writing reports. It offers practical insights and innovative tools to facilitate the RCA process, making it easier to follow and implement.

In-Depth Analysis: The book explores the human factors involved in clinical incidents in depth, providing multiple examples, worked-through case studies, in-depth sample reports, and analysis. It offers a comprehensive understanding of the complex interplay between human factors, organizational culture, and clinical practice, enabling practitioners to identify and address potential risks effectively.

Timely and Relevant: At a time of increasing regulatory scrutiny and medico-legal risk, where failure to manage appropriately can have severe consequences for service organizations and individuals involved, this concise and convenient book remains a master class for anyone performing RCA and seeking to demonstrate learning and service improvement in response to serious clinical incidents. It is essential reading for clinical or governance leads in primary care, including GP practices, out-of-hours services, urgent care centers, prison health, and NHS 111. It also provides valuable insights to clinicians in training or working at the frontline who wish to understand the investigation and management of serious clinical incidents.

By incorporating the latest guidelines, nomenclature, and practical insights, this second edition of the book ensures that healthcare professionals are well-equipped to handle incidents promptly, effectively, and in compliance with regulatory requirements. It serves as a valuable resource for improving patient safety, enhancing service quality, and fostering a culture of continuous learning and improvement within healthcare organizations.

Weight: 428g
Dimension: 153 x 234 x 16 (mm)
ISBN-13: 9781032377834
Edition number: 2 ed