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: Hardback
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 delves into the all-important human factors in clinical incidents, providing multiple examples, worked-through case studies, in-depth sample reports, and analysis. This comprehensive approach helps practitioners gain a deeper understanding of the complexities involved in clinical incidents and enables them to apply learning and service improvement in response to such incidents.

Essential Reading: With increasing regulatory scrutiny and medico-legal risk, failure to manage appropriately can have severe consequences for service organizations and individuals involved. This concise and convenient book serves as a master class for anyone performing RCA and aims 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 offers valuable insights to clinicians in training or working at the frontline who wish to understand the investigation and management of serious clinical incidents.

In conclusion, the second edition of this well-received book is a valuable resource for healthcare professionals seeking to enhance their knowledge and skills in conducting incident investigations in primary care. Its comprehensive coverage, practical advice, and in-depth analysis provide a solid foundation for recognizing, investigating, and reporting serious clinical incidents effectively. By embracing this guide, practitioners can improve patient safety, promote learning, and contribute to service improvement in their healthcare organizations.

Weight: 620g
Dimension: 234 x 156 (mm)
ISBN-13: 9781032382173
Edition number: 2 ed