Serious Incident Report

At a time of increasing regulatory scrutiny and medico-legal risk, managing serious clinical incidents within primary care has never been more important. Failure to manage appropriately can have serious consequences both for service organisations and for individuals involved. This is the first book to provide detailed guidance on how to conduct incident investigations in primary care. The concise guide explains how to recognise a serious clinical incident, how to conduct a root cause analysis 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. This book offers 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 are investigated and managed.

v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.

AR 190-45 03/30/2007 LAW ENFORCEMENT REPORTING , Survival Ebooks

Patient safety incident reporting and learning systems aim to capture patient safety incidents and provide structured learning, since this can be key to improving patient safety and preventing the occurrence of harm. This document presents the purpose and strengths of patient safety incident reporting and provides some practical guidance on establishing patient safety incident reporting and learning systems.

The 16-man Black Hawk Counter Narcotics Infantry Team served as an advisory and training unit for the Afghanistan National Army during a poppy eradication operation in Helmand province in 2008 and 2009. For 75 days, they fought extreme heat, sand storms and the Taliban to eradicate 11.2 tons of poppy seed and earn the respect of Afghan troops. Although the U.S. team they relieved had lost half its men during operations, the Black Hawks came through unscathed. This book chronicles their mission in a little known theater of the Afghanistan War.

Serves as a guide to creating a proactive, effective prevention process. This book presents a model showing you how to systematically identify and execute the steps needed to make your operations incident-free. It includes cases of real-life examples and safety performance scorecards.