Description
Book SynopsisThe 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 mu
Table of Contents
About the Author. 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: Situational awareness and high-pressure environments. Root cause. Learning and recommendations. Solution design and changing cultures. Writing reports. Glossary. Index.
