Corporate Incident Management Processes and Policy Update

Explore the corporate incident management processes and policy updates focusing on immediacy, accountability, and kindness. Learn about incidents, harm scores, and revised process steps outlined by the Clinical Excellence Commission and NSW Health. Discover the differences between the current and revised incident management policies, including requirements for reportable incidents and corporate harm score reviews. Dive into the details of the reportable incident briefs, safety checks, and submission timelines to ensure compliance with the updated protocols.

• Incident Management
• Corporate Policy
• Clinical Excellence Commission
• NSW Health
• Harm Score

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Uploaded on Sep 29, 2024 | 0 Views

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1. Serious corporate incident management processes Immediacy, accountability, kindness

2. Which incidents? Clinical Excellence Commission

3. Corporate Harm Score 1 incidents ims+ incident management system Unexpected death of a worker or visitor Complete loss of service Clinical Excellence Commission 3

4. Incident Management Policy Clinical Excellence Commission

5. NSW Health Incident Management Policy Revised policy commences 14 December 2020 Revised incident management process ims+ incident management system and Harm Score New requirements for corporate Harm Score 1 incidents Clinical Excellence Commission 5

6. Revised Incident Management Process Steps 1. Identify incident 2. Ensure safety of people and the environment 3. Notify incident in ims+ 4. Escalate incident 5. Review incident 6. Implement and monitor actions 7. Feedback to staff and patients, carers and families. Clinical Excellence Commission 6

7. Whats different? Current versus revised Incident Management Policy PD2020_020 Corporate SAC 1 requirements: 1. Reportable incident brief 2. Corporate root cause analysis PD2020_047 Corporate Harm Score 1 requirements: 1. Reportable incident brief 2. Safety Check 3. Corporate Harm Score 1 review Corporate Harm Score 1 review RIB Safety check Clinical Excellence Commission 7

8. Reportable incident brief (RIB) Corporate Harm Score 1 requirement RIB author is a nominated staff member The RIB is in 2 parts The Chief Executive or delegate approves the RIB for submission to the Ministry of Health (MoH) RIB Part A is due to the MoH within 24 hours of incident notification in ims+ RIB Part B is due to the MoH within 72 hours of incident notification in ims+ Information from the safety check is used to complete RIB Part B The RIB is completed within ims+ A RIB template is available on the CEC website for downtime or for organisations not using ims+ Element Reportable incident brief (RIB) Part A basic information Part B further information Timeframe Submit to 24 hours 72 hours or sooner MoH MoH Clinical Excellence Commission 8

9. Safety check Corporate Harm Score 1 requirement Undertaken by safety check team appointed by the Chief Executive The purpose of a safety check is to guide and record immediate steps of post incident management and to address the needs of staff, patients or visitors involved. The NSW Health safety check template is completed The safety check and action log is being built into ims+ and a template is accessible on the CEC website The report is due to the Chief Executive within 72 hours of incident notification in ims+ For incidents involving staff death, a dedicated family contact assigned at this stage. Element Safety check Safety check report Timeframe Submit to 72 hours or sooner Chief Executive Clinical Excellence Commission 9

10. Corporate Harm Score 1 review Corporate Harm Score 1 requirement A review team is appointed by the Chief Executive to undertake a corporate Harm Score 1 review The review team: Gatherinformation from a range of sources Undertake interviews Visit the incident location where appropriate Analyse findings and develop recommendations as needed Consider any suggested recommendations from others involved or concerned Write up findings and recommendations into a report that is due to the Ministry of Health within 60 days of incident notification in ims+ Clinical Excellence Commission 10

11. Corporate Harm Score 1 review Methodology & report template The review team uses a review method chosen by the Chief Executive that is Determined by the type of incident and advice from the safety check Undertaken using corresponding review processes set out in a relevant NSW Health Policy, or the NSW Health Incident Management Policy. The review team use the NSW Health Corporate Harm Score 1 Review Report template which includes: An incident description ims+ incident number A summary of the findings Any underlying factors as to why the incident occurred Any recommendations to prevent and minimise the risk of recurrence. Clinical Excellence Commission 11

12. Sharing findings with the family Open disclosure Following a corporate Harm Score 1 incident involving staff death or suspected suicide, what is known is to be shared with the family as it comes to hand. Any communications or documents arising from a safety check or corporate Harm Score 1 review are not privileged. A dedicated family contact can arrange meetings for the family and open disclosure team As per the family s wishes After the safety check At completion of the corporate Harm Score 1 review. Clinical Excellence Commission 12

13. Managing a corporate Harm Score 1 incident OD team discuss safety check with family meeting arranged by DFC CE appoints review team START Corporate Harm Score 1 review undertaken Harm Score 1 incident identified RIB Part B submitted END Safety check completed & DFC assigned for staff death Draft report completed System wide learning Clinician disclosure Immediate action to ensure people and environment are safe and supported CE appoints safety check team Feedback to staff and notifiers Report approved OD team discuss report with family meeting arranged by DFC Start implementing and monitoring recommendations ims+ notification RIB Part A submitted 13 Clinical Excellence Commission

14. Resources Clinical Excellence Commission

15. CEC website Upcoming changes to incident management Clinical Excellence Commission 15

16. Toolkits & Templates http://www.cec.health.nsw.gov.au/Review-incidents/Upcoming-changes-to-incident-management Managing serious corporate incidents toolkit Clinical Excellence Commission 16

17. Questions Governance team at your District Email the CEC - CEC-SIIM@health.nsw.gov.au Clinical Excellence Commission 17