Patient Safety Incident Investigation Coordinator

7 months ago


Bedford, United Kingdom Bedfordshire Hospitals NHS Foundation Trust Full time

The post holder will be an essential member of the Quality and Safety Governance Team, providing expert advice and leadership across the organisation in relation to the patient safety incident investigations (PSII), ensuring rigorous systems and processes are in place for managing learning from patient safety events, in line with PSIRF (Patient Safety Incident Response Framework) and informing the Trusts quality improvement programmes.

The priorities for this postholder are to support timely investigations and reporting of significant clinical incidents in line with PSIRF.

To contribute to the training of the PSIRF tools, including the training of After Action Review conductors and to deliver AAR’s, as and when required.

This role will be based in our Bedford hub (in Kings Place), with regular travel to the Luton and Dunstable site

Oversee clinical risk reduction programmes including the incident reporting

Delivering education and training programmes for PSII investigation and PSIRF principles and practices and Duty of Candour

Facilitating Patient Safety Incident investigations (PSIIs), After Action Reviews and other PSIRF tools

Support, lead and develop more junior members of staff within the team and contribute to the induction of all members of the team, including those more senior

Bedfordshire Hospitals NHS Foundation Trust provides hospital services to a growing population of around 700,000 people living across Bedfordshire and the surrounding areas across two busy hospital sites in Bedford and Luton. Both hospital sites offer key services such as A&E, Obstetrics-led Maternity and Paediatrics.

You will be joining a friendly, high performing Trust committed to ensuring the health and wellbeing of staff. As one of the largest NHS Trusts in our region you will have access to a programme of high quality training and development to help you grow your career.

We have state-of-the art facilities placing us at the heart of cutting edge health care. The Trust continues to be committed to delivering the best patient care using the best clinical knowledge and technology available.

Please review all documents attached to this advert to ensure you familiarize yourself with all requirements of the job.

Actively promote a culture that encourages staff to report incidents and near misses without fear of recrimination or censure and encourages openness and honesty

Play a key role in ensuring incidents are investigated and analysed in accordance with the national patient safety strategy (including PSIRF when appropriate), and that preventative measures are in place to prevent recurrence

Provide After Action Reviews upon request in a timely manner and support delivery of training for new AAR conductors.

Contribute to ensuring incident forms are fully and accurately completed before upload to the National Reporting and Learning System (NRLS)

Contribute to ensuring that reports from the NRLS are disseminated and acted upon in an accurate and timely way

Contribute when needed to high level Committee and Clinical Service Line reports, including statistical data and trend analysis on incidents and near misses highlighting current risks that may impact negatively on patients, the public and the organisation

Contribute to the delivery of training for all staff groups and support the Clinical Risk and Safety Investigations Manager in the development and delivery of such training, at all levels of the Trust and including input into Corporate Induction and mandatory training programmes

Advise on new and existing legislation national standards and guidance, implementing national risk management initiatives and ensuring compliance

Ensure that lessons learned from individual incidents, and general themes that emerge from systematic reporting, are recognised and applied for the benefit of the Trusts patient safety improvement programme

Assist and advise clinical service lines, and other staff undertaking investigations, of clinical incidents (in line with PSIRF) and near misses, alerting the litigation manager and complaints manager to cases of possible claim or complaint

Support the Clinical Risk and Safety Investigations Manager in the identification and management of PSIIs, Never Events and RCAs which may arise through a variety of ways e.g. a series of unexpected outcomes, near misses or concerns amongst professional staff from both inside or outside the Trust, and trends in incident reporting or audit

Provide advice and assist in the investigation of incidents as required and co-ordination and implementation of actions arising from such investigations

Develop links with other Clinical Risk Managers to network, and share knowledge and professional development

Support when required, the Executive Leads for the Risk Management Strategy, coordinating the work streams which link clinical risk with patient safety



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