Patient Safety Incident Investigator

8 months ago

Dartford, United Kingdom Dartford and Gravesham NHS Trust Full time

Monitor incident reports on a daily basis from across the Trust. Follow up on incidents reported and to determine levels of harm are correct, liaising with the Division and other staff. Escalate patient safety concerns to the Lead Patient Safety Incident Investigator. Produce reports summarising the findings, outcomes and recommendations from investigations into serious incidents and be responsible for the reporting of trends and themes for serious incidents.

Draft complex reports outlining the findings of these investigations and support Division governance leads as they compile action plans. Conduct thorough investigations into serious incidents as necessary, using appropriate investigative methodologies, whilst ensuring that the principles of Being Open are applied. Review and quality check investigation reports, as part of the quality check process. Assist in the analysis and formulation of action plans that may arise from risks/trends in patient safety and serious incident investigations.

Work to the process outlined in Trust policy in incident management including serious clinical incidents. Using appropriate investigative methodology identify and review all sources of information in relation to the incident under investigation. Use analytical skills to work through the complexities of contributory factors, areas of proportionate practice and care and service delivery problems. This will require familiarity with paper and electronic records, witness statements, and internal and national data sources.

Liaise with patients, their families or carers, and other service users to ensure all stakeholders receive information and reports. Use professional judgment, involving highly complex facts or situations which require the analysis, interpretation and comparison of a range of options. Monitor the breach position on a weekly basis and maintain the zero breech position for all reportable cases. Monitor quality performance management indicators and escalate red flags or areas of concern as appropriate.

Ensure that lessons are learnt from patient safety incidents, using reactive and proactive systems which support the Divisions to ensure that learning is translated into quality improvements and examples that can be shared more widely. Monitor the implementation of action plans that result from patient safety incident investigations including provision of support to the Divisional leads in the implementation of change. This will include the provision of reports alerting them to outstanding actions. Contribute to the production and dissemination of a Trust-wide Governance Newsletter and ensure that a patient safety update is provided for shared learning on a monthly basis.

Support the Patient Safety and Quality Team with all patient safety related activities as required. Support the Trust strategies for improvement in relation to Patient Safety indicators. Provide administrative support that ensures the effective functioning of the Serious Incident Declaration Group, Patient Safety Group and Trust Patient Safety Investigation Assurance Panel. Attend and advise other key committees in regard to Patient Safety as requested e.g.

Divisional or Speciality Governance, Patient Safety Group. Please see attached job description for more information.

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