Risk and Incident Management
In all services and programmes mistakes can, and will, occur. Services are staffed by humans and even the best trained and motivated individuals make mistakes. Risk and incident management is concerned with prevention of mistakes before they happen and management of mistakes that have happened.
1. Prevention of Mistakes
This involves looking at processes in detail, examining all possible failure points and then putting in place mechanisms to reduce or mitigate the possibility of a mistake.
It is important that all staff are encouraged to be ‘risk aware'. This involves fostering a climate where staff think about risks and issues and are encouraged to suggest risk reduction strategies.
The NHSP Risk Management Strategy 2007-10 outlines an overarching strategy that focuses on risks that arise at a national level or are best addressed at a national level. Local organisations will have a local risk management strategy and local NHSP staff may be required to contribute to this.
2. NHSP Incident Reporting and Management Policy
The NHSP Programme Centre has an important role in supporting the avoidance and management of incidents. In order to fulfil this role it is important that all incidents are reported to the programme centre as well as via your standard local reporting procedures. Most incidents will not have serious implications for the clinical management of babies screened and will be resolved locally, perhaps with the assistance or advice of the NHSP Programme Centre. Reporting of incidents enables the Programme Centre to build up a national picture of the types of incidents that occur, share lessons learned across all local programmes and consider national solutions. Where potentially more serious incidents are involved the NHSP Programme Centre can provide advice and expertise to local incident management groups.
The NHSP Programme Centre is obliged to report on incidents to the QA Board, the Department of Health and the National Screening Committee.
Detailed guidance, including details of incident reporting, classification and management can be found in the NHSP Incident Reporting and Management Policy