
NCISH 10 standards for investigating serious incidents
Find out more about our standards by exploring the sections below.
Specific terms of reference

Clearly independent investigators

Contacting family

Accessing full case records
Is it clear from the serious incident report whether the investigation acquired access to full case records detailing the patient’s clinical history? If there are records missing is this clearly stated and are caveats made on the reliability of the findings and appropriateness of the recommendations?
Contributory factors

Sufficient information for understanding what happened

Report coherence

Accessibility to a lay reader

Action plan

Learning
