{"id":2418,"date":"2018-06-26T13:55:24","date_gmt":"2018-06-26T12:55:24","guid":{"rendered":"https:\/\/sites.manchester.ac.uk\/ncish\/?page_id=2418"},"modified":"2020-01-14T09:30:36","modified_gmt":"2020-01-14T09:30:36","slug":"ncish-10-standards-for-investigating-serious-incidents","status":"publish","type":"page","link":"https:\/\/sites.manchester.ac.uk\/ncish\/resources\/ncish-10-standards-for-investigating-serious-incidents\/","title":{"rendered":"NCISH 10 standards for investigating serious incidents"},"content":{"rendered":"

[et_pb_section fb_built=”1″ fullwidth=”on” admin_label=”section” _builder_version=”3.0.47″ locked=”on”][et_pb_fullwidth_menu menu_id=”7″ submenu_direction=”downwards” fullwidth_menu=”off” module_class=”main-navigation” _builder_version=”3.0.106″ background_layout=”dark”][\/et_pb_fullwidth_menu][\/et_pb_section][et_pb_section fb_built=”1″ module_class=”header-image-section” _builder_version=”3.0.74″ custom_padding=”0px||0px|” custom_css_main_element=”padding-top:0px” transparent_background=”off”][et_pb_row custom_padding=”||0px|” custom_margin=”||0px|” parallax_method_1=”off” module_class=”header-image” _builder_version=”3.0.47″ background_size=”initial” background_position=”top_left” background_repeat=”repeat”][et_pb_column type=”4_4″ _builder_version=”3.0.47″ parallax=”off” parallax_method=”off”][et_pb_image src=”https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2018\/07\/investigations-file.jpg” show_bottom_space=”off” _builder_version=”3.9″ border_color_all=”#ffffff” custom_margin=”0px|||” animation_direction=”left” use_border_color=”off”][\/et_pb_image][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”3.0.74″ custom_padding=”||0px|” transparent_background=”off”][et_pb_row custom_padding=”||0px|” custom_margin=”||0px|” parallax_method_1=”off” module_class=”breadcrumbs-row” _builder_version=”3.0.47″ background_size=”initial” background_position=”top_left” background_repeat=”repeat”][et_pb_column type=”4_4″ _builder_version=”3.0.47″ parallax=”off” parallax_method=”off”][et_pb_text module_class=”breadcrumbs” _builder_version=”3.0.87″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” module_alignment=”left” custom_css_main_element=”border-bottom: 1px solid #ececed;” use_border_color=”off” border_color=”#ffffff” border_style=”solid”]NCISH<\/a><\/span><\/span>
\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ use_custom_gutter=”on” gutter_width=”2″ specialty=”on” parallax_method_1=”off” parallax_method_2=”off” _builder_version=”3.0.74″ transparent_background=”off”][et_pb_column type=”1_3″ _builder_version=”3.0.47″ parallax=”off” parallax__hover=”off” parallax_method=”off” parallax_method__hover=”off”][et_pb_sidebar area=”et_pb_widget_area_1″ show_border=”off” module_id=”left-nav-menu” _builder_version=”3.0.74″ remove_border=”on”][\/et_pb_sidebar][\/et_pb_column][et_pb_column type=”2_3″ specialty_columns=”2″ _builder_version=”3.0.47″ parallax=”off” parallax__hover=”off” parallax_method=”off” parallax_method__hover=”off”][et_pb_row_inner admin_label=”Row” _builder_version=”3.0.47″][et_pb_column_inner type=”4_4″ saved_specialty_column_type=”2_3″ _builder_version=”3.0.47″ parallax=”off” parallax__hover=”off” parallax_method=”on” parallax_method__hover=”on”][et_pb_text admin_label=”Text: NCISH 10 standards intro” _builder_version=”3.9″ border_color_all=”#ffffff” border_style_all=”solid” module_alignment=”left” use_border_color=”off” border_color=”#ffffff” border_style=”solid”]<\/p>\n

NCISH 10 standards for investigating serious incidents<\/h1>\n

Find out more about our standards by exploring the sections below.<\/p>\n

[\/et_pb_text][et_pb_accordion admin_label=”Accordion: 10 standards for investigating serious incidents” _builder_version=”3.17.6″ border_color_all=”#ffffff” use_border_color=”off”][et_pb_accordion_item title=”Specific terms of reference” open=”on” _builder_version=”3.17.6″ title_text_shadow_horizontal_length=”0em” title_text_shadow_vertical_length=”0em” title_text_shadow_blur_strength=”0em” body_text_shadow_horizontal_length=”0em” body_text_shadow_vertical_length=”0em” body_text_shadow_blur_strength=”0em”]\"ListAre there clear terms of reference (ToR), specific to the individual patient\/incident, which set out the scope of the investigation and the timescale for conducting the review?
\n[\/et_pb_accordion_item][et_pb_accordion_item title=”Clearly independent investigators” open=”off” _builder_version=”3.17.6″ title_text_shadow_horizontal_length=”0em” title_text_shadow_vertical_length=”0em” title_text_shadow_blur_strength=”0em” body_text_shadow_horizontal_length=”0em” body_text_shadow_vertical_length=”0em” body_text_shadow_blur_strength=”0em”]\"IDWas the investigation conducted independently of the treating team?
\n[\/et_pb_accordion_item][et_pb_accordion_item title=”Contacting family” open=”off” _builder_version=”3.17.6″ title_text_shadow_horizontal_length=”0em” title_text_shadow_vertical_length=”0em” title_text_shadow_blur_strength=”0em” body_text_shadow_horizontal_length=”0em” body_text_shadow_vertical_length=”0em” body_text_shadow_blur_strength=”0em”]\"FamilyWere family members given the opportunity to contribute to the investigation?
\n[\/et_pb_accordion_item][et_pb_accordion_item title=”Accessing full case records” open=”off” _builder_version=”3.17.6″ title_text_shadow_horizontal_length=”0em” title_text_shadow_vertical_length=”0em” title_text_shadow_blur_strength=”0em” body_text_shadow_horizontal_length=”0em” body_text_shadow_vertical_length=”0em” body_text_shadow_blur_strength=”0em”]<\/p>\n

\"MedicalIs it clear from the serious incident report whether the investigation acquired access to full case records detailing the patient\u2019s 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?<\/p>\n

[\/et_pb_accordion_item][et_pb_accordion_item title=”Contributory factors” open=”off” _builder_version=”3.17.6″ title_text_shadow_horizontal_length=”0em” title_text_shadow_vertical_length=”0em” title_text_shadow_blur_strength=”0em” body_text_shadow_horizontal_length=”0em” body_text_shadow_vertical_length=”0em” body_text_shadow_blur_strength=”0em”]\"NetworkAre the contributory factors leading to the incident presented (rather than a single root cause)?
\n[\/et_pb_accordion_item][et_pb_accordion_item title=”Sufficient information for understanding what happened” open=”off” _builder_version=”3.17.6″ title_text_shadow_horizontal_length=”0em” title_text_shadow_vertical_length=”0em” title_text_shadow_blur_strength=”0em” body_text_shadow_horizontal_length=”0em” body_text_shadow_vertical_length=”0em” body_text_shadow_blur_strength=”0em”]\"KnowledgeIs there sufficient information to enable a thorough understanding of the circumstances of the death\/incident, as well as the activity of the services involved?
\n[\/et_pb_accordion_item][et_pb_accordion_item title=”Report coherence” open=”off” _builder_version=”3.17.6″ title_text_shadow_horizontal_length=”0em” title_text_shadow_vertical_length=”0em” title_text_shadow_blur_strength=”0em” body_text_shadow_horizontal_length=”0em” body_text_shadow_vertical_length=”0em” body_text_shadow_blur_strength=”0em”]\"JigsawIs the serious incident report coherent? Is there a clear and logical pathway from the ToR to the contributory factors to the recommendations; and is it clear how the recommendations could be used in prevention?
\n[\/et_pb_accordion_item][et_pb_accordion_item title=”Accessibility to a lay reader” open=”off” _builder_version=”3.17.6″ title_text_shadow_horizontal_length=”0em” title_text_shadow_vertical_length=”0em” title_text_shadow_blur_strength=”0em” body_text_shadow_horizontal_length=”0em” body_text_shadow_vertical_length=”0em” body_text_shadow_blur_strength=”0em”]\"PersonIs the serious incident report accessible to a lay reader? Is the report not too lengthy and written in plain English with all specialist vocabulary explained?
\n[\/et_pb_accordion_item][et_pb_accordion_item title=”Action plan” open=”off” _builder_version=”3.17.6″ title_text_shadow_horizontal_length=”0em” title_text_shadow_vertical_length=”0em” title_text_shadow_blur_strength=”0em” body_text_shadow_horizontal_length=”0em” body_text_shadow_vertical_length=”0em” body_text_shadow_blur_strength=”0em”]\"PlanningDoes the serious incident report have an associated action plan with a timescale for review?
\n[\/et_pb_accordion_item][et_pb_accordion_item title=”Learning” open=”off” _builder_version=”3.17.6″ title_text_shadow_horizontal_length=”0em” title_text_shadow_vertical_length=”0em” title_text_shadow_blur_strength=”0em” body_text_shadow_horizontal_length=”0em” body_text_shadow_vertical_length=”0em” body_text_shadow_blur_strength=”0em”]\"HeadDoes the serious incident report provide details of what needs to change in the service(s) and is there evidence of how learning will occur internally?
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Contact Us<\/h4>\n

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Find Us<\/h4>\n

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