Serious adverse incidents 'likely to be repeated'

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Serious adverse incidents 'likely to be repeated'

Message par geemong » 08 Juillet 2022, 08:05

Serious adverse incidents 'likely to be repeated'


Health Minister Robin Swann has announced plans to improve the review process for serious adverse incidents (SAI) in Northern Ireland's health and social care system.

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The reviews take place after unintended incidents of harm and ensure improvements are made.

The Regulation and Quality Improvement Authority (RQIA) was commissioned to examine the system's effectiveness.

It found the process was not "sufficiently robust".

The report into the systems and processes for learning after an SAI came after the public inquiry into the deaths of five children in hospitals in Northern Ireland.

The findings of the 14-year hyponatraemia inquiry found that four of the deaths were avoidable.

In the RQIA report published on Thursday, the independent body found that "neither the SAI review process nor its implementation is sufficiently robust to consistently enable an understanding of what factors, both systems and people, have led to a patient or service user coming to harm".

It added: "The reality is that similar situations, where events leading to harm have been inadequately investigated and examples of recognised good practice have not been followed, have been and are likely to be repeated in current practice."

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