5.3 Dealing with risks and opportunities Estimated reading: 1 minute 32 views Authors The identification of adverse events and the reporting of poor service are the duty and responsibility of every single employee of the hospital. The management should ensure that adverse events are investigated impartially. Only in this way can treatment measures in the hospital that were not carried out as intended or with insufficient reliability be recognized in good time.The consequences of this must be assessed and prevented. If errors have occurred during the provision of services, it must be assessed whether and what influence the errors will have on the result and whether the undesirable consequences can be averted or mitigated by corrective measures. Corrective measures must be introduced to prevent the recurrence of the adverse event. Not only the events that have occurred in the hospital itself, but also events observed and reported elsewhere and their causes should be taken into account. Effectiveness should be reviewed and evaluated. The financial risks arising from errors must be assessed for budget planning purposes. NHS England Serious Incident Framework - Supporting learning to prevent recurrence (2015)Download Procedural instruction5.3.01 Report on adverse events 5.3.02 Special incident 5.3.03 Incidents involving medical devices 5.3.04 Adverse drug reactions 5.3.05 Information letter on adverse events 5.3.06 Control of non-compliant results 5.3.07 Behavior in the event of a claim 5.3.08 Settlement of medical claims 5.3.09 Accident statistics 5.3.10 Response to bomb threats 5.3.11 Response to suspected highly bioactive material 5.3.12 Behavior in the event of theft, burglary, robbery 5.3.13 Notification of cross-institutional registers 5.3.14 Evaluation of external reports on AEs and errors 5.3.15 Reports on UEs to the management 5.3.16 Duty to inform in the event of adverse events 5.3.17 Screening administrative data Global Trigger Tool 5.3.18 ZE conference, case discussions, morbidity and mortality conference 5.3.19 Report on fall 5.3.20 Report on pressure ulcers 5.3.21 Report on individual events: Material damage 5.3.22 Care of staff involved in serious patient injury 5.3.23 Reaction to run amok runners 5.3.24 Compliance reporting obligations 5.3.25 Patient safety officer 5 Examination - Previous 5.2 Analysis and validation Next - 5 Examination 5.4 Improvement measures