Patient Safety: Investigating and Reporting Serious Clinical Incidents

1 Introduction. 2 What is a clinical incident and what makes an incident serious? 3 Recognising serious incidents. 4 Root cause analysis. 5 Humans and heuristics - why do we make errors? 6 What can we learn? 7 Writing reports. 8 Preventing clinical errors

Dr Russell Kelsey is Regional Medical Director of North and West, Health Care Division, Care UK, the largest independent provider of NHS care in the UK. His role encompasses clinical governance for provision of out of hours and NHS 111 services to a regio