Freedom of Information

Title
Serious incident summaries
Reference Number
RF23-783
Request Details

Excluding reports on investigations into self-harming, disruptive and/or aggressive behaviour, patient abuse, pressure sores and falls, please provide me with summaries of all serious incident reports, never event investigation reports (NE), patient safety incident investigation (PSII) reports, clinical reviews (CR) and/or route cause analysis investigation reports (RCA) completed in 2019, 2020, 2021, 2022 and 2023 which meet the following criteria:

  1. Report relates to an incident in one of the following departments:
    • breast surgery
    • gastroenterology
    • interventional radiology
    • neurorehab
    • paediatrics
    • respiratory
    • trauma and orthopaedics
  2. Report includes at least one of the following words or phrases:
    • physician associate
    • anaesthesia associate
    • assistant practitioner
    • physician assistant
    • anaesthetic assistant
    • PA
    • AA
    Please ensure your summaries include the following information:
    • Date of incident (or date of report) - just state which you have chosen;
    • A description of the incident including the job titles of staff involved;
    • Problems and root causes identified during investigation (be specific about staffing issues, e.g. if short staffed explain what staff roles were on shift, or if an error occurred state the job titles of the individuals who were involved in this error);
    • Actions (be specific, if staff require further training, state which staff, e.g. ‘FY2 doctors’ or ‘physician associates’)
Response
  • rf23-783-response.pdf
  • Date of Disclosure
    18/01/2024