9.ReportWriting.ppt-NationalPatientSafetyAgency.ppt

Content from National Patient Safety Agency material ?.uk/doc/open-government-licence/version/2/ RCA Report Writing Gathering Information Mapping the Incident Identifying Care Service Delivery Problems Analysing Problems Identifying CFs and RCs Generating Solutions Recommendations Implementing Solutions Writing the Report Getting Started The RCA Process Who may expect to see the Report?Write one report with all audiences in mind... Patient or relatives and carers Organisation Risk Management Committees Health Authority Coroners Office Organisation Staff Department of Health NHS Litigation Authority Solicitors Local or National Media General Public Purpose of the Report The purpose of the report is to provide: a formal record of the investigation process a means of sharing learning The report presents the culmination of all the work undertaken by the investigation team. It should convey all necessary information about the incident, the investigation process and the findings . The audience will use the content, style and tone of the report to judge: the quality of the investigation process, findings, conclusions and recommendations the competence of the investigation team Style and Format Use the NHS investigation report template for layout and style Keep it clear, logical and demonstrate an open and fair approach Avoid negative / inflammatory descriptors Use plain English - and avoid jargon and acronyms If you need to use technical terms include a Glossary Write in the third person (e.g. refer to ‘the patient’, ‘the doctor’, ‘the organisation’, rather than ‘I’, ‘we’ or ‘you’) Present the patient(s) or staff involved as individuals - without being overly personal or compromising confidentiality. Content and Findings Whilst a report must be evidence-based and not move into speculation, investigator(s) are required to do more than simply summarise findings. Analysis, deduction and recommendations are required. Terms such as ‘from the evidence