Significant Events Reporting – RIDDORmandatorycomplianceweb
Significant Events Reporting – RIDDOR.
What is RIDDOR?
The Reporting of Injuries, Diseases and Dangerous Occurrences Regulation 2013 (RIDDOR). Accidents can occur in the workplace. Workplace accidents should be placed into either of the following categories:
- Minor Accident
- Major Accident
A Minor accident is when a person does not receive a serious injury from the accident which they have suffered. This person will be dealt with using the ‘in house’ protocol for minor accidents.
A Major accident is when a person is seriously injured. This major accident is classified as a significant event and must be reported to Health and Safety Executive (HSE).
Significant events fall into three categories which are:
- Dangerous Occurrences
What is a reportable injury?
- If a death occurs due to the incident at work
- Major injuries, some examples below:
- Loss of consciousness
- Serious burns / scalds
- Fractures (excluding fingers / thumbs)
- Over-7-day injuries. This is when an employee or self-employed person in the work place is off work and unable to perform their normal work duties for more than 7 consecutive days.
- Injuries which occur to members of the public.
- When patients are taken from the practice to a hospital.
- Some work-related diseases (check HSE website for full list).
Only the ‘Responsible Persons’ at the practice, including employers, self-employed staff and any person in control of work premises should submit reports under RIDDOR. The correct report form (F2508) should be completed online, the form will then be submitted directly to the RIDDOR database and then you will receive a copy for your records.
What is a significant event?
The National Patient Safety Agency’s (NPSA) definition of a SEA is as follows:
“A process in which individual episodes (when there has been a significant occurrence either beneficial or deleterious) are analysed in a systematic and detailed way to ascertain what can be learnt about the overall quality of care, and to indicate any changes that might lead to future improvements.”
A dental practice may come across a range of significant events. Here are some examples:
- A patient is aggressive in the reception area and threatens the receptionist
- A medical emergency occurs in the practice, patient dies of a heart attack
- In the decontamination room the autoclave has an explosion which causes significant damage to the room
All significant events should be reported to the responsible person and a thorough outline of the incident logged. A significant events analysis should be undertaken.
Below are some examples of reportable information incidents:
- Finding a computer printout of patient details
- Finding a clinic list, the back of which is used for a shopping list, in the supermarket
- Finding a patient dental record in the ladies toilet within the practice
- Identifying that a fax that was thought to have been sent to a hospital had been received by a private business
- Losing an unencrypted laptop computer with personal information on it
- Giving information to someone who should not have access to it – verbally, in writing or electronically
- Accessing a computer database using someone else’s authorisation e.g. someone else’s user id and password
- Trying to access a secure area using someone else’s swipe card or pin number when not authorised to access that area
- Finding your PC and/or programmes aren’t working correctly – potentially because you may have a virus
- Sending a sensitive e-mail to ‘all staff’ by mistake
- Finding a colleague’s password written down on a ‘post-it’ note
- Discovering a ‘break in’ to the practice.
- Finding confidential waste in a ‘normal’ waste bin.
- Medical emergency
- Violence from patients
- Safeguarding concerns
Significant events analysis
It is important for all staff to discuss and reflect on significant events that occur in the practice. There are steps to follow to ensure that the correct process is maintained. This should be logged and kept for audit and inspection purposes.
- Identify the significant event
- The responsible person should collect as much information as possible relating to the event. (Who was involved, how it happened, where it happened and what the injury was)
- The responsible person should hold a meeting to discuss the information, no blaming should occur and it should be an educational focus. (Discuss the reasons it happened both positive and negative, if there was a short falling in the system of protocols and the professionalism of the team member)
- The responsible person should undertake a structured analysis. A report should be written about the event analysis. (What changes could be put into place, demonstrate that learning has taken place after reflection with the individual or the team. The employee (injured person) involved should be included in analysis of the event)
- The responsible person to monitor progress of all actions that have been agreed upon by both parties. (Ensure there is effective communication between the team and that procedures are being followed after training has been provided)
- Peer review meeting. (What changes have been put into place? Has procedures/protocols been amended or updated or introduced, always keep documents as evidence)
Significant event report form/analysis
Example of a SEA form:
|Type of Significant Incident|
|Details of the Significant Incident|
Outline of Meeting
What can be put into place to improve..
What policies or procedures have been put in place