; 1. No Blame IncidentAccident Reporting
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1. No Blame IncidentAccident Reporting

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									Canterbury DHB                                                             Volume 2 – Legal and Quality
                                                                    No Blame Incident/Accident Reporting



1. No Blame Incident/Accident Reporting

Policy
                          Canterbury DHB is committed to striving to “continuously improve all
                          processes and services that support the care of our patients”.
                          Canterbury DHB supports a no-blame culture being developed for
                          Canterbury DHB employees and staff working in services funded by
                          Canterbury DHB to report incidents and accidents.
                          Canterbury DHB recognizes that despite the best intentions of
                          competent and caring professionals, adverse events may occur and the
                          Canterbury DHB takes a no-blame approach towards employees or
                          staff working in services funded by Canterbury DHB for reporting
                          them.
                          Canterbury DHB believes that:
                          • There must be a no-blame, supportive environment for all
                             Canterbury DHB employees and staff working in services funded
                             by Canterbury DHB to report adverse events and near misses.
                          • Many adverse events result from an inadequate or complex system.
                          • Incidents and accidents should be recorded, investigated and
                             monitored in an attempt to establish trends and patterns, to learn
                             from them and prevent a recurrence, thus improving patient safety.
                          • Incident and accident reporting is an important component of
                             Canterbury DHB’s patient safety and risk management programme.
                          There may be particular circumstances where some action is required
                          against employees or staff working in services funded by Canterbury
                          DHB. These could include:
                          • Knowingly intentional acts with intent to harm or deceive.
                          • In the event it becomes clear that staff competency is the root cause
                             for a pattern of errors, management will make every reasonable
                             effort to ensure staff can reliably deliver safe care. If it becomes
                             clear that a staff member cannot practice in a reliably safe manner
                             by providing support such as education and mentoring, this
                             situation will be treated as a staff competency issue through normal
                             disciplinary procedures.
                          • Canterbury DHB recognizes that it does not have control over an
                             investigation that has been activated by external agencies but it will
                             provide support and encouragement where appropriate to those
                             involved.

         Policy Owner                  Quality and Patient Safety Council
         Policy Authoriser             Clinical Board
         Date of Authorisation         1 June 2005


Authorised by: Clinical Board                                                           Issue Date: 14/10/05
Ref. 0002                                                                                      Issue No: 5.0
                                                Page 1 of 2

								
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