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SEA should not feel like this!

SEA should not feel like this!. Why bother?. GPST revalidation WBPA Other beneficiaries. Who benefits?. Patients GPs Practices CCGs The GP profession The Nation. What’s the guidance. How many? Content? Feedback?. Common SEA mistakes?. 3 rd party No SEA presentation / discussion

brenden-landry
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SEA should not feel like this!

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  1. SEA should not feel like this!

  2. Why bother? • GPST revalidation • WBPA • Other beneficiaries

  3. Who benefits? • Patients • GPs • Practices • CCGs • The GP profession • The Nation

  4. What’s the guidance • How many? • Content? • Feedback?

  5. Common SEA mistakes? • 3rd party • No SEA presentation / discussion • No discernible outcomes • No feedback

  6. Common types of SEA • In pairs try to identify the most common types of significant events

  7. ‘The Old Chestnuts’ • Prescribing error • Failure to action an abnormal result • Failure to diagnose • Failure to refer • Failure to deal with an emergency call • Breach in confidentiality • Breakdown in communication

  8. Common causes • Patient factors • GP factors • Informational issues • System issues • Cultural issues (business culture)

  9. SEA Structure • What happened? • What issues are raised by this significant event? • What was done well? • What was not done well? • What could be done differently in future? • What further (personal) learning needs did you identify?

  10. How to manage SEA successfully • Collect and collate your information beforehand. • Prepare a suitable venue, invite a wide range of appropriate staff, clearly state and adhere to the ground rules. • Undertake a structured analysis of the significant event

  11. How to manage SEA successfully 4. Agree changes needed to reduce the risk of recurrence 5. Monitor progress of all actions that are agreed and implemented by the team.  6. Write-up the event analysis once change has been agreed and implemented and attach any additional evidence (e.g. a copy of a letter or an amended protocol) to the report. 

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