Writing Investigation

Writing Investigation Report

Writing Investigation Report 1. Reference Patient’s Particulars and Brief History 3. Brief Description of the Incident 4. Mode of Investigation Performed 5. Findings 1. Details of the incident 2. Identified factors attributing to the incident 6. Conclusion 7. Actions Taken 1. Immediate 2. Long Term 8. Recommendation 9. Appendix / Attachment

Attributing Factors 1. People -

Attitude, Skills, Knowledge (ASK)

-

Manpower

4. System -

Management

-

Policies – Corporate / Hospital / Department / Specific / HR

-

Values, structure, Legal Concerns, Financial Concerns

8. Material -

Consumables / Tools / Instrument / Equipment / Machinery / Environment

11. Method -

Checklist / Chart / Routine / Procedure / Guideline / Workflow

Identifying Attributing Factors Sample

Incident

People

System

Material

Method

Sending of Specimen attitude

P.I. Support

collection box

Record / documentation

attitude

　

　

Record / documentation

attitude

　

Faults

Incident of Availability and T/O Influenza confirmation of A Patient to Result General Ward Transfer out of Patient

　

checklist, countercheck

Question Asked When Formulating the Report 1. What - What was happened - What department / area was involved - What was the cause / predisposing factors - What was the outcome / implication - What action was taken - What was the conclusion / recommendation - What was attached for reference

Question Asked When Formulating the Report

2. When - When was the incident happened - When was the concerned parties being informed - When was the remedial action being taken

Question Asked When Formulating the Report

3. Where - Where was the location / vicinity 3. Who - Who was involved – staff / client / others - Who was being informed 6. Why - Why the incident was happened - Why the staff / person was being involved

Question Asked When Formulating the Report

6. How - How the incident was happened - How the incident was discovered - How the investigation was done - How the remedial action was done / planned - How the staff was being involved - How was the conclusion / recommendation was made

After Q&A Revise and Supplement the Report Accordingly

Writing Investigation Report 1. Reference Patient’s Particulars and Brief History 3. Brief Description of the Incident 4. Mode of Investigation Performed 5. Findings 1. Details of the incident 2. Identified factors attributing to the incident 6. Conclusion 7. Actions Taken 1. Immediate 2. Long Term 8. Recommendation 9. Appendix / Attachment

END Thank You