The Trust’s Patient Safety Incident Response Plan: locally pre-defined PSII (local priorities based on the risk profile)

6.1 A review of data and soft intelligence from the sources outlined in point 3 above, & the resulting risk profile has highlighted the following local priorities for PSII.

 

The Trust’s Patient Safety Incident Response Plan

Patient safety incident type or issue	Planned response	Anticipated improvement route
Care for Mental health patients & Vulnerable people	PSII	Create local safety actions and feed these into the quality improvement strategy...
Missed or delayed diagnosis	PSII	Inform ongoing improvement efforts
Inappropriate discharge or inappropriate transfer of care	PSII	Inform ongoing improvement efforts
Management of deteriorating patients	PSII	Inform ongoing improvement efforts
Medication errors (errors occurring during the prescription, preparation or administration of medicines with or without the presence of patient harm)	PSII	Inform ongoing improvement efforts
Foetal monitoring	PSII	Inform ongoing improvement efforts

 

6.2 The above priorities are predefined & are subject to routine review to account for emerging risks and the strength of the relevant & ongoing improvement work. A formal review will be undertaken in June 2025.  It is important to note that not all incidents listed above as local priorities will automatically be investigated as PSII.  Whether an incident is investigated as a PSII or not will depend on the circumstances surrounding the individual incident and whether or not there is new opportunities for learning. The categories above are intentionally broad, to enable decisions to be made on a case by case basis, there by fulfilling the proportionate response guidance.