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Healthcare 
Here in the UK, these skills are required both for the safety of patients and staff. The 
NHS regularly undergo internal reviews to ensure it‘s operating as safely and efficiently 
as possible. 
We like to think we are always in safe hands when it comes to doctors but 
unfortunately, with the NHS being overstretched significantly in recent years and the 
high-level bureaucracy that comes with any large nationalised institution, health facilities 
are 
not 
free 
from 
scandal. 
An affair that takes place within NHS-funded services or care and is deemed worthy of 
investigation is usually referred to as either a ‗significant event‘, a ‗serious incident (SI)‘ 
(‗serious incident requiring investigation (SIRI)‘ or ‗serious untoward incident (SUI)‘). 
The first refers to ―any unintended or unexpected event‖ leading or having the propensity 
to lead to patient harm. The last three are often used interchangeably to describe an 
incident that resulted in an unexpected or avoidable death, a life-threatening injury or 
serious abuse. 

All members of a healthcare team come together to constructively review an event 
through a Significant Event Audit (SEA) – a process in which individual occurrences 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. 

Controlled Drug Accountable Officers use critical analyses to decide who it‘s safe to give 
high-dose drugs to. 



Case Investigators work with patients who have been diagnosed with an infectious 
disease, to determine who else they have come into contact with. 
Organisational abuse 
It‘s National Safeguarding Adults week, and one of the key themes this year 
is organisational abuse. It comes in many forms but is commonly exemplified through 
misuse of medication, restricting patient access to toilet facilities, or poor professional 
practice. 
In the UK, the Healthcare Safety Investigation Branch conducts regular, impartial 
analysis into organisational operations and incidents – to suggest broad improvements 
that could be implemented. In doing so, they hope to reduce accidents like these. 

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