Significant Event (Learning) Analysis Report Form

NHS Education for Scotland (NES)

Enhanced SEA is a NES innovation (funded by the Health Foundation 2012 SHINE programme) which aims to guide health care teams to apply human factors thinking when performing a significant event analysis, particularly where the event has had an emotional impact on staff involved. Taking this approach will help individual clinicians and care teams to openly, honestly and objectively analyse patient safety incidents, particularly more difficult or sensitive safety cases, by ‘depersonalising’ the incident and searching for deeper, systems-based reasons for why the significant event happened. In this way, a more constructive approach to learning can take place and more meaningful improvement can be implemented to minimise the risks of the event happening again.

Publisher: NHS Education for Scotland (NES)

Keywords: Quality improvement ; Patient safety

Type: Learning

Format: MS Word

Audience: General audience