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Serious Incident Framework - NHS England

Serious Incident Framework Supporting learning to prevent recurrence Serious Incident Framework Supporting learning to prevent recurrence OFFICIAL 1 NHS England INFORMATION READER BOXD irectorateMedicalCommissioning OperationsPatients and InformationNursingTrans. & Corp. StrategyFinancePublications Gateway Reference:03198 Document PurposeDocument NameAuthorPublication DateTarget AudienceAdditional Circulation ListDescriptionCross ReferenceAction RequiredTiming / Deadlines(if applicable)PolicyLondonSE1 6 LHPatient Safety DomainNHS EnglandSkipton House80 London RoadThis revised Framework explains the responsibilities and actions for dealing with Serious Incidents and the tools available.

apportion blame. We have also continued to endorse the application of the recognised system-based method for conducting investigations, commonly known as Root Cause Analysis (RCA), and its potential as a powerful mechanism for driving improvement. This revised Framework has been developed in collaboration with healthcare

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