Incident Reporting

What is incident reporting?

As part of ensuring high quality and safe care, Mindler UK must work to prevent care-related risks and injuries. Self-monitoring is a central aspect of patient safety and requires systematically and methodically collecting information, analysing, remediating and following up actions, around suspected or confirmed negative events and risks. This is to help prevent negative events from occurring or to reduce the likelihood of them occurring again. 

How to report incidents:

1. Log in to https://mindler.risma.eu/.

2. Click on “Incidents” at the top of the page, then “Overview”.

3. At the heading "Clinical deviation UK" further down the page, click on "+", write a short descriptive title (alternatively just "Incident" or "Risk"), click on "Create" and then fill in all the relevant fields in the created form.

4. Dr. Siobhan Jones is to be marked as ‘accountable’, Dr. Boyana Ivanovich and Daisy Butler-Gallie as ‘responsible’. 

NOTE: 

• Do not turn on the “confidential” slider when creating the report. 

• "Delegations" should not be filled in. If anyone has been further informed about the case, this must be stated in the report.

What should be reported?

Borderline Clinical Incident: Event that could have resulted in a failure of care. Examples of this are:

• Incorrect Webcur or Juvonno entry

• Patient complaint (final category to be assessed by the ‘anomaly manager’)

Clinical Incident: An event that resulted in a failure of care. 

• Patient complaint (final category to be assessed by the ‘anomaly manager’)

• Breach of confidentiality

• Internal (Mindler policies) or external clinical (e.g. HCPC guidance) procedures not correctly followed by clinician 

Clinician Safety: Where a clinician has felt threatened by a patient or a patient has made attempts to contact a clinician through non-Mindler means. e.g. 

• Inappropriate behaviour from a patient during a therapy session

• Attempts to contact a clinician through their personal social media 

High Risk Clinical Incident: A high risk incident.  

• e.g. Where emergency services needed to be called, an urgent social care referral or a suicide attempt whilst a patient is under Mindler care.

• Note: This is not necessarily an ‘incident’ but is still an incident which needs to be documented and tracked by the senior clinical team

Serious Untoward Incident: Serious incident that has led to the patient having a significantly increased need for care (e.g. a significant deterioration in mental state leading to a patient being detained under the Mental Health Act) or death (through suicide or homicide).

In some cases it may not be known from the start what category the incident is to be classed as (e.g. not all patient complaints are due to a failure of care). If this is the case, the clinician is to report using their best judgement and this category can be revised by the ‘anomaly manager’ reviewing the case. 

When deciding whether an incident has occurred or not, the clinician is to start by considering the incident patient's perspective. If there are any questions or hesitations about the incident reporting, contact your clinical supervisor, line manager or Head of UK Psychological Services for advice. 

In RISMA, you will be asked to complete the following questions: 

• What happened? (Describe the situation and the events as clearly as possible.)

• Where did it happen? 

• When did it happen?

• How did you find out? 

• When did you find out?

• Why did it happen? (If you have your own formulation you can detail it here.)

• What actions have been taken in response (by you or others) that you are aware of?

Once you have submitted the incident report, the appropriate responsible person will be notified and will proceed with review. You may be contacted for further information if necessary. You will be notified of any outcomes of the review.