System-Wide Incident Investigations
Identify the root cause of incidents with help from our experts.
Prevent future incidents with system-level incident investigations.
Here at Delphi Care, we have a team of healthcare experts made up of former CQC inspectors and registered managers we can help identify any system-wide causes for patient safety incidents in care.
We’re approved suppliers of independent investigations to NHS England and have extensive experience in investigating cases of system-wide failure. Our team have also improved substantially failing services and helped reverse decisions by the authorities to shut down inadequate services.
Learn more about our investigation services by speaking with our team!
What are system-wide incident investigations?
In 2017, the Healthcare Safety Investigation Branch (HSIB) was founded to develop a system-based approach to safety investigations in healthcare. The purpose of this was to improve the ways that investigations identify methods of prevention for similar incidents rather attributing blame and liability on individuals.
A system-wide incident investigation examines the systems in place as a whole to identify flaws in the system that supports the delivery of care rather than the individuals involved in an incident. These types of investigations are effective in identifying areas of improvement within a service as a whole rather than attributing blame for errors to an involved party.
Learn more about our system-wide incident investigations.
Why system-wide investigations are beneficial
Healthcare services are a made up of complex systems of people, teams, processes, technology, environments, and equipment. A system-wide approach to investigations allows us to assess the complex interactions between all elements of the delivery of care and avoid a linear approach to discerning the cause of an incident.
This allows us to avoid placing unnecessary blame or fault on an individual in cases where the care delivery system as a whole was the major factor that resulted in an incident occurring. A system-wide incident investigation may identify individual accountability, but this only happens when the system itself is not a major contributing factor.
How do our investigations work?
Delphi utilises a range of investigative approaches that show the potential causes of a specific event and a review and analysis of patients’ clinical notes, risk assessments and care plans can identify areas of risk and suggest actions for improvement.
We also utilise a PSRIF template to discover the causes of a problem and its solutions; alongside a detailed timeline of events. Due to their impartiality, Delphi are able to provide an unbiased and evidence-based, factual report based on the evidence provided.
All investigations are peer reviewed for accuracy, consistency and proportionality. Delphi use open and closed questions in interviews with staff involved in an incident, with a ‘no blame’ philosophy.
Following the three pillars of quality base of the NHS; safety, clinical effectiveness and patient experience, Delphi has a team of experienced clinicians and senior operational staff and are able to bring in expert subject matter associates, should there be a need.
Our composition of staff includes Occupational Therapist, RMN, RGN, LD specialists, CQC Inspectors, Operational Managers, all with many years of experience at senior level both within the Public and Private sectors.
Get in touch.
Find out more about our investigations services by contacting our team on 0330 133 3002 or email us customer-care@delphi.care today!
We’re approved suppliers of independent investigations to NHS England and have extensive experience in investigating cases of system-wide failure. Our team have also improved substantially failing services and helped reverse decisions by the authorities to shut down inadequate services.
Our team of healthcare experts made up of former CQC inspectors and registered managers can help identify any system-wide causes for patient safety incidents in care.
Our specialist investigations team.
Following the three pillars of quality base of the NHS, Delphi has a team of experienced clinicians and senior operational staff and are able to bring in expert subject matter associates, should there be a need.
Our specialist team includes Occupational Therapists, RMN, RGN, LD, CQC Inspectors, Operational Managers, and more all with countless years of experience at senior level both within the Public and Private sectors.
Kate Comfort
Investigations Lead
Kate has extensive experience in healthcare and social care investigations. Over six years as a CQC inspector and a background as a Datix Officer have honed her skills in managing serious incidents and performing root cause analysis. Kate excels in working with providers to foster a positive learning culture, using insights from patient safety incidents to drive continuous improvement and deliver the highest quality care.
Why choose Delphi Care?
Delphi Care are specialists in system-wide incident investigations and will examine all information available to create in thorough report for your healthcare business. We are recognised and trusted by the NHS to conduct these investigations, so you know you are in safe hands with Delphi Care.
If your healthcare business requires our system-wide incident investigations service, please contact our friendly team today and we will be in touch to discuss the circumstances and how our services can benefit you.
Our other investigations expertise.
The Delphi investigations team has experience across many different types of independent investigations.
