CQC: Learning from safety incidents Learning from safety incidents

The CQC release a learning from safety incidents series which describ what happened, what CQC and the provider have done about it, and the steps pro health and care can take to avoid it happening in their service

Issue 12: Capacity and consent

When a person is asked for their consent, information about the proposed care and treatment must be provided in a way that the person can understand.

Issue 11: Promoting sexual safety

People who use health & social care services should be protected from sexual incidents & kept safe

Issue 10: Unsafe management of sepsis

Issue 9: Medicines management - assessment

The risks posed by poor medicines management can result in serious or fatal illness.

Issue 8: Hypothermia

Hypothermia can develop in vulnerable people after a relatively short exposure to cold weather It can even develop after a small drop in room temperature.

Issue 7: Falls from windows

Falls from windows often result in serious or fatal injuries, but they are avoidable.

Issue 6: Caring for people at risk of choking

Choking can result in serious or fatal injuries & is avoidable in cases where there is a known risk.

Issue

5:

Safe management of medicines - treatment

The risks posed by poor medicines management can result in serious or fatal illness

Issue 4: Burns from hot water or surfaces

Unguarded hot surfaces can cause serious or fatal injuries

Issue 3: Fire risk from use of emollient creams

The unsafe use of emollient creams can result in serious or fatal injuries from fire.