Event Management Process for Adverse Events  
• Event Form submitted into event management system.
• Directorate Leadership Team to triage harm (Support provided by PSA).
1. Submission  • DLT to confirm event rating within 2 working days and reclassify if required.
& Triage
• Lead reviewer(s) to be determined by panel (CMDO, CNMO and CAHPO) ASAP.
2.
• AEB Part A completed and sent to HQSC within 15 days (by PSA and PSCCM).
• ToR developed for review team 
2. Confirmed 
(by PSA and CMDO).
SAE (HSLT)
• Open communication with patient &/or representative (Letter A and phone call by DLT if required).
• Prepare timeline.
• Meet with review team.
3. Review 
• Provide support and advice regarding process and methodologies.
(PSA)
• Review final draft (within 60 days)
• Ensure initial open communication process is complete and key contact assigned.
• Ensure staff involved have appropriate support (Critical incident debrief/Occ health EAP).
• Review final draft of review.
• Recommendations agreed. Ensure they are achievable and have associated timelines.
4. Directorate 
Leadership 
• Final report to be sent to PSA.
Team
• DLT retain responsibility for managing recommendations to completion. 
• DLT final review to CEAG.
• Presented by representative(s) of the DLT and lead reviewer (if appropriate).
• CEAG to approve final review.
5. CEAG
• Identify learnings.
• Assign recommendations to appropriate staff to implement.
• Manage implementation to completion within agreed timelines.
• Report progress of implementation to PSCC Administrator monthly.
6. Directorate  • Open communication with patient &/or representative (Letter B with a copy of review and executive 
Leadership 
summary - PSA will assist).
Team
• Email reminders to DLT for updates of progress for recommendations.
• Update recommendations database monthly and as appropriate.
7. PSCC 
• Provide updated documentation for CEAG agenda at 3 and 6 months.
Administrator
• Complete AEB Part B and send to HQSC within 70 days.
• Update Adverse event database.
• Support open communication process.
8. Patient 
Safety Advsior • Facilitate sending copies of review to external bodies as required.
• Complete learning reports & trend analysis as appropriate.
 
Key: AEB – Adverse Event Brief, DLT – Directorate Leadership Team, PSA – Patient Safety Advisor, PSCCM – Patient Safety and Clinical Compliance Manager 
Relevant polices: Event Management OPM002, Open Communication OPM111, Employee Assist Programme PPM028 

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