Loading presentation...

Present Remotely

Send the link below via email or IM

Copy

Present to your audience

Start remote presentation

  • Invited audience members will follow you as you navigate and present
  • People invited to a presentation do not need a Prezi account
  • This link expires 10 minutes after you close the presentation
  • A maximum of 30 users can follow your presentation
  • Learn more about this feature in our knowledge base article

Do you really want to delete this prezi?

Neither you, nor the coeditors you shared it with will be able to recover it again.

DeleteCancel

Incident Management at MSI

No description
by

Medical Development Team

on 22 April 2015

Comments (0)

Please log in to add your comment.

Report abuse

Transcript of Incident Management at MSI

The journey of Incident Management at MSI
Solutions
...and is structured according to levels of staff involved...
How will it work?
The challenge?
MDT's Role
Next steps
Rationale for new policy
Under-reporting
Quality of investigations and inadequate learning
lack of clarity about reporting timelines and responsibilities
inconsistent information received across incidents
Sustainable systems for a growing MSI
'Why bother?' -- perception that incident reporting is a bureaucratic exercise with no tangible benefit
lack of clarity about what should be reported
a policy that introduces a risk-based reporting system...
...along with the tools to empower programmes to analyse their own incident data.
...plus a section with guidance on key concepts in incident reporting...
Root cause analysis
Types of incidents
Risk-grading an incident
Safety alerts
Levels of investigation
Incident data management and trend analysis
incomplete or inadequate root cause analysis, resulting in adequate learning
An Excel database for country programmes...
responsibilities/accountability

processes
incident's risk grading
at each level dependent upon an
at each level dependent upon an
incident's risk grading
notification and investigation requirements
at each level dependent upon an
incident's risk grading
time frames
at each level dependent
incident's risk grading
upon an
due for review/updating
capacity to review all incidents at head office level?
equipping MDT to undertake increasingly meaningful global analysis and enhance global learning
classifying incidents based on their impact to the client
means we can identify proportional responses to incidents, and build a future-proof system
and MDT can focus its attention and energy on the most serious
how to most efficiently and effectively transmit information about an incident across different levels of staff involved?
in an analysable format?
without requiring different levels of staff to repeatedly input the same information in different documents?
The solution?
an incident database built in Excel
Incident at point of service delivery
Incident at point of service delivery
Incident at point of service delivery
Incident at point of service delivery
Centre manager
Social franchise manager
Incident at point of service delivery
Incident at point of service delivery
Outreach manager
Incident at point of service delivery
Progressive database creation
The database
A system comprising...

Policy
Processes
Concepts
Tools
pilot in Bangladesh
getting the system right
avoid duplication...
integration with CLIC
all information entered at the point of service deliver will appear as a pop-up in CLIC
global roll out?
system dissemination strategy?
MA role? MDT role?
comments, questions, concerns?
Easily identify:
what must be done for red, amber and green incidents
when, it must be completed
and who is responsible for doing it
Incident Notification Form
Proformas & guides
The process
in other words...
from the levels of responsibility...
...we get corresponding processes
in other words...
Incident at point of service delivery
Obstetrics manager
1x excel doc per incident/per point of service delivery
1x excel doc per channel/region/etc.: incidents collated at programme-specific level
1x excel doc per programme: master incident file
The result?
improved learning and trend analysis at the programme level
improved learning and trend analysis at the global level, and less time spent re-entering information
MDT classification system
More nuanced analysis
Process indicators
+
ability to measure process is another way to measure progress
but how do we know if the new policy has had an impact? especially when it is meant to encourage reporting?
maximised learning at all levels
Risk-grading
how to conduct a risk grading?



MA feedback: will the system work?
+ a tutorial video on how to use the Excel Notification Tool
Key practical implications
Non-fatal incidents are also capable of receiving a consequence score of 3 or 4, must also be reported to MDT, and require a Level 1 investigation -- will this require additional resources on the part of country programmes?

Reporting requirements are not tied to particular kinds of incidents (i.e. perforation) but to their impact on the client. This means that the system will be flexible, as MSI services and corresponding incidents expand.

Capacity of staff at point of service delivery to carry out risk-grading?

Cultural shift?
Non-fatal incidents are also capable of receiving a consequence score of 3 or 4, must also be reported to MDT, and require a Level 1 investigation -- will this require additional resources on the part of country programmes?

Reporting requirements are not tied to particular kinds of incidents (i.e. perforation) but to their impact on the client. This means that the system will be flexible, as MSI services and corresponding incidents expand.

Capacity of staff at point of service delivery to carry out risk-grading?

Cultural shift?
Full transcript