Significant Event Analysis. Objectives. 1. Be able to describe significant event analysis/audit (SEA) and the potential of its use. 2. Know how to use significant event audit for your own learning and continuing professional development.
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1 .Significant event audit is also known by the following names:
2 .Significant event audit must involve a death or ‘near miss’ event.
3 .The most appropriate way to undertake significant event audit is alone in private, or with a clinical colleague from the same discipline.
4 .The following are helpful rules for setting topics for significant event audit:
6 .In a team meeting to discuss a recent critical incident, it is recommended that:
7 .In significant event audit, discussion should focus only on the facts of the case, and staff should be discouraged from discussing their emotional reactions.
8 .In relation to confidentiality, when a group discussion is held on a case relating to a patient:
9 .When giving feedback to the person who has presented a case for group discussion:
10 .Once issues have been raised and discussed, a specific standard of performance should be set in relation to key areas of concern.
11 .In research studies, the following have been shown to be areas of concern for primary care staff in relation to significant event audit
On review of notes had had 6 month Hx of recurrent UTI and microscopic haematuria which was treated as LUT’sx and not referred
? Missed bladder cancer which could have been diagnosed earlier